Do not use white out or correction tape on this application.
REQUIRED DOCUMENTATION continued (Must be submitted with renewal application.)
INDEPENDENT, WHOLESALE, AUCTION, AND SALVAGE MOTOR VEHICLE DEALERS are required to submit the
following documentation with their renewal application:
License renewal application for independent, wholesale, and auction dealers, with $75 renewal fee for the primary location and $50 for each supplemental location. If the completed application, all required documents, and fee are not received for the primary location by April 30th, a $100 delinquent fee is due for a total renewal fee of $175. Checks must be made payable to
DHSMV.
An original surety bond, original irrevocable letter of credit, or original continuation certificate in the amount of $25,000 for motor vehicle dealers, auction dealers and independent dealers. The Dealership's Principal must sign the surety bond and Irrevocable Letter of Credit.
Proof of Garage Liability insurance which must include at a minimum, $25,000 combined single limit liability coverage including bodily injury and property damage protection and $10,000 personal injury protection or a general liability policy coupled with a business automobile policy which must include at a minimum, $25,000 combined single-limit liability coverage including bodily injury and property damanage protection and $10,000 personal injury protection. Signature of the insurance agent is required on all insurance policies.
Dealer License Continuing Education course certificate of completion or a pre-licensing Dealer Training Seminar for independent dealers only.
Copy of certification from the Division of Corporation showing current registration of the business and fictitious name(s) (on- line access at www.sunbiz.org).
MOBILE HOME DEALERS, MOBILE HOME BROKERS are required to submit the following documentation with their renewal application:
License renewal application for mobile home dealers and mobile home brokers with $140 renewal fee for the primary location and $50 for each supplemental location. If the completed application, all required documents, and fee are not received for the primary location by September 30th, a $200 delinquent fee is due for a total renewal fee of $340. Checks must be made payable to DHSMV.
An original surety bond, original irrevocable letter of credit, or original continuation certificate in the amount of $25,000 must be submitted for mobile homes dealers with four or fewer supplemental locations. The Dealership's Principal must sign the surety bond and Irrevocable Letter of Credit.
Mobile home dealers with more than four supplemental locations must submit an original surety bond, original irrevocable letter of credit, or original continuation certificate in the amount of $50,000.
Mobile home dealers and mobile home brokers selling recreational vehicles must submit proof of garage liability insurance which must include at a minimum, $25,000 combined single limit liability coverage including bodily injury and property damage protection and $10,000 personal injury protection. Certificate of garage liability insurance signed by the garage liability insurance agent is required.
Copy of certification from the Division of Corporation showing current registration of the business and fictitious name(s) (on- line access at www.sunbiz.org).
RECREATIONAL VEHICLE DEALERS are required to submit the following documentation with their renewal application:
License renewal application for recreational vehicle dealers, with $140 renewal fee for the primary location and $50 for each supplemental location. If the completed application, all required documents, and fee are not received for the primary location by September 30th, a $200 delinquent fee is due for a total renewal fee of $340. Checks must be made payable to DHSMV.
An original surety bond or original continuation certificate in the amount of $10,000 must be submitted for recreational vehicles dealers with four or fewer supplemental locations.
Recreational vehicle dealers with more than four supplemental locations must submit an original surety bond or original continuation certificate in the amount of $20,000.
Proof of Garage Liability insurance which must include at a minimum, $25,000 combined single limit liability coverage including bodily injury and property damage protection and $10,000 personal injury protection. Certificate of garage liability insurance signed by the garage liability insurance agent is required.
Copy of certification from the Division of Corporation showing current registration of the business and fictitious name(s) (on- line access at www.sunbiz.org).
"Under penalty of perjury, I do swear or affirm that all the information contained in this application is true and correct and that nothing has occurred since I filed my last application for a license or application for renewal of said license, as the case may be, which would change the answers given in such previous application."
Officer'sSignature |
Print Name |
Title |
Date |
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RETURN THIS APPLICATION AND ALL REQUIRED DOCUMENTATION |
HSMV 86720 S (Rev. 10/08) |
TO DMV REGIONAL OFFICE RESPONSIBLE FOR YOUR DEALERSHIP |
BUREAU OF FIELD OPERATIONS' REGIONAL OFFICES
DIVISION OF MOTOR VEHICLES
Region I
Bureau of Field Operations, Region I
1135 Banks Road
Margate, Florida 33063
Telephone = (954) 969-4216
FAX = (954) 969-4237
Responsible for Broward County
Region II
Bureau of Field Operations, Region II
318 Southeast 25th Avenue
Ocala, Florida 34471
Telephone = (352) 732-1267
FAX = (352) 732-1459
Responsible for Alachua, Columbia, Gilchrist, Lake, Levy, Marion and Putnam Counties
Region III
Bureau of Field Operations, Region III 3200 Armsdale Road, Suite 13 Jacksonville, Florida 32218 Telephone = (904) 924-1524
FAX = (904) 924-1525 or 924-1530
Responsible for Baker, Bradford, Clay, Flagler, Duval, Nassau, St. Johns and Union Counties
Region IV
Bureau of Field Operations, Region IV
1354 South Woodland Boulevard
Deland, Florida 32720
Telephone = (386) 736-5108
FAX = (386) 736-5112
Responsible for Brevard, Seminole and Volusia Counties
Region V
Bureau of Field Operations, Region V
4101 Clarcona-Ocoee Road, Suite 160
Orlando, Florida 32810
Telephone = (407) 445-7400
FAX = (407) 445-7411
Responsible for Orange and Osceola Counties
Region VI
Bureau of Field Operations, Region VI
NET PARK, Suite 2228
5701 East Hillsborough Avenue
Tampa, Florida 33610
Telephone = (813) 612-7110
FAX = (813) 612-7111
Responsible for Citrus, Hernando, Hillsborough, Pasco, Pinellas, Polk and Sumter Counties
Region VII
Bureau of Field Operations, Region VII
Room C-205, Neil Kirkman Building, Mail Stop 76
Tallahassee, Florida 32399-0600
Telephone = (850) 617-2999
FAX = (850) 617-5180
Responsible for Dixie, Franklin, Gadsden, Hamilton, Jefferson, Lafayette, Leon, Liberty, Madison, Suwanee, Taylor and Wakulla Counties
Bureau of Field Operations, Panama City
6030 County Road 2321
Panama City, Florida 32404
Telephone = 850 872-4158
FAX = 850 872-7764
Responsible for Bay, Calhoun, Gulf, Jackson and Washington Counties
Bureau of Field Operations, Pensacola
185-C Airport Boulevard
Pensacola, Florida 32505
Telephone = 850 475-5415
FAX = 850 475-5423
Responsible for Escambia, Holmes, Okaloosa, Santa Rosa and Walton Counties
Region VIII
Bureau of Field Operations, Region VIII
323 10th Avenue West, Suite 200
Palmetto, Florida 34221
Telephone = (941) 723-4551
FAX = (941) 723-4553
Responsible for Charlotte, Collier, Desoto, Glades, Hardee, Hendry, Highlands, Lee, Manatee and Sarasota Counties
Region IX
Bureau of Field Operations, Region IX 470 Columbia Drive, Bldg. E, Suite 200 West Palm Beach, Florida 33409 Telephone = (561) 640-6820
FAX = (561) 640-6835
Responsible for Indian River, Okeechobee, Martin, Palm Beach and St. Lucie Counties
Region X
Bureau of Field Operations, Region X
1405 Southwest 107th Avenue, Suite 202 and 203C
Miami, Florida 33174
Telephone = (305) 222-4164
FAX = (305) 222-4180
Responsible for Dade and Monroe Counties
