Application For Change Of Location - Nebraska Motor Vehicle Industry Licensing Board
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1
2FEE $ 25.00
(Collected after Inspection and Approval)
STATE OF NEBRASKA
NEBRASKA MOTOR VEHICLE INDUSTRY LICENSING BOARD
Application for
CHANGE OF LOCATION
(Applicable only if new location is within the same County as the currently issued license.)
DEALER LICENSE NUMBER _____________________________
Complete items 1 through 9 and mail to:
NEBRASKA MOTOR VEHICLE INDUSTRY LICENSING BOARD, PO BOX 94697, LINCOLN NE 68509
1. Dealership name: _______________________________________________________________________
2. Address only changed to:
______________________________________________________________________________________
(Address)
(City)
(State)
(Zip code)
(County)
If the above address is a rural location, please give directions to find the dealership.
______________________________________________________________________________________
3. Former address of licensee: ________________________________________________________________
4. Does the above new location conform to applicable zoning laws? ________
5. Phone number of the New Location: (_______)_______________________
6. Will there be one contiguous area for the display of ten or more motor vehicles in the building or on the
premises where the business is to be operated? ________
7. Indicate whether the proposed location is owned or leased _____________ . If the location is leased, a copy
of the lease (not ending before Dec. 31 of the current year) must accompany this application.
8. Describe fully the building and actual premises where the business is or will be operated (include square feet
of building and sales space).
9. Submit with this application a photograph of the place of business, showing the permanently erected
dealership sign in the photo. The sign must be in letters at least 8 inches in height.
THE OATH ON THE REVERSE SIDE MUST BE SIGNED.
After your Inspection:
Inspection Report
Dealer License
Resubmit this application with the
, your
so the
the Fee
necessary changes can be made by this office, and
in the proper amount, made payable to
NEBRASKA
.
MOTOR VEHICLE INDUSTRY LICENSING BOARD
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