Form 15-0707 "Dealership Administrator Application" - Arizona

What Is Form 15-0707?

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

Form Details:

  • Released on April 1, 2020;
  • The latest edition provided by the Arizona Department of Transportation;
  • 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 15-0707 by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.

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Download Form 15-0707 "Dealership Administrator Application" - Arizona

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AZ MVD NOW
DEALERSHIP ADMINISTRATOR
APPLICATION
azdot.gov
15-0707 R04/20
Clear
This application is to be completed and signed by a person legally authorized to act on behalf of the Dealership.
All fields below must be completed. Email completed form to: mvdlu@azdot.gov.
*Please provide your Identification Number (EIN, OIN, ITIN or TIN)
Dealership Name
DBAs (if applicable)
Dealer License Number
Federal EIN (May not apply to all dealerships)
Physical Address
City
State
Zip Code
Mailing Address (if different from above)
City
State
Zip Code
Contact Person (Full legal name)
Phone
Email Address
(
)
The Dealership Administrator is responsible for adding, editing, and deactivating any other Dealership Representatives and
for resetting passwords for Representatives in your account. All Dealership Representatives on the account will also be
able to handle monetary transactions placed on the account, including disbursement requests.
Dealership Administrator Name (Printed First and Last Name)
Phone
Email Address
(
)
I hereby certify that I am the owner or principal of the above-named Dealership, or I am otherwise legally authorized to
act on its behalf. I further certify that the Dealership Administrator designated herein is authorized to perform the
functions mentioned above. I relieve the State of Arizona, the Arizona Department of Transportation, their employees,
agents, and representatives of any liability related, directly or indirectly, to the release of the Dealerships information to
the above-named and authorized Dealership Administrator. I understand that this authorization does not absolve me of
the responsibility to ensure that each employee maintain the security and confidentiality of their password, account, and
all activities occurring therein.
Printed Name of Owner, Partner or Corporate Officer as listed with the Corporation Commission
Title
Signature of Owner, Partner or Corporate Officer as listed with the Corporation Commission
Date
AZ MVD NOW
DEALERSHIP ADMINISTRATOR
APPLICATION
azdot.gov
15-0707 R04/20
Clear
This application is to be completed and signed by a person legally authorized to act on behalf of the Dealership.
All fields below must be completed. Email completed form to: mvdlu@azdot.gov.
*Please provide your Identification Number (EIN, OIN, ITIN or TIN)
Dealership Name
DBAs (if applicable)
Dealer License Number
Federal EIN (May not apply to all dealerships)
Physical Address
City
State
Zip Code
Mailing Address (if different from above)
City
State
Zip Code
Contact Person (Full legal name)
Phone
Email Address
(
)
The Dealership Administrator is responsible for adding, editing, and deactivating any other Dealership Representatives and
for resetting passwords for Representatives in your account. All Dealership Representatives on the account will also be
able to handle monetary transactions placed on the account, including disbursement requests.
Dealership Administrator Name (Printed First and Last Name)
Phone
Email Address
(
)
I hereby certify that I am the owner or principal of the above-named Dealership, or I am otherwise legally authorized to
act on its behalf. I further certify that the Dealership Administrator designated herein is authorized to perform the
functions mentioned above. I relieve the State of Arizona, the Arizona Department of Transportation, their employees,
agents, and representatives of any liability related, directly or indirectly, to the release of the Dealerships information to
the above-named and authorized Dealership Administrator. I understand that this authorization does not absolve me of
the responsibility to ensure that each employee maintain the security and confidentiality of their password, account, and
all activities occurring therein.
Printed Name of Owner, Partner or Corporate Officer as listed with the Corporation Commission
Title
Signature of Owner, Partner or Corporate Officer as listed with the Corporation Commission
Date