USED DEALER LICENSE REQUIRMENTS

Requirements to Become a Used Motor Vehicle Dealer Page 1

LUMVC 8/22

LOUISIANA USED MOTOR VEHICLE COMMISSION

3132 Valley Creek Drive

Baton Rouge, Louisiana 70808

MAIN# (225) 925-3870 FAX # (225) 925-3869

www.lumvc.louisiana.gov

USED DEALER LICENSE REQUIRMENTS - INITIAL

Please read all of this information carefully before completing and submitting your application.

INCOMPLETE OR INACCURATE INFORMATION WILL DELAY YOUR LICENSE. APPLICATIONS MAY BE HAND DELIVERED, BUT

THAT WILL NOT SPEED UP THE PROCESS. APPLICATIONS ARE PROCESSED IN DATE ORDER IN WHICH THEY ARE RECEIVED.

PLEASE ALLOW APPROXIMATELY 14 BUSINESS DAYS FOR PROCESSING ALL APPLICATIONS.

In order to have a Louisiana Used Car Dealer’s License, you must have an established place of business which means the

place owned or leased and regularly occupied by a person, partnership, corporation, limited liability company, or other

entity licensed for the principal purpose of selling used motor vehicles, crushing, or compacting used motor vehicles and

selling the crushed or compacted vehicle for scrap, or engaging in the business of a dismantler and parts recycler, where

the products for sale are displayed and offered for sale, and where the books and records required for the conduct of the

business are maintained and kept.

APPLICATIONS

 Complete and sign all applications.

 Each dealership must have at least one salesperson.

 IMPORTANT: You must submit an additional fee of $35.00 for each applicant if he/she has been convicted or

pled guilty to any crime other than a traffic violation within the past ten (10) years for a criminal history

background check.

EDUCATIONAL TRAINING SEMINAR

 Complete and return the attached Educational Training Seminar Registration Form.

 You will be scheduled for the next available date. Dates are available to view on website.

 One of the following must attend: Owner, salesperson, general manager, office manager, or title clerk

 Must be registered in order to attend.

SURETY BOND

NOTICE: The surety bond must be on the form provided by our office or use the EXACT LANGUAGE contained in the

form provided. Copies of completed forms are acceptable.

The Surety Bond must have the following information:

 The amount of coverage must be $50,000.00

 The bond number must appear on the face of the bond

 The exact principal’s ownership, trade name of business, and physical address

 Type of ownership must be marked

 Effective & Ending Date of Bond

 Must be held and firmly bound to, the State of Louisiana, through the Louisiana Used Motor Vehicle

Commission.

 Must be in force throughout the license period

 Signature of the principal of the dealership

 Signature of Surety

 Bond Company must have seal on form

 Power of Attorney must be attached

Requirements to Become a Used Motor Vehicle Dealer Page 2

LUMVC 8/22

GARAGE LIABILITY INSURANCE

The Acord Certificate of Liability Insurance must have the following information:

 Name of the insured

 Physical address of insured

 Name and address of the garage liability insurance company

 Name and address of the garage liability insurance agency

 Phone and fax number of the insurance agency

 Garage liability box must be marked

 Garage liability policy number

 Effective & expiration dates of the policy

 Minimum limits are $55,000.00

 Certificate Holder must read: Louisiana Used Motor Vehicle Commission, 3132 Valley Creek Drive,

Baton Rouge, LA 70808

 List all insured salespeople

 Must indicate correct symbols or indicate, “Any auto held for sale or trade”.

RENTAL INSURANCE

 Rent with the Option to Purchase:

 Must secure Contingent Liability Insurance

 Minimum limits of $100,000/$300,000/$50,000

 Must be placed, if available, through an insurance company licensed by and admitted in the state of

Louisiana

 Certificate holder must read: Louisiana Used Motor Vehicle Commission, 3132 Valley Creek Drive, Baton

Rouge, LA 70808

 Daily Rental:

 Must secure “Scheduled Auto” Insurance

 Minimum limits of $15,000/$30,000/$25,000

 Certificate holder must read: Louisiana Used Motor Vehicle Commission, 3132 Valley Creek Drive, Baton

