Follow the steps to complete the dealer application for designated agent

1. Click ‘Get Form’ button to access the form in an editable format.
2. Enter your company name in the corresponding field, ensuring it matches your official business registration.
3. Fill in your physical address in the designated section and alert the department if this changes in the future.
4. If your mailing address differs from your physical address, indicate it in the correct field.
5. Complete the city, county, state sales tax account number, and zip code fields accurately.
6. Enter details regarding your regulatory license and occupational license numbers, if applicable.
7. Provide the names, titles, home addresses, and home telephone numbers for all principals associated with the application.
8. Answer the questions regarding any felony convictions by selecting yes or no, and provide explanations on a separate page if necessary.
9. If applicable, indicate if any principals have previously been designated agents and provide their names and numbers.
10. Sign and date the application, ensuring that all necessary individuals, especially in partnerships, have signed the form.
11. Once completed, save changes, and choose to download, print, or share the filled form as needed.

Complete your dealer application online today to ensure your compliance and designation.