Dmv Form Dsd 10 PDF Details

In today's automotive industry, navigating the complexities of legal documentation is crucial for manufacturers, distributors, and their branches. A pivotal piece in this intricate puzzle is the DMV DSD 10 form, a comprehensive application used for securing the initial license or renewal required to operate within the Commonwealth. The form caters to a wide array of business activities - from manufacturing and distributing automobiles, motorcycles, trailers, to recreational vehicles, highlighting the diverse nature of the automotive sector. It meticulously details the necessary information and documents required, such as a sample franchise agreement for those engaging with multiple dealers, or a distributor agreement to authenticate the distribution of vehicle line-makes. Moreover, the form serves as a testament to regulatory compliance, with sections carefully designed to gather information about the business, including any history of legal or administrative issues among owners or officers. It also emphasizes the importance of transparency and honesty, requiring applicants to affirm the accuracy of the information submitted under the penalty of perjury. Essentially, the DSD 10 form is not just a procedural necessity; it embodies the legal and ethical standards that govern the automotive industry's operation within the Commonwealth.

QuestionAnswer
Form NameDmv Form Dsd 10
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesDIST, va dealer board, DLD-21, DSD

Form Preview Example

MANUFACTURER AND DISTRIBUTOR

LICENSE APPLICATION

FOR INITIAL LICENSE OR RENEWAL

FOR LICENSE YEAR ENDING

PURPOSE: Manufacturers, distributors and factory branches use this form to apply for, renew or change a license to do business in the Commonwealth.

DSD 10 (07/28/2017)

OFFICE USE ONLY

P.C.T. & O. FEE

SLS FEE

 

 

AMT. OF CHECK

TOTAL FEE

 

 

OVERPAY

CHECK NO.

 

 

RETURN OVERPAY

ASMT. FEE

FOR APPROVAL

 

 

 

CLERK'S

 

INITIALS

 

Each applicant must include a sample franchise agreement if doing business with more than one dealer (see Franchise Agreement Information on page 2). If applicant does not do business with more than one dealer, he/she may choose not to submit a sample franchise agreement but must include a statement acknowledging the applicant’s understanding that he/she must provide a sample franchise agreement upon doing business with more than one dealer.

Each distributor must include a copy of a distributor agreement with, or a parent letter from, the manufacturer or parent distributor authorizing the distribution of each vehicle line-make listed on the application.

APPLICATION TYPE

Authorized Changes: address change, name change, add/delete manufacturer or distributor, ownership change and relocation.

INITIAL APPLICATION

RENEWAL APPLICATION

CHANGE (explain)

VEHICLE/BUSINESS TYPE

Vehicle Type

CAR / TRUCK / UTILITY

MOTORCYCLE

TRAILER

RECREATIONAL VEHICLE

Business Type

MANUFACTURER - a person engaged in the business of constructing or assembling new motor vehicles and, in the case of trucks, also means a person engaged in the business of manufacturing engines, transmissions, power trains, or rear axles, when such engines, transmissions, power trains or rear axles are not warranted by the final manufacturer or assembler of the truck.

DISTRIBUTOR - a person who sells or distributes new motor vehicles pursuant to a written agreement with the manufacturer, to franchised motor vehicle dealers in the Commonwealth.

FACTORY/DISTRIBUTOR BRANCH - a branch office maintained by a person for the sale of motor vehicles to distributors or for sale of motor vehicles to motor vehicle dealers, or for directing or supervising, in whole or in part, its representatives in the Commonwealth.

BUSINESS INFORMATION

BUSINESS NAME

TRADING AS NAME

LICENSE NUMBER

BUSINESS STREET ADDRESS

CITY

STATE

ZIP CODE

BUSINESS MAILING ADDRESS

CITY

STATE

ZIP CODE

BUSINESS JURISDICTION

 

 

 

 

 

COUNTY

OR

 

CITY

 

FACTORY REPRESENTATIVE (person operating business)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEDERAL EMPLOYER ID NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS PHONE NUMBER

FACTORY REP. PHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS EMAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS WEBSITE ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF OWNERSHIP - check one

 

INDIVIDUAL

 

 

PARTNERSHIP

 

CORPORATION

 

LLC

 

STATE IN WHICH INCORPORATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GIVE THE NAME, TITLE AND RESIDENTIAL ADDRESS OF EACH OWNER, PARTNER AND/OR OFFICER OF THE BUSINESS (attach additional sheets if necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

TITLE

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DSD 10 (07/28/2017)

Page 2

LINE-MAKE(S) AND FRANCHISE DEALER(S)

LIST LINE-MAKE(S) OF VEHICLE(S) TO BE SOLD IN THE COMMONWEALTH. DO NOT LIST MODELS AS LINE-MAKE(S) (attach additional sheets if necessary)

LIST APPLICANT'S FRANCHISE DEALER(S) (attach additional sheets if necessary)

FRANCHISE DEALERSHIP

DEALERSHIP LOCATION

LINE-MAKE(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER/PARTNER/OFFICER INFORMATION

Read each question below and check the appropriate response.