Rouge, LA 70808

ZONING VERIFICATION

 This form must be completed by your local zoning authority

 You must comply with the local zoning laws or the municipal requirements

 If location is zoned, zoning code must be indicated

BUSINESS SIGN

 Permanently affixed sign reading the exact trade name

 Sign must be placed in front of the business and clearly visible from the street or roadway

 Minimum size of 16 square feet (4’x4’)

BUSINESS TELEPHONE

 Listed with Nationwide Directory Assistance (411) under your business name and address

 Must be connected and working at all time

 May use either a landline or cellular phone

RENTAL PURCHASE AGREEMENT (for Rent with the Option to Purchase)

 Submit a blank copy of your Rental Purchase Agreement

 Must be made in clear and conspicuous language

OWNERSHIP

 If you are operating under an Incorporation, LLC, LP, or LLP: You must register your business with the Louisiana

Secretary of State. Please visit www.sos.la.gov.

Requirements to Become a Used Motor Vehicle Dealer Page 3

LUMVC 8/22

 Applications are processed in the order received. Please allow approximately 14 business days for processing all

applications.

 Licenses are valid from date issued or January 1st whichever is later and will expire December 31st. Dealer licenses are

valid for two years, however, it depends on the district your dealership is located in and the license year period it falls in.

(See District Map – Page 4)

 Once applications are submitted, your applications will be processed or a sendback letter requesting additional

documents will be sent. A valid email address is required as all correspondence will be sent using this method.

 Your business name must be the same on all documents (applications, surety bond, insurance, sign, phone listing, etc.).

 A physical inspection will be conducted before licenses are issued.

 If you apply for multiple licenses for the same dealership and same location, you are allowed to use the same bond,

business sign, business phone line, and zoning form.

 If you choose to withdraw your application(s), the request of withdrawal must be submitted within 30 days of receipt of

the application to our agency in order for a full refund to be considered. If the request is received 30 days or more after

receipt of the application(s), then only a portion of your fees may be refunded.

Requirement Checklists

Used Dealer’s License

1. Completed Application

2. Salesperson Application(s)

3. Surety Bond

4. Garage Liability Insurance

5. Zoning Verification Form

6. Picture of Sign

7. Business Phone

8. Fees

Rent with the Option to Purchase

License

1. Completed Application

2. Salesperson Application(s)

3. Surety Bond

4. Contingent Liability Insurance

5. Zoning Verification Form

6. Picture of Sign

7. Business Phone

8. Copy of rental purchase

agreement

9. Fees

Daily Rental License

1. Completed Application

2. Salesperson Application(s)

3. Surety Bond

4. Rental Insurance – Scheduled

Autos

5. Zoning Verification Form

6. Picture of Sign

7. Business Phone

8. Fees

Used Parts & Accessories License

1. Completed Application

2. Salesperson Application(s)

3. Zoning Verification Form

4. Picture of Sign

5. Business Phone

6. Fees

Automotive Dismantle & Parts Recycler

License

1. Completed Application

2. Salesperson Application(s)

3. Zoning Verification Form

4. Picture of Sign

5. Business Phone

6. Fees

Catalytic Converters

1. Completed Application

2. Salesperson Application(s)

3. Zoning Verification Form

4. Picture of Sign

5. Business Phone

6. Fees

Crusher License

1. Completed Application

2. Salesperson Application(s)

3. Zoning Verification Form

4. Picture of Sign

5. Business Phone

6. Fees

Auction License

1. Completed Application

2. Must have or apply for Used

Dealer’s License

3. Salesperson Application(s)

4. Surety Bond

5. Garage Liability Insurance

6. Zoning Verification Form

7. Picture of Sign

8. Business Phone

9. Fees

Salesperson License

1. Completed Salesperson

Application

2. Name added on certificate of

insurance if you are authorized

to drive any vehicles on or off

the lot.

