Form HSMV86218 "Renewal Application for a Mobile Home Manufacturer or Recreational Vehicle Manufacturer, Importer, or Distributor" - Florida

What Is Form HSMV86218?

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 June 1, 2013;
  • 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 HSMV86218 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 HSMV86218 "Renewal Application for a Mobile Home Manufacturer or Recreational Vehicle Manufacturer, Importer, or Distributor" - Florida

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STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
Please mail the completed renewal application and required documents to:
The Dealer License Section, 2900 Apalachee Parkway, Room A312 – MS 65,
Tallahassee, Florida 32399
RENEWAL APPLICATION
MOBILE HOME MANUFACTURER OR RECREATIONAL VEHICLE
MANUFACTURER, IMPORTER, OR DISTRIBUTOR
ANNUAL RENEWAL
BIENNIAL (TWO YEARS) RENEWAL
IF THERE ARE NO CHANGES FROM LAST YEAR, YOU MAY FILE THIS FORM TO RENEW YOUR LICENSE. THIS
FORM MAY ALSO BE USED FOR THE FOLLOWING:
 Change of Mailing Address (Please Check Box If Mailing Address Needs Updating)
OFFICE USE ONLY
Entered By: _______
Approved By: ______
Do not use white out or correction tape on this application.
LICENSE NUMBER
1. Current License Number:
ISSUE DATE
Licensee Name:
AMOUNT
Sole Proprietor
Corporation
Limited Liability Company/Partnership (LLC/LLP)
Limited Liability Limited Partnership (LLLP)
Partnership
CHECK NUMBER
Fictitious (DBA) Name(s):
CRS PAYMENT
Physical Address:
NUMBER
Street Address
DATE RECEIVED IN
City
State
Zip Code
DEALER LICENSE
Mailing Address:
SECTION
(Enter Mailing Address Even if Same as Physical Address - Street or Post Office Box)
DATE
City
State
Zip Code
APPLICATION WAS
Business Telephone Number: (
)
Cell Number: (
)
COMPLETED
Business Email Address:
Fax Number:
(
)
FRVIS CUSTOMER
NUMBER
2. Federal Employer Identification Number (FEID):
Division of
Proof of Identification/DL #, if Sole Proprietor or Partnership:
Corporations
Please see instruction guide for proof of acceptable identification
Active
Line makes of vehicles and/or units manufactured, distributed, or imported:
Inactive
NOTE: If there is a change in the corporate officer status, please complete Form 84256, Application for a
License as a Motor Vehicle or Recreational Vehicle Manufacturer, Importer, or Distributor or A Mobile
Home Manufacturer. (No fees are required.)
Please mail the completed renewal application and required documents to: The Dealer
HSMV 86218 (Rev. 06/13)
License Section, 2900 Apalachee Parkway, Room A312 – MS #65, Tallahassee, Florida 32399
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
Please mail the completed renewal application and required documents to:
The Dealer License Section, 2900 Apalachee Parkway, Room A312 – MS 65,
Tallahassee, Florida 32399
RENEWAL APPLICATION
MOBILE HOME MANUFACTURER OR RECREATIONAL VEHICLE
MANUFACTURER, IMPORTER, OR DISTRIBUTOR
ANNUAL RENEWAL
BIENNIAL (TWO YEARS) RENEWAL
IF THERE ARE NO CHANGES FROM LAST YEAR, YOU MAY FILE THIS FORM TO RENEW YOUR LICENSE. THIS
FORM MAY ALSO BE USED FOR THE FOLLOWING:
 Change of Mailing Address (Please Check Box If Mailing Address Needs Updating)
OFFICE USE ONLY
Entered By: _______
Approved By: ______
Do not use white out or correction tape on this application.
LICENSE NUMBER
1. Current License Number:
ISSUE DATE
Licensee Name:
AMOUNT
Sole Proprietor
Corporation
Limited Liability Company/Partnership (LLC/LLP)
Limited Liability Limited Partnership (LLLP)
Partnership
CHECK NUMBER
Fictitious (DBA) Name(s):
CRS PAYMENT
Physical Address:
NUMBER
Street Address
DATE RECEIVED IN
City
State
Zip Code
DEALER LICENSE
Mailing Address:
SECTION
