Form HSMV86056 "Application for a License as a Motor Vehicle, Mobile Home or Recreational Vehicle Dealer" - Florida

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What Is Form HSMV86056?

This is a legal form that was released by the Florida Department of Highway Safety and Motor Vehicles - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2021;
  • The latest edition provided by the Florida Department of Highway Safety and Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HSMV86056 by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.

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Download Form HSMV86056 "Application for a License as a Motor Vehicle, Mobile Home or Recreational Vehicle Dealer" - Florida

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STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
PLEASE SUBMIT THIS APPLICATION TO THE REGIONAL OFFICE RESPONSIBLE FOR YOUR DEALERSHIP
OFFICE USE ONLY
APPLICATION FOR A LICENSE AS A MOTOR VEHICLE,
Entered by:
MOBILE HOME OR RECREATIONAL VEHICLE DEALER
Approved by:
LICENSE NUMBER
Do not use white out or correction tape on this application.
I hereby make application and submit the required documentation for an original license or a corporate officer update:
ISSUE DATE
VF Franchised Motor Vehicle Dealer – 320.27, F.S.
SF Franchised Motor Vehicle Service Facility – 320.642(6), F.S
Original
DATE RECEIVED IN
VI Independent Motor Vehicle Dealer – 320.27, F.S.
REGIONAL OFFICE
VW Wholesale Motor Vehicle Dealer – 320.27, F.S.
Dealer Development Franchise
VA Motor Vehicle Auction – 320.27, F.S.
(Attach copy of the Dealer
SD Salvage Vehicle Dealer – 320.27, F.S.
Development & Management
DATE COMPLETED IN
Agreement.)
BH Used Mobile Home Broker – 320.77, F.S.
REGIONAL OFFICE
DH Mobile Home Dealer- 320.77, F.S.
Corporate Officer Update
DH Selling New Recreational Vehicles – 320.771(8), F.S.
DATE MAILED TO
Modification Only (Please complete
DH Selling Used Recreational Vehicles – 320.771(8), F.S.
HEADQUARTERS
the application in its entirety. Page 5
DH Selling Park Trailers Only - 320.771(3)(j), F.S.
of this application must be completed
RV New Recreational Vehicle Dealer – 320.771, F.S.
for all incoming new officers.
.
RU Used Recreational Vehicle Dealer – 320.771, F.S
DATE RECEIVED IN
DEALER LICENSE
Current License No.:
SECTION
Sales Tax Number:
FEID Number:
Proof of Identification/DL, if Sole Proprietor or Partnership:
Please see instruction guide for acceptable proof of identification.
Owner/Partner/LLC/LLP/LLLP or Corporation Name:
AMOUNT
Fictitious Business Name (d/b/a):
CHECK
CHECK NUMBER
:
Dealership Physical Address
Street Address (Enter Physical Address even if same as Mailing Address)
CASH
City
County
State
Zip Code
CREDIT CARD
Mailing Address:
Street Address
PAYMENT NUMBER
City
County
State
Zip Code
Telephone Numbers:
Home: (
)
Cell No.: (
)
Office: (
)
FAX No.: (
)
None
FRVIS CUSTOMER
Business E-mail Address:
NUMBER
Surety Bond Company E-mail Address: _____________________________________________________
DIVISION CORP
Garage Liability Insurance Company E-Mail Address: __________________________________________
1.
If franchised or a recreational vehicle dealer, list authorized line make(s) for which you are already
ACTIVE
:
INACTIVE
licensed to sell
Motorcycles greater than 50cc, 1492 watts, 2bhp
Motorcycles 50cc or less, 1492 watts or less, 2bhp or less
Tri-Vehicles
DEALER TRAINING
SCHOOL
COMPLETION DATE
Recreational Vehicles
Park Trailers
Low Speed Vehicles
2.