3. Fees

Requirements to Become a Used Motor Vehicle Dealer Page 4

LUMVC 8/22

Type of License

Application Fee

Term of License

Used Dealers License

$400.00

2 years

Crusher License

$400.00

2 years

Automotive Dismantler & Parts Recycling License

$400.00

2 years

Rent with Option to Purchase License

$400.00

2 years

Daily Rental License

$400.00

2 years

Auction License

$400.00

2 years

Used Parts & Accessories License

$400.00

2 years

Catalytic Converter License

$400.00

2 years

Additional Location

$200.00

2 years

Additional Adjacent Location

$200.00

2 years

Salesperson License

$25.00

1 year

BE ADVISED THAT AN APPLICATION PACKET IS NOT COMPLETE UNLESS ALL REQUIRED DOCUMENTS ARE

COMPLETED, SUBMITTED, AND ALL FEES ARE PAID IN FULL.

Payment Method: Cash, check, money orders, and/or cashier checks payable to La Used Motor Vehicle Commission.

*You cannot apply for initial licenses online.

Please email any questions you may have to [email protected]ouisiana.gov or your Administrative Coordinator. You

may also visit our website at www.lumvc.louisiana.gov for additional information or forms.

District Map

License year period

District #

Jan 1, 2020 – Dec 31, 2021

4, 5

Jan 1, 2021 – Dec 31, 2022

1, 2, 3

Jan 1, 2022 – Dec 31, 2023

4, 5

Jan 1, 2023 – Dec 31, 2024

1,2, 3

Page 1 of 2

LOUISIANA USED MOTOR VEHICLE COMMISSION FOR OFFICE USE ONLY

3132 Valley Creek Drive

Baton Rouge, Louisiana 70808

MAIN# (225) 925-3870 FAX # (225) 925-3869

www.lumvc.louisiana.gov

APPLICATION FOR DEALER LICENSE FOR YEAR 20___- ___

INITIAL RENEWAL ADDITIONAL ADDITIONAL ADJACENT

APPLICATION APPLICATION LOCATION LOCATION

PLEASE PRINT OR TYPE. Complete entire application and attach such documents as required. Any misrepresentation or omission of information

shall be grounds for refusal to issue or revocation of a license.

SECTION ONE: DEALERSHIP INFORMATION

SECTION TWO: TYPE OF LICENSE(S) AND TYPE OF BUSINESS

CHECK THE TYPE OF LICENSE YOU ARE APPLYING FOR. YOU MUST SUBMIT THE CORRECT AMOUNT FOR EACH LICENSE TYPE. EACH ADDITIONAL LICENSE TYPE REQUIRES

AN ADDITIONAL FEE. CHECK EACH TYPE OF BUSINESS YOU PLAN ON OPERATING.

USED DEALERS LICENSE ($400 FEE)

USED CARS AND TRUCKS

USED BOATS

USED BOAT MOTORS

USED TRAILERS

USED MOTORCYCLES

USED MOTORHOMES

USED GOLF CARTS, ATV/OFF ROAD

USED BUSES, FIRETRUCKS, WRECKERS

AUCTION ($400 FEE)

PUBLIC

WHOLESALE (DEALER)

SALVAGE

USED PARTS & ACCESSORIES ($400 FEE)

CRUSHER ($400 FEE)

AUTOMOTIVE DISMANTLER & PARTS RECYCLER ($400 FEE)

DAILY RENTAL ($400 FEE)

USED CARS AND TRUCKS

USED BOATS

USED BOAT MOTORS

USED TRAILERS

USED MOTORCYCLES

USED MOTORHOMES

USED GOLF CARTS, ATV/OFF ROAD

USED BUSES, FIRETRUCKS, WRECKERS

RENT WITH THE OPTION TO PURCHASE ($400 FEE)

USED CARS AND TRUCKS

USED BOATS

USED BOAT MOTORS

USED TRAILERS

USED MOTORCYCLES

USED MOTORHOMES

USED GOLF CARTS, ATV/OFF ROAD

USED BUSES, FIRETRUCKS, WRECKERS

SECTION THREE: TYPE OF OWNERSHIP

CHECK ONLY ONE

SOLE PROPRIETOR / INDIVIDUAL CORPORATION (CORP) LIMITED LIABILITY COMPANY (LLC)

PARTNERSHIP

LIMITED PARTNERSHIP (LP) LIMITED LIABILITY PARTNERSHIP (LLP)

ENTITY NAME (IF APPLICABLE)_______________________________________

SECTION FOUR: TYPE OF OWNERSHIP

COMPLETE THE FOLLOWING SECTION INDICATING ALL PARTIES WITH ANY OWNERSHIP INTEREST IN THE BUSINESS. YOU MAY INCLUDE ADDITONAL SHEETS IF

NECESSARY.

