In order to operate a motor vehicle in the state of Ohio, you must have a valid driver’s license. In order to get a driver’s license, you must first complete BMV 4319 form. The BMV 4319 form is used to request an original or replacement driver’s license, permit, or identification card. If you are under the age of 18, your parent or legal guardian must sign the form on your behalf. You can download and print the form from the Ohio Bureau of Motor Vehicles website at ovhd.bmv.gov/forms-info/. Completed forms can be submitted in person at any local BMV office or mailed to: Ohio Bureau of Motor Vehicles P.O. Box 16521
Question | Answer |
---|---|
Form Name | Bmv 4319 Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | Attn, bmv 4319 form, transactional, RV |
OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
STATEMENT OF MANUFACTURER / DISTRIBUTOR FRANCHISE
1. Please print legibly or type the following information:
MANUFACTURER / DISTRIBUTOR NAME OF BUSINESS
ADDRESS
CITY
STATE
ZIP CODE
2.The above manufacturer or distributor hereby certifies that the following distributor / dealer is duly authorized to distribute / sell the makes indicated in #3:
EXACT NAME OF DISTRIBUTOR / DEALER
ADDRESS |
|
|
PERMIT NUMBER |
|
|
|
|
CITY |
STATE |
ZIP CODE |
COUNTY |
|
|
|
|
3.A. List the new makes the dealership is franchised to sell (i.e., Chevrolet, Honda, Toyota, etc.) Do not list models. The make name must match what is listed on the MCO.
B.List all vehicle types the dealership is franchised to sell (i.e., passenger motor vehicles, motorcycles, trucks, conversion vans, trailers, manufactured homes, recreational vehicles etc.)
A. MAKE
B. VEHICLE TYPE
(i.e., passenger car, motorcycle, trailer)
A. MAKE
B. VEHICLE TYPE
(i.e., passenger car, motorcycle, trailer)
4.Is there another authorized dealer selling the same make of vehicle(s) within a ten (10) mile radius of the above named dealer? (25 mile radius RV dealers) Ohio Revised Code (R.C.) Sections 4517.01
(DD) and 4517.50
YES NO If yes, list dealer name and address:
DEALER
ADDRESS
CITY
STATE
ZIP CODE
5.Has dealer in #4 been notified, pursuant to Chapter 4517 of the R.C., of the new franchise
appointment?
YES NO If yes, give date of notification
Completion of this form and signatures by both parties, affirm that a franchise exists between and approved by the Manufacturer / Distributor and Distributor / Dealer in accordance with R.C. Sections 4517.04, and 4517.50 - 4517.65. Pursuant to R.C. 4517.23, the appropriate party shall notify the BMV of any change in status of such contract / agreement within 15 days after such change.
NOTE: ALTERED FORMS WILL NOT BE ACCEPTED.
BMV 4319 9/12 [17601163] Page 1 of 2
6. Signature of Manufacturer’s / Distributor’s authorized agent listed in #1
X
SIGNATUREDATE
7. Notary:
Sworn to before me and subscribed in my presence this day of,
X
NOTARY PUBLIC |
MY COMMISSION EXPIRES |
(SEAL) |
|
8. Signature of Distributor's / Dealership's owner, partner, officer, member, or trustee listed in #2
X
SIGNATUREDATE
9. Notary:
Sworn to before me and subscribed in my presence this day of,
X
NOTARY PUBLIC |
MY COMMISSION EXPIRES |
(SEAL) |
|
IMPORTANT INFORMATION
•This completed form along with other application requirements must be on file and approved by the Ohio Bureau of Motor Vehicles, Dealer Licensing Section, Columbus, Ohio, before transactional sales may be made.
•Forms may be mailed or faxed. To locate the appropriate fax number for your county, please visit www.OhioAutoDealers.com. From the home page click on contact us, click on HERE under “by Telephone or Fax” then click on the county in which the distributor/dealer, listed in #2, is located.
•R.C. 4517.23 requires the appropriate party to notify the Dealer Licensing Section of any change in status of such contract/agreement within 15 days after such change.
MAILING ADDRESS:
Ohio Bureau of Motor Vehicles, Attn: Dealer Licensing Section, PO Box 16521, Columbus, Ohio
BMV 4319 9/12 [17601163] Page 2 of 2
www.OhioAutoDealers.com