If applying for an original franchised license or a recreational vehicle dealer license, list the line make(s)
:
you are seeking for approval
Zone #:
Motorcycles greater than 50cc, 1492 watts, 2bhp
Motorcycles 50cc or less, 1492 watts or less, 2bhp or less
Tri-Vehicles
Insp #:
Low Speed Vehicles
Recreational Vehicles
Park Trailers
HSMV 86056 Rev. 9/21
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
PLEASE SUBMIT THIS APPLICATION TO THE REGIONAL OFFICE RESPONSIBLE FOR YOUR DEALERSHIP
OFFICE USE ONLY
APPLICATION FOR A LICENSE AS A MOTOR VEHICLE,
Entered by:
MOBILE HOME OR RECREATIONAL VEHICLE DEALER
Approved by:
LICENSE NUMBER
Do not use white out or correction tape on this application.
I hereby make application and submit the required documentation for an original license or a corporate officer update:
ISSUE DATE
VF Franchised Motor Vehicle Dealer – 320.27, F.S.
SF Franchised Motor Vehicle Service Facility – 320.642(6), F.S
Original
DATE RECEIVED IN
VI Independent Motor Vehicle Dealer – 320.27, F.S.
REGIONAL OFFICE
VW Wholesale Motor Vehicle Dealer – 320.27, F.S.
Dealer Development Franchise
VA Motor Vehicle Auction – 320.27, F.S.
(Attach copy of the Dealer
SD Salvage Vehicle Dealer – 320.27, F.S.
Development & Management
DATE COMPLETED IN
Agreement.)
BH Used Mobile Home Broker – 320.77, F.S.
REGIONAL OFFICE
DH Mobile Home Dealer- 320.77, F.S.
Corporate Officer Update
DH Selling New Recreational Vehicles – 320.771(8), F.S.
DATE MAILED TO
Modification Only (Please complete
DH Selling Used Recreational Vehicles – 320.771(8), F.S.
HEADQUARTERS
the application in its entirety. Page 5
DH Selling Park Trailers Only - 320.771(3)(j), F.S.
of this application must be completed
RV New Recreational Vehicle Dealer – 320.771, F.S.
for all incoming new officers.
.
RU Used Recreational Vehicle Dealer – 320.771, F.S
DATE RECEIVED IN
DEALER LICENSE
Current License No.:
SECTION
Sales Tax Number:
FEID Number:
Proof of Identification/DL, if Sole Proprietor or Partnership:
Please see instruction guide for acceptable proof of identification.
Owner/Partner/LLC/LLP/LLLP or Corporation Name:
AMOUNT
Fictitious Business Name (d/b/a):
CHECK
CHECK NUMBER
:
Dealership Physical Address
Street Address (Enter Physical Address even if same as Mailing Address)
CASH
City
County
State
Zip Code
CREDIT CARD
Mailing Address:
Street Address
PAYMENT NUMBER
City
County
State
Zip Code
Telephone Numbers:
Home: (
)
Cell No.: (
)
Office: (
)
FAX No.: (
)
None
FRVIS CUSTOMER
Business E-mail Address:
NUMBER
Surety Bond Company E-mail Address: _____________________________________________________
DIVISION CORP
Garage Liability Insurance Company E-Mail Address: __________________________________________
1.
If franchised or a recreational vehicle dealer, list authorized line make(s) for which you are already
ACTIVE
:
INACTIVE
licensed to sell
Motorcycles greater than 50cc, 1492 watts, 2bhp
Motorcycles 50cc or less, 1492 watts or less, 2bhp or less
Tri-Vehicles
DEALER TRAINING
SCHOOL
COMPLETION DATE
Recreational Vehicles
Park Trailers
Low Speed Vehicles
2.
If applying for an original franchised license or a recreational vehicle dealer license, list the line make(s)
:
you are seeking for approval
Zone #:
Motorcycles greater than 50cc, 1492 watts, 2bhp
Motorcycles 50cc or less, 1492 watts or less, 2bhp or less
Tri-Vehicles
Insp #:
Low Speed Vehicles
Recreational Vehicles
Park Trailers
HSMV 86056 Rev. 9/21
APPLICATION FOR A LICENSE AS A MOTOR VEHICLE, MOBILE HOME, OR RECREATIONAL VEHICLE DEALER
Do not use white out or correction tape on this application.