__________________________________________________ ___________________________ ______________________________

NAME OF PERSON DATE OF BIRTH mm/dd/yyyy SOCIAL SECURITY #

__________________________________________________ ___________________________ ______________________________

HOME ADDRESS TELEPHONE DRIVER’S LICENSE #

U.S. CITIZEN? ____YES ____NO (IF NO, ATTACH COPY OF RESIDENT ALIEN CARD (FRONT & BACK) AND DRIVER’S LICENSE)

__________________________________________________ ___________________________ ______________________________

NAME OF PERSON DATE OF BIRTH mm/dd/yyyy SOCIAL SECURITY #

__________________________________________________ ___________________________ ______________________________

HOME ADDRESS TELEPHONE DRIVER’S LICENSE#

U.S. CITIZEN? ____YES ____NO (IF NO, ATTACH COPY OF RESIDENT ALIEN CARD (FRONT & BACK) AND DRIVER’S LICENSE)

License #

Date Issued

Current License #

DEALERSHIP NAME

BUSINESS PHONE

PHYSICAL ADDRESS

CITY

ZIPCODE

PARISH

MAILING ADDRESS

CITY

ZIPCODE

PARISH

EMAIL ADDRESS

OFFICE HOURS

DAYS

CaC

CATALYTIC CONVERTER ($400 FEE)

Page 2 of 2

SECTION FIVE: BACKGROUND INFORMATION

HAVE ANY OF THE APPLICANTS LISTED IN SECTION FOUR EVER BEEN CONVICTED OR PLED GUILTY OF A FELONY OTHER THAN A TRAFFIC

VIOLATION WITHIN THE PAST TEN (10) YEARS?

 YES

 NO

IF YES, COMPLETE THE FOLLOWING (ATTACH ADDITIONAL SHEET IF NEEDED)

INDIVIDUAL NAME: _________________________________ DATE OF CONVICTION__________________ OFFENSE _________________________

SECTION SIX: GENERAL INFORMATION

1. HAVE YOU OR ANY AFFILIATED OWNERS EVER BEEN KNOWN BY AND/OR USED ANY NAME(S) OTHER THAN THE NAME(S) APPEARING

ON THIS APPLICATION?

 YES; IF YES, GIVE NAMES. ________________________________________________________________________________________

 NO

2. HAVE YOU OR ANY AFFILIATED OWNERS EVER BEEN LICENSED AS A DEALER OR SALESPERSON IN LOUISIANA?

 YES; IF YES, GIVE NAME, DEALERSHIP NAME, AND DATE: _______________________________________________________________

 NO

3. HAVE YOU OR ANY AFFILIATED OWNERS EVER HAD A PREVIOUS DEALER OR SALESPERSON LICENSE THAT WAS DENIED, SUSPENDED, OR

REVOKED?

 YES; IF YES, GIVE NAME, DEALERSHIP NAME, AND DATE: _______________________________________________________________

 NO

4. ARE YOU OR ANY AFFILATED OWNERS RELATED TO ANYONE FROM THE USED CAR INDUSTRY WHOSE LICENSE HAS BEEN DENIED,

SUSPENDED, OR REVOKED?

 YES; IF YES, GIVE NAME AND THEIR DEALERSHIP NAME: _______________________________________________________________

 NO

5. DO YOU PRESENTLY SELL EXTENDED WARRANTY CONTRACTS OR PRODUCT WARRANITIES?

 YES; IF YES, NAME OF COMPANY:_______________________________________DATE OF APPROVAL: _________________________

 NO

6. DO YOU HOLD A FINANCE LICENSE?

 YES; IF YES, GIVE NAME: ______________________________________________ FINANCE NUMBER: __________________________

 NO

7. HAS A REPRESENTIVE OF THE DEALERSHIP COMPLETED THE 4 HOUR EDUCATIONAL SEMINAR?

 YES; IF YES,GIVE DATE: __________________________________________________________________________________________

 NO; IS REPRESENTIVE SCHEDULED FOR SEMINAR? GIVE DATE: __________________________________________________________

8. DATE THIS BUSINESS WAS ESTABLISHED: _______________________________________________________________________________

ATTESTATION

I HEREBY CERTIFY THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF THAT I AM

