DNR Form B-141 "Application for Boat Dealer License/Boat Show Exhibitor Registration" - Maryland

What Is DNR Form B-141?

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

Form Details:

  • Released on August 1, 2007;
  • The latest edition provided by the Maryland Department of Natural Resources;
  • 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 DNR Form B-141 by clicking the link below or browse more documents and templates provided by the Maryland Department of Natural Resources.

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Download DNR Form B-141 "Application for Boat Dealer License/Boat Show Exhibitor Registration" - Maryland

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MARYLAND DEPARTMENT OF NATURAL RESOURCES
LICENSING AND REGISTRATION SERVICE
BOAT DEALER LICENSE APPLICATION
New application
Renewal
Change of information
Business Name:
Mailing Address:
Physical Location (if different):
Additional locations where inventory will be kept:
Telephone:
Email:
Sole proprietorship
Social Security # (required)
Fax:
Partnership
LLC
Corporation (in the state of
) Federal ID# (required)
Business hours: _______________
New Boats
Used Boats
Brokered Boats
Manufacturer
Lien & Recovery
Auctioneer
Number of salespersons to be employed:
Trader’s License # (if applicable)
REQUIRED WITH INITIAL APPLICATION: zoning approval and MD Assessments & Taxation “General Information” for entity
Check one:
Workmen’s Compensation Insurance Carrier:
Policy or binder #
Effective Date:
Exempt from Workmen’s Compensation requirement – self-employed or employ only family
CERTIFICATION (required for all officers, partners and owners)
I certify under penalty of perjury that the statements herein are true and correct to the best of my knowledge, information and belief.
I will abide by the provisions of the Natural Resources Article, Annotated Code of Maryland and Departmental regulations.
I certify under penalty of perjury that I
have
have not been convicted of a controlled dangerous substance offense occurring on or
after January 1, 1991, and understand that if convicted, my license may not be renewed or may be suspended or revoked.
Signature
Signature
Signature
Printed Name
Printed Name
Printed Name
Title
Title
Title
Date
Date
Date
Home Telephone
Home Telephone
Home Telephone
Home Address
Home Address
Home Address
City St Zip
City St Zip
City St Zip
DEPARTMENT USE ONLY
Dealer #
License Yr
Bond $
Bond exp date:
DNR B-141 Rev 8/07(web)
MARYLAND DEPARTMENT OF NATURAL RESOURCES
LICENSING AND REGISTRATION SERVICE
BOAT DEALER LICENSE APPLICATION
New application
Renewal
Change of information
Business Name:
Mailing Address:
Physical Location (if different):
Additional locations where inventory will be kept:
Telephone:
Email:
Sole proprietorship
Social Security # (required)
Fax:
Partnership
LLC
Corporation (in the state of
) Federal ID# (required)
Business hours: _______________
New Boats
Used Boats
Brokered Boats
Manufacturer
Lien & Recovery
Auctioneer
Number of salespersons to be employed:
Trader’s License # (if applicable)
REQUIRED WITH INITIAL APPLICATION: zoning approval and MD Assessments & Taxation “General Information” for entity
Check one:
Workmen’s Compensation Insurance Carrier:
Policy or binder #
Effective Date:
Exempt from Workmen’s Compensation requirement – self-employed or employ only family
CERTIFICATION (required for all officers, partners and owners)
I certify under penalty of perjury that the statements herein are true and correct to the best of my knowledge, information and belief.
I will abide by the provisions of the Natural Resources Article, Annotated Code of Maryland and Departmental regulations.
I certify under penalty of perjury that I
have
have not been convicted of a controlled dangerous substance offense occurring on or
after January 1, 1991, and understand that if convicted, my license may not be renewed or may be suspended or revoked.
Signature
Signature
Signature
Printed Name
Printed Name
Printed Name
Title
Title
Title
Date
Date
Date
Home Telephone
Home Telephone
Home Telephone
Home Address
Home Address
Home Address
City St Zip
City St Zip
City St Zip
DEPARTMENT USE ONLY
Dealer #
License Yr
Bond $
Bond exp date:
DNR B-141 Rev 8/07(web)