Form HCD OL16 "Application for Mh-Unit/Commercial Modular Salesperson (Part a)" - California

What Is Form HCD OL16?

This is a legal form that was released by the California Department of Housing & Community Development - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2009;
  • The latest edition provided by the California Department of Housing & Community Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form HCD OL16 by clicking the link below or browse more documents and templates provided by the California Department of Housing & Community Development.

ADVERTISEMENT
ADVERTISEMENT

Download Form HCD OL16 "Application for Mh-Unit/Commercial Modular Salesperson (Part a)" - California

731 times
Rate (4.3 / 5) 51 votes
STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
OCCUPATIONAL LICENSING PROGRAM
APPLICATION FOR MH-UNIT/COMMERCIAL MODULAR SALESPERSON
(PART A)
SECTION 1
APPLICANT INFORMATION
(Type or Print)
NAME: ______________________________________________ TELEPHONE NUMBER: (
) _________________
Last
First
Middle
RESIDENCE ADDRESS: ___________________________________________________________________________
Number and Street
City
State
ZIP Code
MAILING ADDRESS
: _______________________________________________________________________
(If different)
Number and Street
City
State
ZIP Code
E-MAIL ADDRESS
: _______________________________________________________________________
(If applicable)
SECTION 2
TYPE OF LICENSE REQUESTED
Check the appropriate box to indicate the purpose of this application submittal.
MH-Unit Salesperson
Commercial Modular Salesperson
SECTION 3
EMPLOYER INFORMATION
(Type or Print)
DEALERSHIP NAME: ______________________________________________________________________________
LICENSE NUMBER: _____________________________________
DEALERSHIP ADDRESS: ___________________________________________________________________________
Number and Street
City
State
ZIP Code
SECTION 4
APPLICANT’S CERTIFICATION
I, _____________________________________________________________________ , certify under penalty of perjury
Type or Print First and Last Name
under the laws of the State of California that the information given on this application is true and correct to the best of my
knowledge and belief.
APPLICANT’S SIGNATURE __________________________________________________ DATE ________________
SECTION 5
EMPLOYING DEALER’S CERTIFICATION
I, _____________________________________________________________________ , certify that I have reviewed
Type or Print First and Last Name
the completed application (Part A and Part B) and intend to employ the above named person as a MH-Unit and/or
Commercial Modular Salesperson. I further certify and acknowledge that the above named person will not participate as a
licensee in any MH-Unit or commercial modular sales activity, until he/she receives a Salesperson Temporary Permit or
License from the California Department of Housing and Community Development.
DEALER’S SIGNATURE ___________________________________
TITLE _________________________________
DATE ________
EXECUTED IN THE COUNTY OF _________________________ STATE OF ________________
SUBMIT APPLICATION TO:
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
OCCUPATIONAL LICENSING PROGRAM
P. O. BOX 31
SACRAMENTO, CA 95812-0031
HCD OL 16 (Rev. 06/09)
STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
OCCUPATIONAL LICENSING PROGRAM
APPLICATION FOR MH-UNIT/COMMERCIAL MODULAR SALESPERSON
(PART A)
SECTION 1
APPLICANT INFORMATION
(Type or Print)
NAME: ______________________________________________ TELEPHONE NUMBER: (
) _________________
Last
First
Middle
RESIDENCE ADDRESS: ___________________________________________________________________________
Number and Street
City
State
ZIP Code
MAILING ADDRESS
: _______________________________________________________________________
(If different)
Number and Street
City
State
ZIP Code
E-MAIL ADDRESS
: _______________________________________________________________________
(If applicable)
SECTION 2
TYPE OF LICENSE REQUESTED
Check the appropriate box to indicate the purpose of this application submittal.
MH-Unit Salesperson
Commercial Modular Salesperson
SECTION 3
EMPLOYER INFORMATION
(Type or Print)
DEALERSHIP NAME: ______________________________________________________________________________
LICENSE NUMBER: _____________________________________
DEALERSHIP ADDRESS: ___________________________________________________________________________
Number and Street
City
State
ZIP Code
SECTION 4
APPLICANT’S CERTIFICATION
I, _____________________________________________________________________ , certify under penalty of perjury
Type or Print First and Last Name
under the laws of the State of California that the information given on this application is true and correct to the best of my
knowledge and belief.
APPLICANT’S SIGNATURE __________________________________________________ DATE ________________
SECTION 5
EMPLOYING DEALER’S CERTIFICATION
I, _____________________________________________________________________ , certify that I have reviewed
Type or Print First and Last Name
the completed application (Part A and Part B) and intend to employ the above named person as a MH-Unit and/or
Commercial Modular Salesperson. I further certify and acknowledge that the above named person will not participate as a
licensee in any MH-Unit or commercial modular sales activity, until he/she receives a Salesperson Temporary Permit or
License from the California Department of Housing and Community Development.
DEALER’S SIGNATURE ___________________________________
TITLE _________________________________
DATE ________
EXECUTED IN THE COUNTY OF _________________________ STATE OF ________________
SUBMIT APPLICATION TO:
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
OCCUPATIONAL LICENSING PROGRAM
P. O. BOX 31
SACRAMENTO, CA 95812-0031
HCD OL 16 (Rev. 06/09)