Form Dr 2044 - Place Of Business Affidavit - 1998
ADVERTISEMENT
1DR 2044 (10/98)
FOR OFFICE USE ONLY
COLORADO DEPARTMENT OF REVENUE
License No.
MOTOR VEHICLE
DEALER SECTION
PLACE OF BUSINESS
DENVER CO 80261-0016
Date Issued
(303) 205-5604
AFFIDAVIT
Trade Name
Dealer Number, if Already Licensed
Street Address
City
County
ZIP
Business Phone
(
)
CHECK APPLICABLE BOXES
New Application TYPE:
new
used
wholesaler
auction
Change of Primary Location From ______________________________________________________________________
Additional Location
Change of DBA From ________________________________________________________________________________
Change of class FROM:
new
used
wholesaler
auction
TO:
new
used
wholesaler
auction
Change of entity FROM:
individual
partnership
corporation
TO:
individual
partnership
corporation
limited liability
limited liability
NEW/USED/AUCTION DEALERS: Complete this section
I certify that the place of business listed above meets or will meet all the following requirements under Motor Vehicle
Dealer Law and Regulations as of the date of licensing. (A box for each numbered requirement must be checked
or the application will be rejected or delayed)
1.
Permanent enclosed office large enough to ac-
7.
Complies with local zoning requirements.
commodate dealer’s office
8.
Used exclusively for dealer business (The office,
entrance, restroom, and display area cannot be
2.
Books & records stored safely and available for
inspection
shared with another business.)
3.
Electrical service
9.
Property owned or
leased
4.
Adequate sanitary facilities (restroom)
10.
Permanent sign in place or
temporary
5.
Space to display one or more vehicles
sign in place with permanent sign ordered
6.
Hours of operation posted and open at least 3
11.
Sign displays licensed name (dba)
days per week for a continuous four hours per day
12.
Sign’s letters are at least 6-inches high
between 8 A.M. and 9 P.M.
13.
Sign is visible to the major avenue of traffic
Please indicate days and hours of operation
14.
Location photos attached*
*Two photos are requested - a full view of the lot from across the street and a close-up of the office building.
WHOLESALERS: Complete this section
I am applying as a wholesaler and certify that I have the required office to conduct my business at the above location.
My residence phone number is (
) _______________________________ .
ALL APPLICANTS: Read, sign and date this section
I declare under penalties of perjury in the second degree (Class 1 Misdemeanor) that the above information is true and accurate.
I realize that my place of business is subject to inspection and any false statements regarding the above requirements could
subject my license or application to denial, suspension or revocation. I, as owner, co-partner, LLC member/manager, or corporate
officer have authority to sign this affidavit.
Signature of owner, partner, LLC member/manager or corporate officer
Title
Printed Name
Date
Top Copy — Dealer License File
Second Copy — Dealer Investigations/Compliance
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