FAMILIAR AND WILL ABIDE WITH THE PROVISIONS OF ALL THE LAWS, RULES AND REGULATIONS UNDER WHICH THIS APPLICATION IS MADE. ANY

FALSE ANSWER IS A CRIMINAL OFFENSE SUBJECT TO A FINE NOT TO EXCEED $5,000.00 OR IMPRISONMENT NOT TO EXCEED 4 YEARS OR BOTH.

_________________________________________________

PRINT NAME

_________________________________________________ ________________

SIGNATURE AND TITLE DATE mm/dd/yyyy

PURSUANT TO THE AMERICANS WITH DISABILITIES ACT, ASSISTANCE WILL BE PROVIDED IN COMPLETING ANY FORMS REQUIRED BY

THE LOUISIANA USED MOTOR VEHCILE COMMISSION.

Page 1 of 2

LOUISIANA USED MOTOR VEHICLE COMMISSION FOR OFFICE USE ONLY

3132 Valley Creek Drive

Baton Rouge, Louisiana 70808

MAIN# (225) 925-3870 FAX # (225) 925-3869

www.lumvc.louisiana.gov

APPLICATION FOR SALESPERSON’S LICENSE FOR YEAR 20___

INITIAL RENEWAL

PLEASE PRINT OR TYPE. Complete entire application and attach such documents as required. Any misrepresentation or omission

of information shall be grounds for refusal to issue or revocation of a Salesman License. SALESPERSON LICENSE FEE IS $25.00.

SECTION ONE: INDIVIDUAL INFORMATION

LAST NAME

FIRST NAME

SOCIAL SECURITY #

RESIDENCE ADDRESS

CITY

STATE

ZIPCODE

DATE OF BIRTH

HOME TELEPHONE

CELLULAR PHONE

EMPLOYMENT DATE

DRIVER’S LICENSE #

RACE

GENDER

U.S. CITIZEN?  YES  NO IF NO, ATTACH COPY OF RESIDENT ALIEN CARD (FRONT AND BACK) AND DRIVER’S LICENSE.

EMAIL ADDRESS

SECTION TWO: DEALERHIP INFORMATION

DEALERSHIP NAME

DEALERSHIP ADDRESS

CITY

ZIPCODE

DEALER LICENSE #

TELEPHONE

PARISH

SECTION THREE: GENERAL INFORMATION

1. HAVE YOU EVER APPLIED FOR A SALESMAN LICENSE THAT WAS DENIED?

 YES; IF YES, GIVE DATE(S): ____________________________________________________________

 NO

2. HAVE YOU EVER HELD A DEALER OR SALESMAN LICENSE THAT WAS DENIED, SUPSENDED, OR REVOKED?

 YES; IF YES, GIVE DEALERSHIP NAME AND DATE: ________________________________________________________________

 NO

3. ARE YOU RELATED TO ANYONE FROM THE USED CAR INDUSTY WHOSE LICENSE HAS BEEN DENIED, SUSPENDED, OR REVOKED?

 YES; IF YES, GIVE NAME(S): __________________________________________________________________________________

 NO

4. HAVE YOU EVER ATTENDED THE 4 HOUR EDUCATIONAL SEMINAR?

 YES; IF YES, GIVE DATE: ____________________________________________________________________________________

 NO

5. ARE YOU GOING TO DRIVE ANY OF THE VEHICLES ON OR OFF THE LOT?

 YES

 NO

SECTION FOUR: EMPLOYMENT HISTORY

HAVE YOU EVER HAD A PREVIOUS DEALER OR SALESMAN LICENSE?

 YES; IF YES, COMPLETE THE FOLLOWING:

 NO

NAME OF DEALERSHIP

DEALERSHP ADDRESS

DATES OF LICENSE

Dealer #

SM #

Date Issued

Current License #

SM.

