Get Dbpr Pmw-3040 - Department Of Business And Professional ...

The DBPR PMW-3040 is the Permit Transfer Application to be used when an existing licensed permitholder transfers their permit to another existing licensed permitholder. This guide provides step-by-step instructions to help users fill out this form accurately online.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the application form and open it in the designated online editor.
2. Fill in the permitted facility information. This includes the name of the facility, its address, city, state, zip code (optional +4), and county.
3. Provide the transferor information. Enter the name of the permitholder/transferor, the D/B/A of the transferor facility, and address details as in step 2.
4. Complete the applicant information by entering the details of the applicant(s)/permitholder(s)/transferee(s), including the D/B/A of the transferee facility and their business address.
5. Answer the additional information questions. Indicate the physical location where racing/jai alai will be conducted and disclose if the applicants hold any ownership interest in a permitholder in Florida.
6. List the percentage of ownership or equity interest to be transferred, and attach required agreements regarding ownership interest.
7. Disclose the financing source for the acquisition of ownership interest, including the terms and involved parties.
8. If applicable, provide details regarding shared ownership interests, including a signed affidavit of joint liability.
9. Disclose any pending actions by the Division of Pari-Mutuel Wagering related to the transferor or transferee.
10. Complete the notarization section with the date, name, and signature of the applicant’s representative, as well as their identification details.
11. Once all required fields are completed, save your changes, and choose to download, print, or share the filled-out form.

Start completing your DBPR PMW-3040 application online today!