ࡱ> g bjbjJJ (ub(ubJL DJ^,z *(***+- .$\`˝53/++3/3/˝**>4443/^**43/44'ǎ*»/JCL><z8r1rǎǎr}3/3/43/3/3/3/3/˝˝k33/3/3/z3/3/3/3/r3/3/3/3/3/3/3/3/3/ B L: OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES CONSTRUCTION EQUIPMENT AUCTION LICENSE APPLICATIONFailure to complete ANY portion of this application will delay the processing of the license. By completing, signing, and submitting this application with all required documentation, as applicable, you are affirming that the established place of business meets all the requirements of Chapter 4517 of the Ohio Revised Code (R.C.) and Chapter 4501:1-3 of the Ohio Administrative Code (O.A.C.). FORMCHECKBOX  YES  FORMCHECKBOX  NOI, as an authorized representative of the business entity or sole proprietor, do not hold a license that is issued under Chapter 4517 of the R.C. (NOTE: No construction equipment auction licensee may hold any motor vehicle dealers licenses issued by this state at the same time as holding a construction equipment auction license.) FORMCHECKBOX  YES  FORMCHECKBOX  NOI, as an authorized representative of the business entity or sole proprietor, understand that the business MUST be engaged primarily in the selling of large construction and transportation equipment at auction, receive more than one million dollars ($1m) in gross annual sales in this state, and derive not more than ten percent (10%) of the persons gross annual sales revenue in this state from the sale of motor vehicles having a gross vehicle weight rating of ten thousand (10,000) pounds or less. FORMCHECKBOX  YES  FORMCHECKBOX  NOIs any owner, partner, officer, member, trustee, principal owner or spouse thereof a veteran or member of the armed forces or a surviving spouse of a veteran or member of the armed forces? (NOTE: A completed application with the required documentation of military status qualifies the applicant for an expedited application process, upon receipt.) If yes, please provide a copy of your or your spouses DD214, separation documentation, or other official military documentation approved by the board.PLEASE WRITE LEGIBLYCONSTRUCTION EQUIPMENT AUCTION INFORMATIONREGISTERED BUSINESS NAME, SOLE PROPRIETOR, OR PARTNERSHIP BUSINESS NAME  FORMTEXT        FORMTEXT      DATE REGISTERED WITH SECRETARY OF STATE  FORMTEXT      STATE OF INCORPORATION (IF A CORPORATION)  FORMTEXT      NOTE: A copy of the Certificate from the Secretary of State must accompany the application for the registered business name.REGISTERED FICTITIOUS NAME OR TRADE NAME  FORMTEXT      DATE OF REGISTRATION  FORMTEXT      NOTE: A copy of the Certificate from the Secretary of State must accompany the application for the registered fictitious or trade name, if applicable.business street address  FORMTEXT      P.O. BOX #  FORMTEXT      Suite #  FORMTEXT      city  FORMTEXT      state  FORMTEXT      zip code  FORMTEXT      COUNTY  FORMTEXT      Business Telephone #  FORMTEXT      FAX #  FORMTEXT      BUSINESS E-MAIL ADDRESS  FORMTEXT      Please include a valid business e mail address to receive electronic notification(s) on the processing of your application.FEDERAL EMPLOYEE IDENTIFICATION nUMBER (fein)  FORMTEXT      VENDOR S #  FORMTEXT      HOURS OF OPERATIONOPENCLOSEOPENCLOSEMONDAY FORMTEXT       FORMTEXT      SATURDAY FORMTEXT       FORMTEXT      TUESDAY FORMTEXT       FORMTEXT      SUNDAY FORMTEXT       FORMTEXT      WEDNESDAY FORMTEXT       FORMTEXT      THURSDAY FORMTEXT       FORMTEXT      FRIDAY FORMTEXT       FORMTEXT       IMPORTANT INFORMATION Applications for a license may be denied for reasons which include: Having been convicted of, judicial finding of guilt of, or plea of guilty to a disqualifying offense as determined under section  HYPERLINK "https://codes.ohio.gov/ohio-revised-code/section-9.79" 9.79 of the R.C. For a complete list of disqualifying offenses, visit our website at www.OhioAutoDealers.com.OWNERSHIP INFORMATION (R.C. 4517.17, 4517.171 and O.A.C. 4501:1-3-36) All Ohio residents who are listed on this application MUST be electronically fingerprinted. Applicants must request that the results be sent electronically to direct copy BMV Dealer Licensing at the web check locations in order for them to be forwarded to the BMV Dealer Licensing Section. (For a complete list of electronic fingerprinting locations in Ohio, visit  INCLUDETEXT P:\\Printing