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DR-1S

R. 07/09

Page 4

Secondhand dealers and mail-in secondhand dealers

All applicants must answer Questions 1 through 6.

must answer Questions 7 and 8. Secondary metals

1. Are you a secondhand dealer as defined in Chapter 538,

recyclers should skip to Question 9.

Part I, F.S.?

Within the preceding 10 years, have you or other owners,

A secondhand dealer engages in the business of

officers, partners, directors or stockholders with a

purchasing, consigning, or trading secondhand goods from

controlling interest been convicted of, or entered into a

a fixed location. ...........................................

Yes

■

plea of guilty or nolo contendere to, a crime committed

against the laws of this state or any other state or of the

2. Are you a secondary metals recycler as defined in Chapter

United States involving theft, larceny, dealing in stolen

538, Part II, F.S.?

property, receiving stolen property, burglary, embezzlement,

A secondary metals recycler is engaged from a fixed

obtaining property by false pretenses, possession of

location or otherwise, in the business of gathering or

altered property, any felony drug offense, any violation of s.

obtaining ferrous or nonferrous metals that have served their

812.015, F.S., or any fraudulent or dishonest dealing?

original economic purpose or has facilities for performing

....................................................................

Yes

■

the manufacturing process by which ferrous metals or

8. Have you ever had a final judgment entered against you

nonferrous metals are converted into raw material products

in civil action upon grounds of fraud, embezzlement,

consisting of prepared grades and having an existing or

misrepresentation, or deceit? .......................

Yes

■

potential economic value, other than by the exclusive use

Secondary metals recyclers must answer Question 9.

of hand tools, by methods including, without limitation,

processing, sorting, cutting, classifying, cleaning, bailing,

9. Within the preceding 24 months, have you or other

wrapping, shredding, shearing, or changing the physical

owners, officers, partners, directors or stockholders with

form or chemical content thereof. ...............

Yes

■

a controlling interest been convicted of, or entered a plea

of guilty or nolo contendere to, a felony committed against

3. Are you a mail-in secondhand dealer as defined in

the laws of the state or of the United States involving theft,

Chapter 538, Part III, F.S.?

larceny, dealing in stolen property, receiving stolen property,

A mail-in secondhand dealer conducts business within

burglary, embezzlement, obtaining property by false

Florida and contracts with other persons or entities to buy

pretenses, possession of altered property, or any felony

precious metals (items that contain gold, silver or platinum,

drug offense or of knowingly or intentionally violating the

or any combination thereof) or jewelry through an Internet

laws of the state? .........................................

Yes

■

website, the United States mail, or telemarketing. A mail-in

secondhand dealer is not open to the public for walk-in

business. .....................................................

Yes

■

4. Do you agree to comply with the record keeping, holding

period, and inspection requirements of Chapter 538, Parts I,

II, and/or III, F.S.?..........................................

Yes

■

5. Has your business paid or do you agree to pay all the sales

and use tax owed to the state of Florida? ....

Yes

■

6. Are you 18 years or older? ...........................

Yes

■

Applicant Signature

This application cannot be processed if not signed by an owner, officer, partner, director or stockholder with

—

a controlling interest.

Under the penalties of perjury, I declare that I have read this application and that the facts stated in it are true. [sections 92.525(2),

538.09, 538.25, 538.32, and 837.06, F.S.]

___________________________________________________________________________

____________________________________

_________________

Signature of Applicant

Title

Date

Form Dr-1s - Registration Application For Secondhand Dealers And/or Secondary Metals Recyclers Page 4

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