Page 2 of 2

SECTION FIVE: BACKGROUND HISTORY

HAVE YOU EVER BEEN CONVICTED OR PLED GUILTY OF A FELONY OTHER THAN A TRAFFIC VIOLATION WITHIN THE PAST TEN (10) YEARS?

 YES; IF YES, DATE OF CONVICTION ________________________________ OFFENSE ___________________________________________

 NO

NOTE: IF YES, YOU MUST SUBMIT AN ADDITIONAL FEE OF $35.00 FOR A CRIMINAL BACKGROUND CHECK.

ATTESTATION

_______________________________________________________________________ ___________________

SIGNATURE OF APPLICANT DATE mm/dd/yyyy

________________________________________________________________________ ___________________

SIGNATURE OF OWNER DATE mm/dd/yyyy

PURSUANT TO THE AMERICANS WITH DISABILITIES ACT, ASSISTANCE WILL BE PROVIDED IN COMPLETING ANY FORMS REQUIRED

BY THE LOUISIANA USED MOTOR VEHCILE COMMISSION.

I HEREBY CERTIFY THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF THAT I AM

FAMILIAR AND WILL ABIDE WITH THE PROVISIONS OF ALL THE LAWS, RULES AND REGULATIONS UNDER WHICH THIS APPLICATION IS MADE. ANY

FALSE ANSWER IS A CRIMINAL OFFENSE SUBJECT TO A FINE NOT TO EXCEED $5,000.00 OR IMPRISONMENT NOT TO EXCEED 4 YEARS OR BOTH.

STATE OF LOUISIANA

LOUISIANA USED MOTOR VEHICLE COMMISSION

3132 Valley Creek Drive

Baton Rouge, Louisiana 70808

MAIN # (225) 925-3870 FAX # (225) 925-3869

www.lumvc.louisiana.gov

The text of this official Louisiana Used Motor Vehicle Commission form is NOT to be altered.

BOND FOR USED MOTOR VEHICLE DEALERS BOND NO. ____________________

PRINCIPAL

OWNERSHIP (Name of Individual, Partners, Corporation – an individual cannot do business as a Corporation, LLC, or LLP)

TRADE NAME/ASSUMED NAME OF BUSINESS (Must be completed for individuals and entities doing business under a name other than the above entity name. The name must

read exactly the same as on the application and business sign.)

PHYSICAL LOCATION OF BUSINESS (Number, Street, Town/City, Zip Code –Do not put mailing address)

OWNERSHIP TYPE

Individual Partnership Corporation LLC LLP

IF CORPORATION, LLC, OR LLP, STATE OF DOMICILE

STATE OF LOUISIANA

PARISH / COUNTY OF

______________

(hereinafter “Dealer” or “Principal”) as Principal and

(hereinafter “Surety”)

_______________________________________________________________________________________

(Name of Surety)

_________________________________________________________________________________________________________________________

(Home Office Address of Surety)

, as Surety, hereby firmly bind ourselves, our heirs, executors and administrators unto the State of Louisiana through the Louisiana Used Motor

Vehicle Commission, or its successor in office (“Commission”), for the faithful performance of Principal, of the duties incumbent upon Principal

as a Used Motor Vehicle Dealer (“Dealer”) under the provisions of Chapter 4-C of Title 32 of the Louisiana Revised Statutes of 1950 as

amended (“Chapter 4-C”) and other applicable laws.

This Bond given to satisfy the requirements of La. R.S. 32:791 shall be in the amount of $50,000 per calendar year and shall be effective as of

____________________________, 20______, in support of a license issued for the term ending December 31, 20______. This Bond may be

continued by certificate duly signed and sealed by the Surety, subject to the terms and conditions of this Bond.

