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Get AZ 46-0415 2016-2024

Ness Name Dealer License Number Owner/Authorized Representative Date Fee: $300.00 initial fee (payable to MVD) Upon submission of this form and statutory fee of $300.00 certification of contract with a third party lender will be added to your motor vehicle dealer license. Send this form and payment to: Motor Vehicle Division Dealer Licensing, Mail Drop 552-M PO Box 2100 Phoenix, AZ 85001 I certify that _____________________________________________ has a contractual agreement with a third par.

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