Services\\PSS-Electronic Design\\ODPS FORMS & PUBLICATIONS\\BOOKMARKING\\WEBSITES.doc AGWEB \* MERGEFORMAT  HYPERLINK "http://www.OhioAttorneyGeneral.gov" www.ohioattorneygeneral.gov.) All out-of-state applicants, or those who qualify for electronic exemption that are listed on this application, MUST submit a fingerprint card (supplied by Dealer Licensing or Ohio Attorney Generals Office), exemption form, and fingerprint card processing fee with the application for license. Contact the Dealer Licensing Section at  INCLUDETEXT P:\\Printing Services\\PSS-Electronic Design\\ODPS FORMS & PUBLICATIONS\\BOOKMARKING\\PHONEFAX.doc DEALERLICENSEPHONE \* CharFormat \* MERGEFORMAT (614) 752-7636 to request that a fingerprint card and exemption form be mailed to you. All individuals listed on this application are required to complete a criminal history record through the Bureau of Criminal Identification and Investigation (BCI). A Federal Bureau of Investigation (FBI) criminal history record is not acceptable in place of a BCI criminal history record. NOTE: Some background checks could take BCI up to thirty (30) days for processing.  FORMCHECKBOX  Sole Proprietor FORMCHECKBOX  Limited Liability (LLC) (Members) FORMCHECKBOX  Business Trust (Trustees) FORMCHECKBOX  Partnership (Partners) FORMCHECKBOX  Corporation (INC) (President, Vice President, Treasurer, Secretary) FORMCHECKBOX  Other Registered Entity*  FORMTEXT      __________________*You may be required to show the registered ownership structure.TITLE  FORMCHECKBOX  Sole Proprietor FORMCHECKBOX  President FORMCHECKBOX  Member (owning 10% or more) FORMCHECKBOX  Partner FORMCHECKBOX  TrusteeFIRST Name  FORMTEXT      MI  FORMTEXT      LAST NAME  FORMTEXT      SUFFIX (Jr., Sr., ETC.)  FORMTEXT      HOME address  FORMTEXT      SSN  FORMTEXT      city  FORMTEXT      state  FORMTEXT      zip code  FORMTEXT      Telephone #  FORMTEXT      ELECTRONIC FINGERPRINTS COMPLETED?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoDATE COMPLETED  FORMTEXT       TITLE  FORMCHECKBOX  Vice President FORMCHECKBOX  Member (owning 10% or more) FORMCHECKBOX  Partner FORMCHECKBOX  TrusteeFIRST Name  FORMTEXT      MI  FORMTEXT      LAST NAME  FORMTEXT      SUFFIX (Jr., Sr., ETC.)  FORMTEXT      HOME address  FORMTEXT      SSN  FORMTEXT      city  FORMTEXT      state  FORMTEXT      zip code  FORMTEXT      Telephone #  FORMTEXT      ELECTRONIC FINGERPRINTS COMPLETED?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoDATE COMPLETED  FORMTEXT        TITLE  FORMCHECKBOX  Treasurer FORMCHECKBOX  Member (owning 10% or more) FORMCHECKBOX  Partner FORMCHECKBOX  TrusteeFIRST Name  FORMTEXT      MI  FORMTEXT      LAST NAME  FORMTEXT      SUFFIX (Jr., Sr., ETC.)  FORMTEXT      HOME address  FORMTEXT      SSN  FORMTEXT      city  FORMTEXT      state  FORMTEXT      zip code  FORMTEXT      Telephone #  FORMTEXT      ELECTRONIC FINGERPRINTS COMPLETED?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoDATE COMPLETED  FORMTEXT        TITLE  FORMCHECKBOX  Secretary FORMCHECKBOX  Member (owning 10% or more) FORMCHECKBOX  Partner FORMCHECKBOX  TrusteeFIRST Name  FORMTEXT      MI  FORMTEXT      LAST NAME  FORMTEXT      SUFFIX (Jr., Sr., ETC.)  FORMTEXT      HOME address  FORMTEXT      SSN  FORMTEXT      city  FORMTEXT       state  FORMTEXT      zip code  FORMTEXT      Telephone #  FORMTEXT      ELECTRONIC FINGERPRINTS COMPLETED?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoDATE COMPLETED  FORMTEXT       Any additional persons, please list on a separate sheet of paper and attach with this application.I, as an authorized representative of the business entity or sole proprietor, to the best of my knowledge and belief, acknowledge responsibility for any misrepresentation of the foregoing information and the subsequent statements in this application and any additional documents, as applicable. FORMCHECKBOX  Yes  FORMCHECKBOX  NoDoes any person listed on this application have an ownership interest in another motor vehicle business entity? FORMCHECKBOX  Yes  FORMCHECKBOX  NoHas any person listed on this application previously applied for a motor vehicle dealers license, leasing license, distributors license, auction owners license, motor vehicle salvage license, salvage motor vehicle auction license, salvage motor vehicle pool license, construction equipment auction license, or