A. Has any owner, partner or officer of the business ever:

1.

Been refused a license or Certificate of Registration for conducting motor vehicle or trailer business or ever had this credential

 

YES

 

 

 

 

suspended or revoked?

 

 

 

 

YES

 

2.

Been convicted of a felony?

 

 

 

 

3.

Been convicted of a fraudulent criminal act in connection with the business of selling motor vehicles or trailers; larceny of a vehicle or

 

YES

 

 

 

 

receipt or sale of a stolen vehicle, or odometer tampering or related violation?

 

 

 

 

 

 

4.

Committed any act or omitted any duty, which has resulted in administrative action by the Motor Vehicle Dealer Board or DMV? ....

 

YES

 

 

 

B.

Does any owner, partner or officer of the business own, operate, or control any vehicle dealership in the Commonwealth?

 

YES

 

 

 

If the answer to any of the above questions is YES, please explain on a separate attached sheet (include names, dates, court jurisdiction and result of administrative proceedings.)

NO

NO

NO

NO

NO

PRIVACY STATEMENT

In accordance with Virginia Code §§ 2.2-803, 2.2-4807 and § 58.1-520 et seq., the State Comptroller requires that this information, including your social security number, be collected for debt set off collection purposes.

CERTIFICATION

I certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.

OWNER/PARTNER/OFFICER OF BUSINESS NAME (print)

NAME OF BUSINESS

OWNER/PARTNER/OFFICER OF BUSINESS NAME (signature)

DATE (mm/dd/yyyy)

FRANCHISE AGREEMENT INFORMATION

A sample franchise agreement or sale, service or sales and service agreement refers to a manufacturers or distributors standard franchise agreement provided to all dealers that do not contain particularized terms, such as specific dealer's names, dealership address, dates or signatures of the parties.

Va. Code. 46.2-1569(9) requires that a franchise agreement contain the following language or words to the same effect:

If a provision herein contravenes the laws or regulations of any state or jurisdiction wherein this agreement is to be performed, or denies access to the procedures, forums, or remedies provided to such laws or regulations, such provision shall be deemed to be modified to conform to such laws or regulations, and all the other terms and provisions shall remain in full force, or words to that effect.

The above language, or words to the same effect, may appear in the main text or as an addendum to the franchise agreement. If an addendum is selected, the form must contain signature lines for the parties.

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Step 1: Choose the orange button "Get Form Here" on this website page.

Step 2: You are now allowed to enhance va dealer board. You have numerous options thanks to our multifunctional toolbar - it's possible to add, delete, or modify the content, highlight its specific areas, and perform other commands.

You'll have to enter the following data to be able to complete the template:

DLD-9 empty fields to consider

Within the field MANUFACTURER a person engaged in, DISTRIBUTOR a person who sells or, FACTORYDISTRIBUTOR BRANCH a, BUSINESS NAME, BUSINESS STREET ADDRESS, BUSINESS MAILING ADDRESS, BUSINESS JURISDICTION, BUSINESS INFORMATION, TRADING AS NAME, CITY, CITY, LICENSE NUMBER, STATE, ZIP CODE, and STATE type in the particulars that the system demands you to do.

stage 2 to completing DLD-9

Write the vital particulars in segment.

DLD-9  blanks to complete

The LIST LINEMAKES OF VEHICLES TO BE, LIST APPLICANTS FRANCHISE DEALERS, FRANCHISE DEALERSHIP, DEALERSHIP LOCATION, LINEMAKES, Read each question below and check, A Has any owner partner or officer, OWNERPARTNEROFFICER INFORMATION, Been refused a license or, suspended or revoked, and YES section needs to be applied to record the rights or responsibilities of both sides.

step 4 to finishing DLD-9

Finish by analyzing the following areas and completing them as needed: suspended or revoked, Been convicted of a felony, YES, Been convicted of a fraudulent, receipt or sale of a stolen, YES, Committed any act or omitted any, YES, B Does any owner partner or, YES, If the answer to any of the above, PRIVACY STATEMENT In accordance, CERTIFICATION I certify and affirm, OWNERPARTNEROFFICER OF BUSINESS, and NAME OF BUSINESS.

suspended or revoked, Been convicted of a felony, YES, Been convicted of a fraudulent, receipt or sale of a stolen, YES, Committed any act or omitted any, YES, B Does any owner partner or, YES, If the answer to any of the above, PRIVACY STATEMENT In accordance, CERTIFICATION I certify and affirm, OWNERPARTNEROFFICER OF BUSINESS, and NAME OF BUSINESS in DLD-9

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