Form 4682 – Fill Out and Use This PDF

The Form 4682 is a vital document for anyone seeking to operate as a licensed dealer, auctioneer, or manufacturer of motor vehicles, boats, trailers, and powersports equipment in Missouri. It serves not only as an application for a business license and number plates but also as a legal declaration of adherence to specific operational and sales volume requirements. It requires detailed business information, including a physical address, contact details, type of operation, and financial accountability, amongst others, ensuring that businesses comply with Missouri statutes for the sale or manufacture of vehicles and vessels. To streamline your licensing process and ensure compliance with Missouri state law, consider filling out the Form 4682 by clicking the button below.

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Form 4682 PDF Details

Understanding the complexities and requirements of Form 4682, the Application for Dealer, Auction, or Manufacturer License and Number Plate(s), is crucial for businesses involved in the sale or manufacture of motor vehicles, boats, trailers, and powersports units. This form serves not just as an application but as an essential compliance document that outlines the legal obligations and conditions under which a dealer operates. Applicants are reminded of the importance of accuracy when completing this form, as any false statement can result in significant legal consequences, including fines or imprisonment. Form 4682 encompasses a wide range of operational details—from basic business information, such as the physical location and operation hours, to more specific requirements like the minimum sales needed for renewal eligibility and the stipulation that certain percentages of administrative fees must be remitted to the motor vehicle administration technology fund. Additionally, the form requires detailed information about ownership, including background checks for all principal owners or partners to ensure compliance with Missouri statutes. It outlines the need for a bona fide place of business, specifies the documentation required for application, and details the inspection and certification process. Also included are the financial obligations, such as fees for licensure and number plates, and the necessity of maintaining an up-to-date bond or Irrevocable Letter of Credit (ILC). For new and renewing dealers alike, adherence to these protocols ensures the lawful operation of their business within the state, highlighting Form 4682 as a cornerstone of Missouri's regulatory framework for vehicle sales and manufacturing.

Question	Answer
Form Name	Form 4682
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	4682, missouri form 4682, dor form 4682, 4682 form

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Form	Application for Dealer, Auction, or

4682	Manufacturer License and Number Plate(s)

License Number

License Year (YYYY)

| | |

Any false statement in this application is a violation of the law and may be punished by fine or imprisonment or both.

Motor vehicle dealers must make a minimum of eight sales per year and boat, trailer, and powersport dealers must make a minimum of six sales per year to be eligible for renewal. Boat dealers that are also licensed as boat manufacturers please refer to RSMo 301.550.

Business Information

Plate Quantity Admin Fee Unit Type Sold Operation

Business Name		Doing Business As (DBA)

Contact Person		Missouri Secretary of State Registration Number (if applicable)

E-mail Address (Will be used for United States Postal Service shipping notification - required)

Physical Street Address			Telephone Number
			(___ ___ ___)___ ___ ___-___ ___ ___ ___
City	State	ZIP Code (9-digit)	County

Business Hours
Monday ________ to ________	Tuesday ________ to ________	Wednesday ________ to ________ Thursday ________ to ________
Friday ________ to ________	Saturday ________ to ________	( Sunday ________ to ________ Trailer, RV, and Powersport only )

Complete if mail-to address is different than above (requires letter from postal authority).

Business Name

Mailing Address			City				State	ZIP Code (9-digit)


Select one type of operation:
r Boat Dealer		r Franchise Motor Vehicle (MV) Dealer				r Franchise Powersport Dealer		r Manufacturer
r Public Motor Vehicle Auctions		r Recreational Motor Vehicle Dealer				r Trailer Dealer
r Used MV, Powersport Dealer		r Wholesale Motor Vehicle Auctions				r Wholesale MV Dealer


Type of units to be sold or manufactured (select all that apply):
r Boat	r Boat Trailer	r Classic MV		r Emergency Vehicle Only r Historic MV				r New ATV
r New Motorcycle	r New MV	r New Personal Watercraft			r New RV	r Trailer		r Used ATV
r Used Emergency Vehicle		r Used Motorcycle		r Used MV		r Used Personal Watercraft		r Used RV


Fee Collected: r Yes	How Much? _______________ r No Banking or Other Financial Institution Routing Number: ____________________________
				Checking or Savings Account Radicals : ________________________________________

Note: Per Section 301.558 RSMo., ten percent of any administrative fee charged by a motor vehicle dealer, boat dealer, or powersport dealer must be remitted to the motor vehicle administration technology fund. Any banking information provided to the department will only be used for this purpose and will not be shared with any outside parties.

New dealers record estimate annual sales quantities: _________________________________________________

Based on the type of unit(s) sold above, request the number of plate(s) based on previous sales or sales estimates.