salespersons license? (If yes, please list below; submit any additional information on a separate sheet of paper.)BUSINESS NAME APPLIED IN  FORMTEXT      DATE  FORMTEXT      TYPE OF LICENSE  FORMTEXT      PERMIT # (if issued)  FORMTEXT       FORMCHECKBOX  Yes  FORMCHECKBOX  NoHas any person listed on this application ever had their dealer s license suspended or revoked? FORMCHECKBOX  Yes  FORMCHECKBOX  NoHas any person listed on this application ever been convicted of, judicial finding of guilt of, or plea of guilty to a disqualifying offense as determined under section  HYPERLINK "https://codes.ohio.gov/ohio-revised-code/section-9.79" 9.79 of the R.C. in this state or any other state? For a complete list of disqualifying offenses, visit our website at www.OhioAutoDealers.com. If answered yes, please provide the following certified documents and information: A certified copy of a conviction or journal entry; A certified copy of the sentencing entry; and A certified copy of the indictment or complaint. If in another state, list the state(s): ______________________________ FORMCHECKBOX  Yes  FORMCHECKBOX  NoHas any person listed on this application ever had a civil judgment rendered against them that was related to tampering with an odometer, rolling back an odometer, or failing to provide true and accurate odometer disclosure statements? If answered yes, please provide the following certified documents and information: A certified copy of a journal entry showing the final disposition of the judgment; The court of jurisdiction that decided the civil judgment; The courts case number; and The date the civil judgment was issued. FORMCHECKBOX  Yes  FORMCHECKBOX  NoDoes any person listed on this application have an unsatisfied civil judgment resulting from a motor vehicle transaction? (e.g. Title Defect Rescission Fund) If answered yes, please provide the following certified documents and information: A certified copy of a journal entry showing the final disposition of the judgment; The court of jurisdiction that decided the civil judgment; The courts case number; and (4) The date the civil judgment was issued. ESTABLISHED PLACE OF BUSINESS (4517.03)INITIAL The issuance of a license does not supersede building codes and local zoning. The State of Ohio (BMV) Dealer Licensing Section is the regulator of motor vehicle dealers, but it does not pre-empt the enforcement by local authorities of zoning, building codes, health, safety codes, or laws. It is recommended that each applicant check building and zoning regulations applicable to the proposed facility with their local authority prior to making application. Evidence of building and zoning requirements must be presented upon the request of the Registrar. FORMCHECKBOX  Yes  FORMCHECKBOX  NoThe established place of business is being used primarily for the business of selling large construction and transportation equipment at auction. FORMCHECKBOX  Yes  FORMCHECKBOX  NoThe established place of business is separated from any other business licensed under Chapter 4517 of the R.C. FORMCHECKBOX  Yes  FORMCHECKBOX  NoThe established place of business has a permanent auction site within this state that has at least ninety (90) acres in size. FORMCHECKBOX  Yes  FORMCHECKBOX  NoThe established place of business has at least sixty thousand (60,000) square feet of total facility space.PHOTOGRAPHSREQUIRED at the time of application, clear photographs of the location MUST be submitted via mail or e mail (JPEG format) that show the following: the inside of the facility space the sign with the registered business name, including any registered fictitious or trade names the posted business hours the posted business telephone number a view of the ninety (90) acresPHOTOS MAY BE SUBMITTED BY MAIL WITH THE APPLICATION OR BY E-MAIL (JPEG format) TO  HYPERLINK "mailto:dealerphotos@dps.ohio.gov" dealerphotos@dps.ohio.gov. (If submitted by e-mail, please include the auction name and county in the subject line.) FEES ARE NON-REFUNDABLEMake check payable to Ohio Treasurer of State. Fees are as follows: (DO NOT SEND CASH)Permit (RENEWED EVERY 5 YEARS)$ 7,500.00NOTE: You may apply for in-transit license plates to be used in conjunction with your construction equipment auction business. To apply, visit our Web site at  INCLUDETEXT P:\\Printing Services\\PSS-Electronic Design\\ODPS FORMS & PUBLICATIONS\\BOOKMARKING\\WEBSITES.doc DEALERWEB \*CharFormat \* MERGEFORMAT HYPERLINK "http://www.ohioautodealers.com/"www.OhioAutoDealers.com for an in-transit license plate application (BMV 4366).PLEASE ALLOW 4 - 6 WEEKS FOR THE PROCESSING OF COMPLETED LICENSE APPLICATIONS. NOTE: The 4 - 6 weeks is from the time that the Dealer Licensing Section receives the application. FAILURE TO COMPLETE ANY PORTION OF THIS APPLICATION WILL DELAY THE PROCESSING OF THE LICENSE. 