3.
Sole Proprietor
Partnership
Corporation
Limited Liability Company/Partnership (LLC/LLP)
Limited Liability/Limited Partnership (LLLP)
A. OWNERS/PARTNERS:
Last Name
First Name
Middle Initial
(FRVIS Customer No. – Office Use Only)
Date of Birth
FL DL/ID# (if other proof of ID is used, attach copy)
Home Phone Number w/ Area Code
Daytime Phone Number w/ Area
Residence Address
City
State
Zip Code
(Fingerprint date-Office Use Only)
Last Name
First Name
Middle Initial
(FRVIS Customer No. – Office Use Only)
Date of Birth
FL DL/ID# (if other proof of ID is used, attach copy)
Home Phone Number w/ Area Code
Daytime Phone Number w/ Area Code
Residence Address
City
State
Zip Code
(Fingerprint date-Office Use Only)
Last Name
First Name
Middle Initial
(FRVIS Customer No. – Office Use Only)
Date of Birth
FL DL/ID# (if other proof of ID is used,
Residence Address
City
State
Zip Code
(Fingerprint date-Office Use
B. CORPORATE/LLC/LP/LLP/LLLP:
Corporate Name
Corporate Headquarters Business Address
City
State
Zip Code
PRESIDENT/MGR/MEMBER/PARTNER:
Last Name
First Name and Middle Initial
(FRVIS Customer No.-Office Use)
Date of Birth
FL DL/ID# (if other proof of ID is used, attach copy)
Home Phone Number w/ Area Code
Daytime Phone Number w/ Area Code
Residence Address
City
State
Zip Code
(Fingerprint date-Office Use Only)
VICE PRESIDENT/MGR/MEMBER/PARTNER:
Last Name
First Name
Middle Initial (FRVIS Customer No. – Office Use)
Date of Birth
FL DL/ID# (if other proof of ID is used, attach copy)
Home Phone Number
Daytime Phone Number w/ Area Code
Residence Address
City
State
Zip Code
(Fingerprint date-Office Use
SECRETARY/MGR/MEMBER/PARTNER:
Last Name
First Name
Middle Initial (FRVIS Customer No. – Office Use)
Date of Birth
FL DL/ID# (if other proof of ID is used, attach copy)
Home Phone Number w/ Area Code
Daytime Phone Number w/ Area Code
Residence Address
City
State
Zip Code
(Fingerprint date-Office Use
TREASURER/MGR/MEMBER/PARTNER:
Last Name
First Name
Middle Initial (FRVIS Customer No. – Office Use)
Date of Birth
FL DL/ID# (if other proof of ID is used, attach copy)
Home Phone Number w/ Area Code
Daytime Phone Number w/ Area Code
Residence Address
City
State
Zip Code
(Fingerprint date-Office Use) Only)
DIRECTOR/MGR/MEMBER/PARTNER:
Last Name
First Name
Middle Initial (FRVIS Customer No. – Office Use)
Date of Birth
FL DL/ID# (if other proof of ID is used, attach copy)
Home Phone Number w/ Area Code
Daytime Phone Number w/ Area Code
Residence Address
City
State
Zip Code
(Fingerprint date-Office Use Only)
2
Please use a separate sheet if necessary.
HSMV 86056 Rev. 9/21
APPLICATION FOR A LICENSE AS A MOTOR VEHICLE, MOBILE HOME, OR RECREATIONAL VEHICLE DEALER
4.
If the place of business is owned by applicant, date of acquisition:
Enter “LEASED” in the space above, if it is a leased location.
Month/Day/Year
Month/Day/Year
Please attach the following items for an original application:
•
A completed application form HSMV 86056 and $300 fee for motor vehicle dealers or $340 fee for mobile home or
recreational vehicle dealers;
•
Proof of identification/DL (see instruction guide for acceptable forms of identification);
•
A true copy of property lease or proof of ownership;
•
Proof of electronic fingerprints for each new officer from a FDLE authorized service provider. Each individual listed in
items 3 (A) and/or (B) on this form must be electronically fingerprinted on a state and federal level. A list of
authorized service providers can be accessed at the FDLE website.