Motor Vehicle (MV)	_________	Boat Trailer	_________	Driveaway Plate (Trailer Dealer Only) _________
Recreational Vehicle (RV)	_________	Boat	_________	Powersport (ATV, Motorcycle, Autocycle, Personal Watercraft) _________
Trailer	_________

I certify that the plates or permit requested above will be used for a legitimate purpose as prescribed on the reverse side of this application. I further certify that the driveaway license plates or permit being applied for will be used for the following specific purpose(s) (use separate sheet if necessary).__________________________________

_________________________________________________________________________________________________________________________

Fees	Licensure Fees		Plate Fees		Total Fees (Add licensure and plate fees)
Fees	$		$		$

ILC	Select One
	Select One
or	r Bond	r Irrevocable Letter of Credit (ILC)
or
Bond	Number			Company		__ __ / __ __ / __ __ __ __
	Number			Company		Expiration Date (MM/DD/YYYY)

Page 1 of 2

Franchise Trade Name(s)

Ownership Information

Inspection and Certification Signature

List factory franchise trade names and expiration dates. You must attach a copy of the franchise agreement (not needed for trailers and ATVs).

	Make	Expiration Date (MM/YYYY)		Make	Expiration Date (MM/YYYY)

1.		___ ___ / ___ ___ ___ ___	2.		___ ___ / ___ ___ ___ ___
3.		___ ___ / ___ ___ ___ ___	4.		___ ___ / ___ ___ ___ ___

5.		___ ___ / ___ ___ ___ ___	6.		___ ___ / ___ ___ ___ ___

Type of ownership (select one):
r1.	Individual	r 2. Partnership	r 3. Corporation (State of Incorporation) ____ ____	r 4. Limited Liability Company
r5.	Other _______________________________________________________________________________________________________

All owners, partners, corporate or company officers and registered agents must be listed below (also applies to out-of-state corporation). Attach extra paper if needed for additional owners. A background check from the state of residency must be attached for each person listed below.

Last Name

First Name

Address

City

State

ZIP Code

Social Security Number

Date of Birth (MM/DD/YYYY)

Telephone Number (optional)

Criminal Record Attached

__ __ / __ __ / __ __ __ __

(__ __ __)__ __ __-__ __ __ __

Last Name

First Name

Address

City

State

ZIP Code

Social Security Number

Date of Birth (MM/DD/YYYY)

Telephone Number (optional)

Criminal Record Attached

__ __ / __ __ / __ __ __ __

(__ __ __)__ __ __-__ __ __ __

Last Name

First Name

Address

City

State

ZIP Code

Social Security Number

Date of Birth (MM/DD/YYYY)

Telephone Number (optional)

Criminal Record Attached

__ __ / __ __ / __ __ __ __

(__ __ __)__ __ __-__ __ __ __

Last Name

First Name

Address

City

State

ZIP Code

Social Security Number

Date of Birth (MM/DD/YYYY)

Telephone Number (optional)

Criminal Record Attached

__ __ / __ __ / __ __ __ __

(__ __ __)__ __ __-__ __ __ __

I do solemnly swear and affirm that this application is made to conduct business as a bona fide dealer, auction, or manufacturer as provided by Sections 301.573

through 301.580, RSMo., that the information set forth herein is true and accurate and that I have the authority to provide all such information and to sign this application. This shall further certify that the business shall maintain, during the entire period of registration, financial responsibility for every motor vehicle it owns, licenses, or operates on the streets and highways.

Signature of an owner listed above	Date (MM/DD/YYYY)
	__ __ / __ __ / __ __ __ __

See instructions for who must complete this section. I certify that I have physically inspected the above location and that the applicant’s business qualifies as a bona fide place of business for manufacturing, selling, or auctioning motor vehicles, powersports, trailers, and boats.

r Approved	r Denied	Date (MM/DD/YYYYY)	Name and Rank
r Approved	r Denied	__ __ / __ __ / __ __ __ __
		__ __ / __ __ / __ __ __ __

Department, Troop, or District				Badge Number

Reason for Disapproval

Mail to:	Motor Vehicle Bureau
	Dealer Licensing Section
	P.O. Box 43
	301 West High, Room 370
	Jefferson City, MO 65105-0043
Phone:	(573)	526-3669 opt. 7
Fax:	(573)	522-4197

E-mail: dealerlic@dor.mo.gov	Form 4682 (Revised 08-2021)

Visit mydmv.mo.gov to renew or apply online.

Visit dor.mo.gov/motor-vehicle/dealers-lienholders/ for additional information.

Ever served on active duty in the United States Armed Forces?