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location fails to meet any of the requirements or fails to maintain compliance, it will immediately be referred to the Registrar of motor vehicles for revocation of the license.I understand that the Registrar of motor vehicles must be notified if there is a change of status at the licensed location, including, but not limited to, personnel of ownership, relocation of the place of business, posted business hours, and telephone number.I understand that following the issuance of a license, violation of any provisions of section 4517.171 of the R.C. could be subject to revocation of the license by the Registrar. The licensee may appeal the action of the Registrar to the Motor Vehicle Dealers Board. Notification of an administrative hearing shall be given to the licensed holder in a timely manner upon notification to the Board of such violations.I affirm that the motor vehicles owned by this business will be insured or have other financial responsibility coverage, will not be operated without financial responsibility coverage, and will not be used as commercial vehicles unless so registered.I, as an authorized representative of the business entity or sole proprietor, acknowledge that all information in the foregoing application and in any additional documentation is true and correct.PRINTED OR TYPED NAME OF SIGNER  FORMTEXT      SIGNATURE (OWNER, PARTNER, PRESIDENT, MEMBER, TRUSTEE, OR PRINCIPAL OWNER) XDATE OF APPLICATION  FORMTEXT      Notary: Sworn to and subscribed in my presence this day of , 20 in County, State of . (Notary Seal) Signature of Notary / Clerk / Deputy Clerk (circle one) X My commission expires RETURN THE COMPLETED APPLICATION, PHOTOGRAPHS, OTHER SUPPORTING DOCUMENTS, AND FEES TO: Ohio Bureau of Motor Vehicles Attention: Dealer Licensing Section P.O. Box 16521 Columbus, Ohio 43216-6521 For additional information and all applicable laws visit our Web site at  INCLUDETEXT P:\\Printing Services\\PSS-Electronic Design\\ODPS FORMS & PUBLICATIONS\\BOOKMARKING\\WEBSITES.doc DEALERWEB \*CharFormat \* MERGEFORMAT HYPERLINK "http://www.ohioautodealers.com/"www.OhioAutoDealers.com. CONSTRUCTION EQUIPMENT AUCTION LICENSE CHECKLISTREMINDER:FAILURE TO COMPLETE ANY PORTION OF THIS APPLICATION WILL DELAY THE PROCESSING OF THE LICENSE. PLEASE USE THE CHECKLIST BELOW TO ENSURE THAT THE FOLLOWING INFORMATION HAS BEEN COMPLETED AND ALL THE REQUIRED DOCUMENTATION IS ACCOMPANYING THE APPLICATION.HAVE YOU? FORMCHECKBOX  Registered the business entity with the Secretary of State? FORMCHECKBOX  Included with the application a copy of the Certificate from the Secretary of State? FORMCHECKBOX  Registered the business fictitious name or trade name with the Secretary of State? FORMCHECKBOX  Included with the application a copy of the Certificate from the Secretary of State? FORMCHECKBOX  Obtained a Federal Employee Identification Number (FEIN) from the Internal Revenue Service (IRS)? FORMCHECKBOX  Obtained a Vendors Number from the County Auditors Office? FORMCHECKBOX  Completed the electronic fingerprinting / fingerprint card process for the criminal history record, with results being sent to Dealer Licensing? FORMCHECKBOX  Ensured all persons listed on the application have completed the electronic fingerprinting process or fingerprint card, as applicable? FORMCHECKBOX  Taken all the required photographs? FORMCHECKBOX  Included the photographs with the application or submitted them by e-mail? FORMCHECKBOX  Had the application signed and notarized? FORMCHECKBOX  Included with the application a check or money order made payable to Ohio Treasurer of State? FORMCHECKBOX  Made a copy of the completed application, accompanying documents, and photographs for your records?THIS PAGE IS FOR YOUR RECORDS ONLY. 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