Form Ar-0069 - Dealer Corporate Officer Change Application
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4Dear Vehicle Dealer:
You recently requested an application to file a change of owner, partner, or officer for your dealer license, or we
have determined that such a change has occurred. You must submit the following, as applicable to your
situation:
1. Dealer Corporation Officer Change Application. Please complete all items. Note: Item 6 must list
all current owners, partners, or officers, including new applicants. Item 9 must be signed by all
current owners, partners, or officers, including new applicants. Items 7 and 8 must be completed
for each new applicant.
2.
Rider for Vehicle Dealer Surety Bond (applies only to partnerships and to individual ownerships
when adding a spouse). A bond rider listing all current owners or partners and showing the correct
assumed name (d/b/a) and business address must be submitted.
3. New assumed name filing (applies only to partnerships and individual ownerships when adding a
spouse). A new assumed name or d/b/a filing listing all current owners or partners and showing the
correct business address must be submitted. The assumed name filing must be obtained from the
County Clerk for the county in which your dealership is located.
4. Each new applicant listed in Item 6 on the application must be fingerprinted. Fingerprints are taken
by appointment only. To schedule an appointment you must:
Schedule an appointment to be fingerprinted:
a. Visit
b. In the Search box, type “Private Livescan Vendors,” and click Go.
c. Select the MSP – Private Live Scan Vendors link for list of vendors
Take the Live Scan Fingerprint Request included in this packet to that appointment.
All fees associated with fingerprinting will be collected by the printing agency. They will provide
you with a signed receipt as proof of fingerprinting. Please include a copy of that signed receipt
when you submit your completed Dealer Corporate Officer Change Application.
Please complete the application carefully and return with a copy of the fingerprint receipt, the bond rider and
assumed name filing, if applicable. Please remember that the owners/partners names, business name and
business address must be exactly the same on the application, bond rider and assumed name filing.
RETURN TO: Michigan Department of State
Business Licensing Section
Lansing, MI 48918
Please contact the Business Licensing Section at 1-888-SOS-MICH (1-888-767-6424), if you have any
questions regarding the application or related items.
Enclosures
09/2011
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