(Enter Mailing Address Even if Same as Physical Address - Street or Post Office Box)
DATE
City
State
Zip Code
APPLICATION WAS
Business Telephone Number: (
)
Cell Number: (
)
COMPLETED
Business Email Address:
Fax Number:
(
)
FRVIS CUSTOMER
NUMBER
2. Federal Employer Identification Number (FEID):
Division of
Proof of Identification/DL #, if Sole Proprietor or Partnership:
Corporations
Please see instruction guide for proof of acceptable identification
Active
Line makes of vehicles and/or units manufactured, distributed, or imported:
Inactive
NOTE: If there is a change in the corporate officer status, please complete Form 84256, Application for a
License as a Motor Vehicle or Recreational Vehicle Manufacturer, Importer, or Distributor or A Mobile
Home Manufacturer. (No fees are required.)
Please mail the completed renewal application and required documents to: The Dealer
HSMV 86218 (Rev. 06/13)
License Section, 2900 Apalachee Parkway, Room A312 – MS #65, Tallahassee, Florida 32399
RENEWAL APPLICATION FOR A LICENSE AS A MOBILE HOME MANUFACTURER OR RECREATIONAL VEHICLE
MANUFACTURER, IMPORTER, OR DISTRIBUTOR
ACCEPTABLE PROOF OF IDENTIFICATION INCLUDES:
♦ A Florida driver license or identification card (please include driver license/identification number in
appropriate space on form);
♦ An out of state driver license or identification card;
♦ A US passport;
♦ A Canadian driver license, identification card, or passport;
♦ A driver license or identification card from any US Territory (American Samoa, Guam, Marianas, Puerto
Rico, and the US Virgin Island; and
♦ An out of country passport.
A copy of the proof of identification must be submitted with your renewal form to the Department, unless the
proof of identification submitted is a Florida driver license or identification card (please include driver
license/identification number in appropriate space on form).
REQUIRED DOCUMENTS TO BE SUBMITTED WITH APPLICATION:
Mobile Home Manufacturers and Recreational Vehicle Manufacturers, Importers or Distributors:
♦ A completed and signed renewal application form (available on-line at
http://www.flhsmv.gov/html/forms.html).
♦ License renewal fee of $140 for each location, please make check payable to DHSMV.
♦ License renewal fee of $280 for each location, if you are opting for biennial (two years) renewal.
♦ A current financial statement or condensed balance sheet.
♦ Copy of certification from the Division of Corporations showing current registration of business and
fictitious name(s) (on-line access at www.sunbiz.org).
♦ Please submit a copy of any of your product warranties if it has been updated since your last renewal.
♦ Recreational Vehicle Manufacturers, Importers or Distributors: An original surety bond, or original
continuation certificate in the amount of $10,000 for each recreational plant licensed by the Division of
Motorist Services.
♦ Mobile Home Manufacturers: An original surety bond, irrevocable letter of credit, or original continuation
certificate in the amount of $50,000.
NOTE: Mobile Home Manufacturers: Please attach a copy of the financial statement and a copy of the
original surety bond, or irrevocable letter of credit, or original continuation certificate in the amount of
$50,000 for all additional location renewals.
Under penalty of perjury, I do swear and affirm that the information contained in this application is true
and correct. I further certify that I am authorized to bind the application with my signature.
Officer’s Signature (Required)
Printed Name
Title
Date
HSMV 86218 (Rev. 06/13)
Please mail the completed renewal application and required documents to: The Dealer
License Section, 2900 Apalachee Parkway, Room A312 – MS 65, Tallahassee, Florida 32399.
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