Free Buyer's License Application - Wisconsin

BUYER'S LICENSE APPLICATION
MV2941 8/2007 Ch. 218 Wis. Stats.
Driver License Number OR Photo ID Number

Clear form
APPLICATION TYPE
State of License or ID

Wisconsin Department of Transportation 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, fee is $12

Employe Applicant Name (Last, First, MI)

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 buyer's license, 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 license be issued and agree that the dealer take full responsibility for the actions of the above named employee as a buyer's licensee.

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 buyer's license for which I am making application and that the answers and statements made are complete, correct and true.

X
(Title) (Employee Applicant )

* A Buyer's License is required to submit bids and purchase motor vehicles held and offered for sale by motor vehicle wholesale auctions and dealers. Employees or those who contract with motor vehicle dealers or wholesalers are eligible for Buyer's Licenses. Licensed motor vehicle dealers and licensed wholesale dealers are not required to hold a Buyer's License. In-State Buyer's License is valid until employing dealer's license expires. Out-of-State Buyer's License is valid for up to 2 years and expires on the second July 31st after the Buyer's License is issued. Your license expiration will appear on your license.

APPLICATION INSTRUCTIONS
1. A separate Buyer's License Application is required for each dealership for which you will be purchasing 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 buyer's license cannot be issued without it. 5. Give physical description and birth date. 6. Enter the motor vehicle dealer or wholesaler 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 Buyer's License shall be surrendered to the dealer or firm named on the license. This dealer or firm shall return the license 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 Buyer's license with this application if not lost, stolen or destroyed. If a lost or stolen license is recovered after a duplicate is issued, return the recovered license. 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.