•
Copy of dealer training course completion document;
•
Original surety bond/irrevocable letter of credit (Division of Motorist Services forms only: on-line access at
http://www.flhsmv.gov/html/forms.html);
•
Copy of business and/or fictitious name registration (on-line access at
www.sunbiz.org
);
•
Copy of certification from the Division of Corporations showing current registration of business to conduct business in
the State of Florida (on-line access at
www.sunbiz.org
);
•
Corporation papers, corporate meeting minutes showing the election of corporate directors, Article of Incorporation if
the dealership is a Corporation or Incorporation; Articles of Organization and Operating Agreement if the dealership is a
Limited Liability Company; or a Partnership Agreement if the dealership is a Partnership; and
•
Independent dealers (VI), Auction dealers (VA), and Wholesale dealers (VW) have the option to submit a copy of:
o A garage liability insurance certificate which shall include, at a minimum, $25,000 combined single-limit liability
coverage including bodily injury and property damage protection and $10,000 personal injury protection; OR
o A general liability insurance policy coupled with a business automobile policy, which shall included, at a
minimum, $25,000 combined single-limit liability coverage including bodily injury and property damage
protection and $10,000 personal injury.
o All garage/general liability insurance certificates must include the number of dealer license plates authorized for
the dealership by the insurance company.
•
Salvage dealers (SD) are exempt from submitting a garage liability insurance coverage.
•
Mobile Home Dealers (DH) which sell park trailers are exempt from submitting garage liability insurance coverage.
•
Franchise dealers (VF), Recreational dealers (RV & RU), and Mobile Home dealers (DH) selling recreational vehicles
must submit a garage liability insurance certificate which shall include, at a minimum, $25,000 combined single-limit
liability coverage including bodily injury and property damage protection and $10,000 personal injury protection and
the authorized number of dealer license plates.
Please attach the following items for a corporate update:
•
A complete application form HSMV 86056;
•
Minutes of the meeting;
Proof of electronic fingerprints for each new officer from a FDLE authorized service provider. Each individual listed in items
•
3 (A) and/or (B) on this form must be electronically fingerprinted on a state and federal level. Access list at the FDLE website.
•
Copy of the corporate changes registration from the Division of Corporations (on-line access at www.sunbiz.org).
For additional information, please refer to the Dealer License Instruction Booklet.
CERTIFICATIONS/STATEMENTS
Florida law requires applicants for various dealer licenses to provide certification or statements on a variety of issues.
Please carefully read, complete, sign and date applicable certifications and statements.
Required of Motor Vehicle Dealer License Applicants
I certify that my business location provides an adequately equipped office and is not a residence; that the
location affords sufficient unoccupied space upon and within which adequately store all motor vehicles offered and
displayed for sale; and that the location is a suitable place where I can in good faith carry on such business to maintain
books, records, and files necessary to conduct such business, which will be available at all reasonable hours for inspection
by the department or any of its inspectors or employees. I further certify that the business of a motor vehicle dealer is
the principal business which shall be conducted at the location.
Date
Officer’s Signature-
Original Signature Required
3
HSMV 86056 Rev. 9/21
APPLICATION FOR A LICENSE AS A MOTOR VEHICLE, MOBILE HOME, OR RECREATIONAL VEHICLE DEALER
Required of Mobile Home and Recreational Vehicle Dealer License Applicants:
I certify that my business location is a permanent one, not a tent or a temporary stand or other temporary
quarters; and, except in the case of a mobile home broker, that the location affords sufficient unoccupied space to store
all mobile homes and recreational vehicles offered and displayed for sale; and that the location is a suitable place in which
I can, in good faith, carry on business, maintain books, records, and files necessary to conduct such business, which will be
available at all reasonable hours for inspection by the department compliance examiners, inspectors or other department
employees. I understand that this does not preclude a licensed mobile home dealer from displaying and offering for sale
mobile homes in a mobile home park. I further certify that the business of a mobile home or recreational vehicle dealer is
the principal business which shall be conducted at the location unless I am a mobile home park operator licensed as a
mobile home dealer.