If yes, visit dor.mo.gov/military/ to see the services and benefits we offer to all eligible military individuals. A list of all state agency resources and benefits can be found at

veteranbenefits.mo.gov/state-benefits/.

Page 2 of 2

Important Instructions to Applicant

Complete each area on the application and submit it with the appropriate fees to Dealer Licensing Section P.O. Box 43, Jefferson City, MO 65105-0043. All illegible, incorrect, or incomplete applications will be rejected. For additional information, visit our website at dor.mo.gov/

forms/Dealer%20Operating%20Manual.pdf. You may also visit mydmv.mo.gov to apply online.

Business Information:

•The complete business name must be shown. A post office box number without a street address will not be accepted as an actual business address. Dealer license plates will be mailed to the business address. Indicate the Secretary of State Registration number if the type of ownership requires registration with the Secretary of State.

•Complete the business name and mail to address if necessary. You must include a letter from the local postal authorities stating they cannot or will not deliver mail to the actual business location. Dealer license plates will not be sent to the mail to address.

Operation

•Select one type of operation. See the Dealer Operating Manual for information on the different types of operation.

Unit Type Sold

•Select all of the types of units to be sold or manufactured.

Administrative Fee

•All motor vehicle, boat, and powersport dealers must declare if an Administrative Fee is charged and, if so, must state how much is collected and must provide banking information. (Reference Section 301.558 RSMo, 12 CSR 10-26.230 through 12 CSR 10-26.231)

Plate Quantity

•If you are a new dealer, estimate the annual sales quantities and indicate in the appropriate area. Complete the number of each type of plate you will require.

Fees

•Include fees for the type of license requested and for each plate requested on this application. See the Dealer Operating Manual for a complete list of fees.

Bond or ILC

•You must have a corporate surety bond or Irrevocable Letter of Credit (ILC) in the amount of fifty thousand dollars. Select the appropriate box. Write the number of the bond or ILC, the company that issued it, and the date it expires.

Franchise Trade Name(s)

•If you are a dealer selling new motor vehicles and new powersport units (motorcycles and motor tricycles), you must complete the Franchise

Trade Name(s) section listing factory franchise trade names and expiration dates.

•You must attach a copy of the factory franchise agreement.

Ownership Information

•Select the type of ownership of the business.

•List each owner, partner, corporate or company officer, and registered agent of the business.

•You must list the social security number, date of birth, and address of all owners.

•Every owner, partner, or principal officer must obtain a “name based” criminal record from the Missouri State Highway Patrol. Visit machs.mo.gov/MACHSFP/home.html to obtain name based criminal records online. An owner, partner, or principal officer residing in another state must obtain a criminal record from the state of his or her residence. All required criminal records must be submitted with your dealer license application.

Signature

• The application must be signed by a business owner, partner, or principal officer.

Inspection and Certification

•An authorized law enforcement officer or designee must complete this section. Dealers selling only emergency vehicles are exempt from this requirement. If the business is located in a first class county (Boone, Buchanan, Camden, Cape Girardeau, Cass, Christian,Clay, Cole, Franklin, Greene, Jackson, Jasper, Jefferson, Platte, St. Charles, St. Francois, St. Louis, St. Louis City, or Taney), an authorized city policeman who is employed in the same city the business is located may complete the inspection. Certifications may not be completed by a sheriff or marshal.(Reference Sections 301.550 through 301.573, RSMo).

Required documents to include:

r Completed Application for Dealer, Auction, or Manufacturer License and Number Plate(s) (Form 4682)

r Original bond or ILC r Factory Franchise agreement r Criminal records for each owner, partner, or principal officer.

rCurrent photograph of the bona fide place of business. Include the building, lot, and sign. If it is a temporary sign, include a photograph of the temporary sign and the work order for the permanent sign.

rCopy of the garage liability policy (manufacturers, auctions, and trailer dealers are exempt).

rCopy of your dealer seminar certificate, if applicable. r Manufacturer’s letter outlining operation, if applicable.

rOne check or money order made payable to the Missouri Department of Revenue if applied by mail.

The applicant may not buy or sell any motor vehicle, powersport unit, trailer, or boat as an auction, dealer or manufacturer until this application has been approved by the Dealer Licensing Section. If the applicant purchases a motor vehicle, powersport unit, trailer or boat before the application is approved, the unit must be titled in the applicant’s name and all taxes and fees must be paid. Receipt, by the applicant, of the business certificate or receipt of the dealer license plates constitutes proof of approval. Submission of the

application or validation of fees does not constitute proof of approval.

Note: The Department of Revenue may electronically resubmit checks returned for Insufficient or uncollected funds. If you are adding a new type of operation to your current license, please refer to the Dealer Operating Manual on our website at dor.mo.gov/forms/Dealer%20Operat- ing%20Manual.pdf for information on the requirements and fees.

