Free Salvage Buyer Identification (BID) Card Application - Wisconsin

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SALVAGE BUYER IDENTIFICATION (BID) CARD APPLICATION MV2651 8/2007 Ch. 218 Wis. Stats.
Driver License Number OR Photo ID Number State of License or ID Employe Applicant Name (Last, First, MI)

Wisconsin Department of Transportation

APPLICATION TYPE In-State If dealer license expires in less than 1 year, fee is $6 If dealer license expires in more than 1 year, fee is $12 Out-of-State, 1 year fee is $6

Social Security Number - For Verification Purposes

Residence Street Address, City, State, ZIP Code

Original Renewal Duplicate:
Eye Color Hair Color

Check reason below

Height

Weight

Lost

Destroyed

Stolen

Illegible

Name Change (Give Former Name)
Gender Birth Date

Male
Dealer License Number

Female
License Expiration

Address Change (Give Former Address)

Dealer Name

Business Street Address, City, State, ZIP Code

APPLICANT'S STATEMENT 1. Were you ever denied a Salvage BID card, salesperson/rep. or dealer license in this or any other state? 2. Have you ever been convicted of a crime?

E-Mail Address

No Yes-Attach Explanation

DEALER'S STATEMENT - I request that a card be issued and agree that the dealer take full responsibility for the actions of the above named employee as a salvage buyer identification cardholder.

X
(Owner, Officer, or Authorized Agent) (Date)

No Yes-Attach Explanation I certify with my signature below that I have read and understand all the provisions pertaining to the Salvage BID card for which I am making application and that the answers and statements made are complete, correct and true.

X
(Title) (Employee Applicant )

* A Salvage Buyer Identification (BID) Card is required to submit bids and purchase motor vehicles held and offered for sale by a motor vehicle salvage pool. Motor vehicle dealers, wholesalers, salvage dealers and their employees are eligible for BID cards. In-State Salvage Buyer Identification (BID) card is valid until employing dealer's license expires. Out-of-State Salvage Buyer Identification (BID) card expires December 31st of the year issued. Your card expiration will appear on your card.

APPLICATION INSTRUCTIONS
1. A separate Salvage BID card application is required for each dealership for which you will be purchasing salvage vehicles. 2. Complete all blanks on the application. 3. Copy the ID Number from a driver's license or other official government issued PHOTO IDENTIFICATION card belonging to the applicant, exactly as it appears on the photo ID card. 4. Provide social security number. The Salvage BID card cannot be issued without it. 5. Give physical description and birth date. 6. Enter the motor vehicle dealer, wholesaler, or salvage dealer license number issued to the business if licensed in Wisconsin. If the dealer is an out-of-state business, include the two-letter state abbreviation as a prefix to your dealer number. Include with the application a PHOTOCOPY of the credential which is issued to the business by the regulating authority in that jurisdiction verifying the authority of the entity to do business. NOTE: If the dealer license is not in English, you must include an English translation. The license must allow buying and selling, not just importing and exporting, to qualify. 10.Make check payable to: Registration Fee Trust Submit completed application with check to: WISCONSIN DEPARTMENT OF TRANSPORTATION DEALER AND AGENT SECTION PO BOX 7909 MADISON, WI 53707-7909 Upon termination of employment, the Salvage BID card shall be surrendered to the dealer or firm named on the card. This dealer or firm shall return the card to the department for cancellation at the address listed above. If you have questions, please call 608-266-1425.
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7. Indicate the type of application: In-State or Out-of-State, original, renewal, or duplicate. Include the appropriate fee with the application. If a DUPLICATE application, indicate the reason. Include original Salvage BID card with this application if not lost, stolen or destroyed. If a lost or stolen card is recovered after a duplicate is issued, return the recovered card. If name and/or address have changed, enter former name and/or address. 8. Sign the application where applicant's signature is indicated. 9. Have Dealer's statement signed by an owner, officer or agent of the dealership.