Form H-126 "Campground Filing of Business" - Connecticut

What Is Form H-126?

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

Form Details:

  • Released on March 1, 2018;
  • The latest edition provided by the Connecticut Department of 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 H-126 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

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Download Form H-126 "Campground Filing of Business" - Connecticut

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STATE OF CONNECTICUT
CAMPGROUND FILING OF BUSINESS
DEPARTMENT OF MOTOR VEHICLES
INFORMATION
60 STATE STREET, WETHERSFIELD, CT 06161
H-126 Rev. 3-2018
DEALERS AND REPAIRERS SECTION
On The Web at ct.gov/dmv
INSTRUCTIONS
1.
Campgrounds must submit a one time filing of business information with the DMV.
2.
Complete all sections.
3.
Attach sample campground agreement between the campground owner and camper and
mail the original form to the address above.
4.
Upon receipt, DMV will notify you of approval or denial via regular mail or e-mail.
NAME OF BUSINESS
NAME(S) OF PERSON(S) AUTHORIZED TO SIGN ON BEHALF OF BUSINESS
ADDRESS OF BUSINESS (No. and Street)
(City or Town)
(State)
(Zip Code)
MAILING ADDRESS OF BUSINESS (IF DIFFERENT FROM ABOVE)
BUSINESS
INFORMATION
EMAIL ADDRESS
BUSINESS TELEPHONE NUMBER
TO INDICATE YOU HAVE ATTACHED A SAMPLE CAMPGROUND AGREEMENT BETWEEN THE
CHECK HERE
CAMPGROUND OWNER AND CAMPER
ANY CHANGES IN THE INFORMATION REQUIRED BY THIS FORM SHALL BE MADE IN WRITING AND SUBMITTED TO THE
DEPARTMENT OF MOTOR VEHICLES WITHIN TEN DAYS.
The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, under penalty of false statement, in
accordance with the provisions of Sections 14-110 and 53a-157b of the Connecticut General Statutes. I understand that if I make a
statement which I do not believe to be true, with the intent to mislead the Commissioner, I will be subject to prosecution under the
CERTIFICATION
above-cited laws.
AUTHORIZED SIGNATURE OF BUSINESS OWNER/PRINCIPAL
DATE SIGNED
X
STATE OF CONNECTICUT
CAMPGROUND FILING OF BUSINESS
DEPARTMENT OF MOTOR VEHICLES
INFORMATION
60 STATE STREET, WETHERSFIELD, CT 06161
H-126 Rev. 3-2018
DEALERS AND REPAIRERS SECTION
On The Web at ct.gov/dmv
INSTRUCTIONS
1.
Campgrounds must submit a one time filing of business information with the DMV.
2.
Complete all sections.
3.
Attach sample campground agreement between the campground owner and camper and
mail the original form to the address above.
4.
Upon receipt, DMV will notify you of approval or denial via regular mail or e-mail.
NAME OF BUSINESS
NAME(S) OF PERSON(S) AUTHORIZED TO SIGN ON BEHALF OF BUSINESS
ADDRESS OF BUSINESS (No. and Street)
(City or Town)
(State)
(Zip Code)
MAILING ADDRESS OF BUSINESS (IF DIFFERENT FROM ABOVE)
BUSINESS
INFORMATION
EMAIL ADDRESS
BUSINESS TELEPHONE NUMBER
TO INDICATE YOU HAVE ATTACHED A SAMPLE CAMPGROUND AGREEMENT BETWEEN THE
CHECK HERE
CAMPGROUND OWNER AND CAMPER
ANY CHANGES IN THE INFORMATION REQUIRED BY THIS FORM SHALL BE MADE IN WRITING AND SUBMITTED TO THE
DEPARTMENT OF MOTOR VEHICLES WITHIN TEN DAYS.
The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, under penalty of false statement, in
accordance with the provisions of Sections 14-110 and 53a-157b of the Connecticut General Statutes. I understand that if I make a
statement which I do not believe to be true, with the intent to mislead the Commissioner, I will be subject to prosecution under the
CERTIFICATION
above-cited laws.
AUTHORIZED SIGNATURE OF BUSINESS OWNER/PRINCIPAL
DATE SIGNED
X