Form D-35 - Kdot Certificate Of Compliance

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KANSAS DEPARTMENT OF REVENUE
DIVISION OF VEHICLES
F#
DEALER LICENSING BUREAU
TOPEKA, KS 66626-0001
D#
(785) 296-3621
KDOT
CERTIFICATE OF COMPLIANCE
Complete questions 1-7, then forward original copy to KDOT for certification. Please retain a copy for
your records. Once they have certified this document, they will forward to the Dealer Licensing Bureau.
1.
Salvage Storage Certificate of Compliance Number:
2.
Vehicle Dealer Number: D-
3.
Business Name:
4.
Business Address (Site address):
5.
Applicant’s Printed Name & Home Address:
6.
Business Phone Number:
Home Phone Number:
7.
Owner(s) Name:
8.
Mail to:
KANSAS DEPARTMENT OF TRANSPORTATION
BUREAU OF RIGHT OF WAY, BEAUTIFICATION SECTION
TH
700 SW HARRISON STREET, 14
FLOOR
TOPEKA, KANSAS 66603-3745
TO BE COMPLETED BY THE KANSAS DEPARTMENT OF TRANSPORTATION:
Is the above location subject to the Salvage Control Act?
Yes
No
Salvage Administrator:
By my signature above I hereby certify that the applicant identified above is currently, by policies and standards established
by the Kansas Department of Transportation, in compliance with the requirements of the junkyard and Salvage Control Act.,
K.S.A. 68-2201 et seq.
D-35 www (6-10)

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