Fillable Form 1879 - Application For Missouri Salvage Business License (Page 2 of 2) in pdf

IMPORTANT INSTRUCTIONS TO APPLICANT: Complete the application and submit with the appropriate

fees to DEALER LICENSING SECTION, POST OFFICE BOX 43, JEFFERSON CITY, MO 65105-0043. All illegible,

incorrect, or incomplete applications will be rejected.

CHECKLIST FOR REQUIREMENTS

 Complete each area on the application; birthdates, social security numbers, and residence addresses of all owners

must be recorded.

 Complete the salvage business name and address. The complete business name must be shown. A post

office box number without a street address will not be accepted as an actual business address.

 Complete the salvage business name and mail to address, if appropriate.

You must include a letter from

the local postal authorities stating they cannot or will not deliver mail to the actual business location.

 Complete area 16 – Inspection/Certification.

An authorized law enforcement officer or designee MUST

complete this section. A salvage business must be inspected by the Missouri State Highway Patrol or

authorized employee. If the business is located in a first class county (Boone, Buchanan, Camden,

Callaway, Cape Girardeau, Cass, Clay, Cole, Franklin, Greene, Jackson, Jasper, Jefferson, Platte, St. Charles,

St. Louis, St. Louis City, and Taney), an authorized city policeman who is employed in the same city the business is

located may complete the inspection. Certifications may not be completed by a sheriff or marshal. (Reference

Sections 301.221 through 301.227, RSMo).

 Signed application by business owner

 Current photograph of the bona fide place of business (building, lot, and sign)

 Complete a background check. Each owner, partner or principal officer must either submit a current background

check made by the Missouri State Highway Patrol or submit a fee of $11 for each background check and the

department will have the background check completed. NOTE: If any owner, partner, or principal officer is a resident

of a state other than Missouri, a current background check from your State Highway Patrol or

Criminal Investigation Bureau.

 Copy of the permanent signed order and photograph of the business’ temporary sign, if applicable

 If applying as a used parts dealer, a copy of the applicant’s Missouri Retail Sales Tax License must be

submitted. If applying as a salvage dealer and dismantler, a copy of the applicant’s Missouri Retail Sales Tax License

must be submitted, or a statement signed by the owner, confirming the business sells parts on a wholesale basis only

must be submitted.

 Submit fee listed on front of form if renewing existing license. If applying for a new salvage business

license or changing type of business, refer to enclosed instructions for licensure and background check fees.

 One check or money order for licensure, and record check fees made payable to the Missouri Department of Revenue.

Note: The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or

uncollected funds.

D0R-1879 (11-2013)

Form 1879 - Application For Missouri Salvage Business License Page 2