Form D-17a - Application For A Vehicle Dealer License (Page 2 of 3) in pdf

5. If you are applying for a New/Used Vehicle Dealer License, pursuant to K.S.A. 8-2430 you must submit a written notice by Certified Mail

to the Director of Vehicles of your intention to add a new line make at your intended location. You must also state the date of proposed

addition, identify all new vehicle dealers who are franchised to sell same line-make vehicles in the relevant market area, and provide a

short statement of evidence in meeting the burden of proof for establishing the line-make addition. A completed D-100 New Franchise

Certification must be filed with the Division of Vehicles for each franchise agreement in place. *All Manufacturers must be licensed

with the State of Kansas as a 1

Stage Manufacturer in order for the franchise agreements to be approved.

If you are applying for a Salvage Vehicle Dealer, pursuant to K.S.A. 8-244(t) you must submit D-35 KDOT Certificate of Compliance

certified by the Kansas Department of Transportation.

Have you ever been licensed as a vehicle dealer? yes

no

If YES, Year(s)

8. Are you engaged in the vehicle business in any other location? yes

no

If yes, give City, State, and Dealer Number:

Have you ever been denied a dealer license or has your dealer license ever been suspended or revoked, either in this state or any

yes

no

other?

If YES, give reason:

10. In accordance with K.S.A. 8-2410(a)(21), state whether within the five years immediately preceding the date of filing this application,

yes

no

you have been convicted of a felony?

11. New or used vehicle dealers, wholesalers, brokers, salvage vehicle dealers, first or second stage manufacturers, first and second stage

converters, salvage pool, vehicle recycler, rebuilder, vehicle crusher, scrap metal recycler must maintain an established place of

business to be licensed. “Established place of business” means a building or structure, other than a building or structure all or part of

which is occupied or used as a residence owned either in fee or leased and designated as an office or place to receive mail and keep

records and conduct the routine of business. If such established place of business or lot is zoned, the correct business address and

legal description of the property must be provided to the zoning authority, and proof that the proposed use complies with the

applicable zoning law, ordinance or resolution must be furnished to the director by the applicant. If no zoning exists agent must

indicate below. ANY AREA LEFT BLANK WILL VOID ZONING CERTIFICATION.

This is to notify you that

Complete Business Name

located at ________________________________________________________________________ is in conformance with the

Address, City, State, Zip

zoning ordinances or regulations of the city or county of _____________________________, Kansas.

This location is hereby approved to conduct business as the license of ________________________________________.

(License Type)

______No Zoning Applicable

(above zoning must be completed and signed by zoning agent and seal affixed to this document)

____________________________________________________

Signature of Zoning Agent

Title

Date

____________________________________________________

Address of Zoning Office

____________________________________________________

City

State

Zip Code

____________________________________________________

Zoning Office Phone Number

Zoning Office Fax Number

(Seal of City or County Zoning Office Required)

____________________________________________________

Zoning Office Phone Number

Directions to the above location:

Form D-17a - Application For A Vehicle Dealer License Page 2

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