MOTOR VEHICLE ADMINISTRATION
6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062
Application for Vehicle Salesman’s License
Type of License: |
❒ New |
❒ Transfer |
Corrected❒ |
❒ Duplicate |
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Name of Applicant - First |
Middle |
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Last |
Suffix (Jr., Sr., III, etc.) |
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Street Address |
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City |
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State |
Zip Code |
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Date of Birth |
Driver License Number and State of Issuance |
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Social Security Number |
Home Telephone Number |
Background Questions for Applicant:
Yes No
❒❒ 1. Have you ever applied for or been licensed as a salesman or a dealer in this or any other state? If “yes”, please indicate:
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License type: |
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Lic. # |
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Business Name: |
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State: |
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Exp. Date: |
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❒❒ 2. Do you currently hold a dealer, salesman, or title service license issued in this or any other state? If “yes”, please indicate:
Business Name: |
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State: |
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Exp. Date: |
3.Is there any administrative action, including suspension, revocation, refusal, or fines pending against any of the above licenses? If “yes”, give a detailed statement on a separate sheet. Include type of license, type and date of action, business name and license number, and a full explanation.
4.Have there ever been any administrative actions, including suspension, revocation, refusal, or fines pending against any license you have held? If “yes”, give a detailed statement on a separate sheet. Include type of license, type and date of action, business name and license number, and a full explanation.
5.Have you ever been convicted of a crime other than a traffic violation? If “yes”, submit dispositions of charges from the court; give a detailed statement of charges, include dates and circumstances surrounding the incidents; and if you are currently or have been on parole or probation in the past, submit a statement from your parole or probation officer. This statement must indicate the terms and your current compliance with the terms of your probation.
Certification of Applicant: I certify, under penalty of perjury, that the statements made herein are true and correct to the best of my knowledge, information and belief. I also certify that I am familiar with the motor vehicle licensing laws and other laws of Maryland governing the conduct of motor vehicle salesman and will cooperate with the Motor Vehicle Administration in the enforcement of the applicable provisions of the Transportation Article and the agency regulations and that I will engage in the business of selling motor vehicles or trailers only for the dealer(s) for which the Dealer Licensing has so authorized.
Full Signature of Applicant: |
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Date: |
Certification of Dealer: It is certified that the above named person is employed and duly appointed as a salesman by the undersigned, a licensed motor vehicle dealer. I/we assume responsibility for making certain the sales applicant does not sell vehicles until this application has been approved and a license has been issued.
Important Notice to Dealership: This is not a license to sell vehicles. This form must be approved by the MVA. Once approved, the employing dealer will receive a computer license authorization, which the salesperson will take to an MVA office. He/She will pay the appropriate fee, have their photo taken, and be issued a photo vehicle sales license. The sales applicant may not sell vehicles until the sales license is issued.
Full Name of Dealership (Include corporate name and trade name ) |
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Dealer Number/Soundex |
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Dealership Street Address |
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City |
State |
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Zip Code |
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Dealership Contact (Full Name) |
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Title |
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Phone Number |
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Signature of Owner, Partner or Officer of Corporation |
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Date |
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MVA Use Only: ❒ Cash ❒ Check |
App. Verified by: |
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Application: ❒ Approved ❒ Rejected |
By: |
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Date: |
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For more information, please call: 1-800-638-8347 (touch tone calls only), 1-800-950-1MVA (1682) (to speak with a customer service representative),
From Out-of-State: 1-301-729-4550, TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.marylandmva.com