Form Dr 2640 - Dealer Plate Affidavit

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DR 2640 (08/99)
DEALER PLATE AFFIDAVIT
COLORADO DEPARTMENT OF REVENUE
AUTO INDUSTRY LICENSING DIVISION
DENVER CO 80261-0016
(303) 205-5604
ORIGINAL DEALER APPLICANT: Complete sections A,B,D and E.
ORIGINAL WHOLESALER APPLICANT: Complete sections A,C,D and E.
CHECK ONE:
RENEWING DEALER: Complete sections A,B,D and E.
RENEWING WHOLESALER: Complete sections A,C,D and E.
SECTION A: DEALER / WHOLESALER INFORMATION
Dealer License Name/DBA
License Class
Dealer No.
Business Phone #
Used Dealer
Franchised Dealer
Wholesaler
Primary Business Location
City
State
ZIP
Number
SECTION B: DEALERS (NEW & USED) DEMO PLATE
1. Basic demo plate allowance for new or used dealer is 3 ............................................................................................ •1
3
2. One demo plate for each licensed salesperson employed by the dealership, excluding the two owners
licensed as salespersons under the dealer license. Indicate the number of licensed salespersons .......................... •2
3. Two demo plates for a repair facility located at the new or used dealer's principal place of business.
Do you have such a facility?
Yes
No
If yes, enter "2" ............................................................................... •3
4. One demo plate is authorized for every 50 vehicles sold or exchanged during the previous 12 month period.
CALCULATION:
a. Enter the number of vehicles sold or exchanged ............................................................................... •4a
b. Divide the amount on line 4a by 50 and enter this amount on line 4b .................................................................. •4b
(SPECIAL NOTE: Do not enter a fraction. Round down to the next lowest number.)
TOTAL NUMBER OF DEMO PLATES AUTHORIZED. Enter the total of lines 1, 2, 3, and 4b.
(A dealer may purchase less than the authorized quantity.)
SECTION C: WHOLESALERS DEMO PLATE
How many motor vehicles have been sold during the current license year to date?
2 plates (24 to 47 vehicles sold)
1 plate (up to 23 vehicles sold)
3 plates (48 or more vehicles sold)
SECTION D: DEALER FULL-USE PLATES (NEW & USED DEALERS & WHOLESALERS)
How many motor vehicles have been sold during the preceding 12 months?
Proof of same will be furnished upon request by agents of the board.
Only those applicants meeting one or more of the following criteria will be authorized full-use plates.
The undersigned applicant is authorized and hereby requests dealer full-use plates in accordance with the following criteria set forth in
CRS 42-3-127(6): Please check those that apply.
Applicant is purchasing the following dealership which has sold more than 25 vehicles during the preceding 12 month period:
Dealer Name___________________________________________________ # of Vehicles Sold in the Last 12 months __________
Applicant's business will have a starting inventory of 50 or more vehicles: Number of vehicles in starting inventory _______________
Applicant has sold more than 25 vehicles in the preceding 12 month period.
SECTION E: CERTIFICATION
I declare under penalty of perjury in the second degree that the statements made in this affidavit are true and complete to the best of my
knowledge.
I further declare that I will comply with all regulations governing the use of dealer plates. I realize that abuse of dealer plates could result in
a hearing and loss of plate privileges.
Signature (owner, partner, corporate officer, or LLC manager ONLY) Printed Name
Title
Date
Owner
Corp Officer
Partner
LLC Mgr
Dealer Plates: All dealers and wholesalers may purchase at least one dealer demo plate. Private use of a demo-plated vehicle is prohib-
ited. The "private use" prohibition does not apply to dealer full-use plates. A dealer or wholesaler that is authorized full-use plates may
purchase as many as desired. In-transit plates may be purchased by any licensed dealer or wholesaler.
Demo, Full-use and In-transit plates are authorized by the AILD, but purchased from the County Clerk where the dealer is located.

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