Form Dr 2003 - Application For Change Of Location

DR 2003 (02/99)

COLORADO DEPARTMENT OF REVENUE

APPLICATION FOR

DEALER SECTION

DENVER CO 80261-0016

CHANGE OF LOCATION

(303) 205-5604

INSTRUCTIONS:

The Motor Vehicle Dealer Board requires an application and fee for any location change to be submitted prior to the actual date of the

change. Failure to provide proper notification may result in an additional late filing fee. Please complete this application and return it to the

above address with a check made payable to the Colorado Department of Revenue.

Dealer Licensed Name

Dealer Number

Business Phone Number

Current Licensed Address

City

State

ZIP

1. I hereby request a change of license location to:

Street

City

County

State

ZIP

Business Phone Number

(

)

2. Desired date of change:

3. The new location is owned/leased by the licensed entity:

owned

leased

If leased, from whom (name and address)

Lease expires

4. Is the mailing address for the new location different?

yes

If yes, please indicate address:

5. If there is an existing motor vehicle dealer at this location, provide the dealer name and dealer license number:

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 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.)

Permanent enclosed office large enough to accommo-

Used exclusively for dealer business (the office,

date dealer's office

entrance, restroom, and display area cannot be shared

with another business.)

Books & records stored safely and available for

inspection

Property owned or

leased

Electrical service

10.

Permanent sign in place or

temporary sign in place

with permanent sign ordered

Adequate sanitary facilities (restrooms)

11.

Sign displays licensed name (DBA)

Space to display one or more vehicles

12.

Sign's letters are at least 6 inches high

Hours of operation posted and open at least 3 days

per week for a continuous four hours per day between

13.

Sign is visible to the major avenue of traffic

8 a.m. and 9 p.m. Please indicate days and hours of

14.

Location photos attached (Two photos are requested

operation _________________________________

showing a full view of the lot and sign from across the

Complies with local zoning requirements.

street and a close-up of the office building and sign.)

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 request.

Title

Date

Signature (owner, partner, LLC member/manager, or corporate officer)

Make Check Payable To:

COLORADO DEPARTMENT OF REVENUE

FEE ..................................... $ _____________________

LIABILITY CODE

FEE ................................................... $50.00

2575

LATE FEE ........................... $ _____________________

LATE FEE ......................................... $50.00

(Fees subject to change as of July 1, 1999)

FEES SUBMITTED ............. $ _____________________

white copy - License File

canary copy - Compliance

pink copy - Cashier

Form Dr 2003 - Application For Change Of Location - 1999

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