I plan to sell recreational vehicles and understand the requirement to obtain Garage Liability Insurance.
I plan to sell park models and understand there is no requirement to obtain Garage Liability Insurance. (DH ONLY)
Date
Officer’s Signature-
Original Signature Required
If no Federal Employer’s Identification Number is obtained, the following statement is required of the applicant:
The individual owner(s) of the dealership is/are performing all duties in the business. There are no employees in the
dealership.
Officer’s Signature
Date
-Original Signature Required
Required of Recreational Vehicle Dealer License Applicants:
As an applicant for a recreational vehicle dealer license, issued pursuant to Section 320.771, Florida Statutes, I have not
and will not enter into any agreement, written or oral, with any other person or business entity, which would constitute
an unfair and deceptive trade practice in violation of Part II of Chapter 501, Florida Statutes.
Date
Officer’s Signature-
Original Signature Required
I/We hereby agree that all documents, orders, notices or related correspondence will be served by e-mail at the e-mail address
provided. I/We agree to add
dealerservices@flhsmv.gov
as a contact so that email from the Division of Motorist Services is not
classified as junk mail. If no e-mail address is provided, all documents shall be served by First Class U.S. Mail.
Date
Officer’s Signature-
Original Signature Required
4
HSMV 86056 Rev. 9/21
APPLICATION FOR A LICENSE AS A MOTOR VEHICLE, MOBILE HOME, OR RECREATIONAL VEHICLE DEALER
CERTIFICATION
(Must be completed by all dealership officers.)
5.
Has this applicant, partner, corporate officer or director:
YES
Been convicted of a felony or equivalent charge anywhere?
NO
YES
Been convicted of a felony or first degree misdemeanor for a violation of any provision
NO
of Chapter 319 or 320, Florida Statutes?
YES
NO
Been convicted of a felony or first degree misdemeanor in any other jurisdiction for
violation of motor vehicle laws (excluding parking and traffic laws)?
NO
YES
Now facing criminal charges anywhere?
YES
NO
Been denied a surety bond?
NO
YES
Ever had a surety bond cancelled?
YES
Been a licensed dealer in Florida or any other jurisdiction?
NO
State:
License #:
NO
YES
Been denied or had dealer license suspended or revoked in Florida or any other
jurisdiction?
(IF THE ANSWER TO ANY PART OF QUESTION #5 IS “YES”, APPLICANT IS REQUIRED TO SUPPLY APPROPRIATE
DOCUMENTATION. IN THE CASE OF A FELONY CONVICTION, CHARGING DOCUMENTS AND DISPOSITION DOCUMENTS
FROM THE COURT MUST ACCOMPANY THIS APPLICATION.)
Under penalty of perjury, I do swear and affirm that the information contained in this application is true and correct
and that applicant, if licensed, will abide by all laws of Florida, including Chapters 319 and 320, Florida Statutes, and
all applicable rules, policies, and procedures of the Department of Highway Safety and Motor Vehicles.
I further certify that I am authorized to bind the application with my signature.
I understand that I must meet all zoning requirements and occupational license requirements that may be mandated
by local or county ordinances.
Typed Name/Title
Date
Signature-
Original Signature Required
NOTARIAL CERTIFICATE
STATE OF
COUNTY OF
The attached instrument was acknowledged before me on this date,
/ _/
by Mr./Mrs./Ms.
_who is personally known to me or who has produced
as identification and who did take an oath.
(Seal)
(Signature of Notary)
(Name of Notary, typed, printed or stamped)
(Notary)
(Title)
(Commission Serial Number)
Important:
This certification is required for each officer of the dealership. If necessary, please make copies of this page. After
completing this certification for each officer, attach each copy to this application. Each certification must be
notarized.
5
HSMV 86056 Rev. 9/21
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