This Bond shall be payable to the Commission upon presentation of a final Commission order or documentation showing any loss, damage or

expense relating to: (a) the proper disposition of taxes, license fees, tags, or certificates of title, (b) loss by any purchaser of a used motor

vehicle who suffers loss, damage, or expense due to the failure of the Principal to comply with any law relating to the registration of a used

motor vehicle, the payment of sales tax, and obtaining a license tag or certificate or registration, including but not limited to the failure of the

Principal to deliver a certificate of title or remit any tax, license, or registration fee; (c) restitution imposed by the Commission in accordance

with La. R.S. 32:785(B)(6); (d) unpaid penalties, fines, and hearing costs imposed by the Commission not to exceed $25,000; and (e) attorney

fees or court costs assessed pursuant to La. R.S. 32:783.

In the event Principal shall faithfully discharge and perform the duties incumbent on Principal under the provisions of Chapter 4-C and other

applicable laws during the license period, then in such case Surety’s obligation shall become null and void; else this Bond shall remain in full

force, effect.

Surety’s obligations under this Bond may be continued for any subsequent license term by a continuation certificate duly signed and sealed by

the Principal and Surety, subject to the terms and conditions of this Bond.

In faith whereof, we have signed these presents at the place and on the date hereinafter indicated.

PRINCIPAL (Name of Dealer):

SURETY (Name of Surety):

SIGNED BY: TITLE:

*SIGNED BY:

DATE:

*ORGINAL POWER OF ATTORNEY MUST BE ATTACHED FOR SURETY SIGNATURE

LUMVC REV (8/16) PURSUANT TO THE AMERICAN WITH DISABILITIES ACT, ASSISTANCE WILL BE PROVIDED IN COMPLETING ANY FORMS REQUIRED BY THE

LOUISIANA USED MOTOR VEHICLE COMMISSION

3132 Valley Creek Drive

Baton Rouge, Louisiana 70808

MAIN# (225) 925-3870 FAX # (225) 925-3869

www.lumvc.louisiana.gov

ZONING VERIFICATION

(Please print or type)

____________________________________________________________________________________________

We hereby verify that the property located at:

_____________________

__________________________________________________________

(Physical address as listed on application)

_____________________

__________________________________________________________

(City) (State) (Parish) (Zip)

Upon which ___________________________________________________is situated,

(Name of business)

Check One:

( ) Is Zoned; Zoning Code: __________________

( ) Is NOT Zoned

This is permissible and proper for the operation of:

Check which Applies:

( ) Used Motor Vehicle Dealer

( ) Automotive Dismantler and Parts Recycler

( ) Motor Vehicle Crusher

( ) Used Parts Dealer / Catalytic Converter

Auction Dealer

____________________________________ _________________________________________

Print Zoning A

uthority Name Official Title

____________________________________ _____________________ ___________________

Zoning Authority Signature Phone Number Date

*Pursuant to the Americans with Disabilities Act, assistance will be provided on completing any form

required by the Louisiana Used Motor Vehicle Commission.

LUMVC 8/22

LOUISIANA USED MOTOR VEHICLE COMMISSION

3132 Valley Creek Drive

Baton Rouge, Louisiana 70808

MAIN# (225) 925-3870 FAX # (225) 925-3869

www.lumvc.louisiana.gov

LUMVC 9/18

1. Trade Name of Business: __________________________________________________

2. Ownership: _____________________________________________________________

3. Dealer Number (If Applicable): _________________________

4. Physical Address: _______________________________________________________________

(Street) (City) (Parish) (Zip)

5. Mailing Address: ________________________________________________________________

(If different from Physical)

(Street/P.O. Box) (City) (Parish) (Zip)

6. Business Phone #: ____________________ Mobile Phone #: ___________________________

7. Fax #: ________________________ Email Address: ____________________________________

8. Person Attending:

__________________________________ _______________________________

Name Title

------------------------------------------------------------------------------------------------------------------------------------------

(Do not write below this line)

FOR OFFICE USE ONLY

Course Completed: Yes ____ No _____

Date Attended: Date: __________________________________

Certificate Number:

___________________________________

Scheduled By: ________________________________

EDUCATIONAL TRAINING SEMINAR REGISTRATION

(Please print clearly or type)

____________________________________________________________________________________________

This form must be completed and submitted prior to attending the seminar. You must be registred to attend the

seminar. Our agency will notify you of the date in which you are scheduled.

IMPORTANT: A separate registration form must be completed for each person attending.