Renewal Applicant Information

Missouri Dealer Business License Renewal Checklist

To ensure that your dealer renewal is processed as quickly as possible, please make sure that everything listed below is enclosed when returning your application. Applications can be submitted online by visiting mydmv.mo.gov or by mail.

rApplication for Dealer, Auction, or Manufacturer License and Number Plate(s) (Form 4682):

•Verify all necessary information is completed on the form.

•The application is certified by an authorized law enforcement officer, if applicable (see instructions of form for more information).

•List the quantity of dealer plates and the plate type (motor vehicle, boat, etc.) your dealership wants. Do not exceed the maximum amount allowed.

rCriminal Record:

•Missouri owners must obtain a criminal record from the Missouri State Highway Patrol (MSHP). Criminal records can be obtained electronically from the MSHP, printed, and submitted with all other required documentation for licensing. Visit the MSHP website at machs.mo.gov/MACHSFP/home.html to obtain your Missouri criminal record.

•Out-of-state owners must obtain a criminal record from their state of residence and provide it with all other required documentation for licensing.

rInsurance Policy:

•A copy of your current dealer garage insurance policy bearing the policy number, effective date, expiration date and name of the insurer and insured. This does not apply to trailer dealers or manufacturers.

rFees/Penalties

• A check or money order for the appropriate amount (use fee table below to determine fees):

License fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $150.00 (Motor Vehicle) $80.00 (Marine) First plate/placard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$50.00

Each additional plate/placard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10.50 Auction fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$200.00

A $25.00 penalty is due if the application is received after November 3; a $50.00 penalty is due if the application is received after December 31.

rBond or Irrevocable Letter of Credit (ILC):

•The bond on file for your dealership must not expire before December 31, of the renewing year.

•If Section 6 of your renewal indicates your existing bond/ILC expires prior to December 31, of the renewing year, submit a

Corporate Surety Bond or ILC in the amount of $50,000 that shows no break in coverage through December 31, of the renewing year. If your bond is non-expiring, no documentation is required.

rLocation Change:

•Submit a current photograph of the building, lot, and sign, and obtain law enforcement certification of your business. If the photograph includes a temporary sign a work order for a permanent sign must be included with your application.

rNot Renewing Business License for the upcoming year:

•Return your renewal application and record, “Out of business effective _____________________ .” rUnited Parcel Service (UPS) E-mail Notification:

•If you wish to receive e-mail notification from UPS when your dealer license plates are shipped, please print your dealer number and e-mail address and return with your renewal notice:

Dealership Name ____________________________________________________________________________________

Dealer Number ______________________________________________________________________________________

E-mail Address ______________________________________________________________________________________

rSign and date the application.

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Concentrate when filling in this document. Ensure that all required blanks are completed properly.

1. The dor form 4682 needs certain details to be entered. Make certain the next blanks are filled out:

4682 conclusion process detailed (step 1)

2. Just after this selection of fields is filled out, proceed to type in the suitable information in all these - d o S e p y T t i n U, Type of units to be sold or, r Boat Trailer r Classic MV, r Used Motorcycle r Used MV, r New RV, r Emergency Vehicle Only r, r New ATV r Trailer r Used ATV r, e e F n m d A, Fee Collected r Yes How Much r No, Checking or Savings Account, Note Per Section RSMo ten percent, y New dealers record estimate, Motor Vehicle MV Boat Trailer, Boat Powersport ATV Motorcycle, and Driveaway Plate Trailer Dealer.

3. Completing I r o d n o B, Select One r Bond Number, Company, Page of, and Expiration Date MMDDYYYY is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Expiration Date MMDDYYYY, Select One r Bond Number, and Company in 4682

It's very easy to get it wrong when filling in the Expiration Date MMDDYYYY, and so you'll want to take another look prior to when you send it in.

4. This fourth subsection arrives with these particular empty form fields to complete: s e m a N e d a r T e s i h c n, n o i t a m r o f n, p h s r e n w O, Make, Expiration Date MMYYYY, Make, Expiration Date MMYYYY, Type of ownership select one, r Individual, r Partnership r Corporation, r Other, All owners partners corporate or, Last Name, Address, and First Name.

5. This final section to complete this form is integral. You must fill in the displayed form fields, such as p h s r e n w O, e r u t a n g S, Last Name, Address, First Name, City, Social Security Number, Date of Birth MMDDYYYY, Last Name, Address, First Name, City, Social Security Number, Date of Birth MMDDYYYY, and State, prior to using the pdf. If you don't, it may contribute to a flawed and probably unacceptable form!

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