Vehicle Dealer License Change Of Name And Change Of Address Application
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AR-0068 (7/2006) By Authority of PA 300 of 1949, as amended
MICHIGAN DEPARTMENT OF STATE
DEPARTMENT USE ONLY:
Licensing Unit
Approved:
Lansing, Michigan 48918
1-888-SOS-MICH (1-888-767-6424)
Fax (517) 335-2810
VEHICLE DEALER LICENSE CHANGE OF NAME
By:
AND/OR CHANGE OF ADDRESS APPLICATION
1. INDICATE THE CHANGE YOU WISH TO MAKE:
Change of business NAME (Complete Items 2, 3, and 7)
Change of business ADDRESS (Complete all items except Item 3)
Both changes (NAME and ADDRESS) (Complete entire form)
2. CURRENT BUSINESS NAME AND DEALER LICENSE NUMBER
Current Business Name
Dealer License Number
3. NEW BUSINESS NAME
Enter your new business name in the blank below. Corporations and limited liability companies using assumed
names must fill in the blank as follows: business name d/b/a assumed name.
Note: A corporation or limited liability company changing its business name must attach a copy of the
amendment to the articles of incorporation or creation document. A corporation or limited liability company using
an assumed name must attach a copy of the assumed name filing. In either case, contact the Michigan
Department of Consumer and Industry Services, Corporations Division. Individual owners and partnerships must
attach a copy of the county assumed name filing from the county clerk’s office.
4. NEW BUSINESS ADDRESS, TELEPHONE NUMBER AND BUSINESS HOURS
Note: Rural Route or Post Office box numbers alone are inadequate. The actual location must be identified.
Street
City
County
Zip Code
Area Code and Telephone Number
Area Code and Fax Number
E-mail Address
Business Days and Hours
________________________________________________________________________
(Class A and Class B dealers must maintain business hours of not less than 30 hours per week.)
5. ZONING/MUNICIPALITY APPROVAL
A change of address requires the completion of a zoning approval form and a municipality approval form. Contact the
Licensing Unit at
to obtain either of these forms or visit our website at
1-888-SOS-MICH (1-888-767-6424)
, “Services to Businesses”, then “Publications and Forms”, then “Dealer Zoning Approval Form”.
A vehicle dealer surety bond rider is required for each change of name and/or address. Contact your insurance agent to
obtain a surety bond rider. Individual owners and partnerships must also attach a copy of the new county assumed
name filing from the county clerk’s office, if the change of address is for a new county.
(over)
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