Hsmv 86072 Form PDF Details

In the bustling world of automobile, mobile home, and recreational vehicle sales in Florida, maintaining an accurate and current dealer license is paramount for lawful operation. The HSMV 86072 form serves as a critical tool for dealers looking to modify their existing licenses in various ways, including adding new locations, changing location addresses, updating licensee or business names, adjusting the line-makes of vehicles they are authorized to sell, and more. This comprehensive document, issued by the Florida Department of Highway Safety and Motor Vehicles (DHSMV), must be submitted to the regional office overseeing the dealer's location, ensuring the state's stringent guidelines and requirements are met. Dealers are cautioned against using white-out or correction tape, highlighting the form's significance in maintaining clear and transparent records. The form also outlines specific documentation needed for different types of modifications, such as lease agreements, proof of ownership, surety bonds, garage liability insurance certificates, and fees associated with each request, ensuring dealers are well-informed of their obligations when seeking license modifications. Failure to comply with these stipulations not only jeopardizes the dealer's compliance with Chapter 319 and 320 of the Florida Statutes but can also impact their business operations significantly. Thus, the HSMV 86072 form stands as a vital resource for dealers to navigate the complexities of license modifications efficiently and compliantly.

QuestionAnswer
Form NameHsmv 86072 Form
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesform 86072, hsmv 86072 form, hsmv 86072 where, hsmv 71383

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STATE OF FLORIDA

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

PLEASE SUBMIT THIS APPLICATION TO THE REGIONAL OFFICE RESPONSIBLE FOR

YOUR DEALERSHIP

MODIFICATION TO DEALER LICENSE FOR

LICENSED MOTOR VEHICLE, MOBILE HOME, OR

RECREATIONAL VEHICLE DEALERS

Do not use white out or correction tape on this modification form.

Current License No.: _____________________________________________________________

Licensee Name: _________________________________________________________________

Fictitious Business Name (d/b/a): ___________________________________________________

Telephone Number:

Home:

________________________

Cell: ______________________

 

Office:

________________________

Fax No.: ___________________

Business E-mail Address: __________________________________________________________

I hereby request the following modifications to my current dealer license:

(Please check and answer all application choices that apply.)

Add Location:

Selling Used Vehicles Only

Selling New and Used Vehicles

Selling RV/Park Models

Physical Address: ____________________________________________________

Mailing Address: ____________________________________________________

Leased

Owned

Date: _____________________

Change of Location:

 

 

Old Address: _______________________________________________________

New Address: ______________________________________________________

Mailing Address: ____________________________________________________

Leased

Owned

Date: _____________________

Licensee Name Change

 

d/b/a Name change

Former Name: ______________________________________________________

New Name: ________________________________________________________

Deleting Line-Make(s): _____________________________________________________

Adding Line-Make(s): ______________________________________________________

Existing Line-Make(s): __________________________________________________

If you are adding or deleting line-make(s) from your license, please list all line-makes you are currently authorized to sell.

Change of Mailing Address:

Old Address: _______________________________________________________

New Address: ______________________________________________________

Change of Supplemental Location to Primary Location (where old primary location is closed) Change of Supplemental Location to Primary Location and Change of Primary Location to Supplemental Location (where primary and supplemental locations remain open)

New Primary Location Address: ________________________________________

New Supplemental Location Address: ___________________________________

Postal Update:

Updated Postal Address: _________________________________________

Under penalty of perjury, I do swear and affirm that the information contained in this application is true and correct and that applicant will abide by all laws of Florida, including Chapters 319 and 320, Florida Statutes, and all applicable rules, and procedures of the Department of Highway Safety and Motor Vehicles. I further certify that I am authorized to bind the application with my signature.

_________________________________________________________________________

Officer’s Signature

Printed or Typed Name and Title

Date

Entered by: ___________

Approved by: _________

Office Use Only

LICENSE

ISSUE DATE

DATE RECEIVED IN REGIONAL OFFICE

DATE COMPLETED

IN REGIONAL

OFFICE

DATE MAILED TO HEADQUARTERS

DATE RECEIVED IN DEALER LICENSE SECTION

AMOUNT

CHECK

CHECK NUMBER

CASH

CREDIT CARD

PAYMENT NUMBER

FRVIS CUSTOMER

NUMBER

SITE INSPECTION

NUMBER

Zone #:

Insp #:

HSMV 86072 (05/13)

Completion Guidelines for Dealer License Applicants to

Modify Their Existing License, Form HSMV 86072

PLEASE SUBMIT THIS APPLICATION TO THE REGIONAL OFFICE RESPONSIBLE FOR YOUR DEALERSHIP

Modifications are requested only by dealers who are already licensed by the Department.

Correct modification box must be checked by the licensed applicant if they are submitting an application to modify certain information on their license.

Do not use white out or correction tape on this form.

The following documents are required by the Department for modifications to an existing license:

SUPPLEMENTAL LOCATION ESTABLISHMENT (Add Location)

Documents required for supplemental location establishment for a licensed independent dealer (VI), wholesale dealer (VW), salvage dealer (SD) and auctions (VA):

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•True copy of lease agreement/proof of ownership or property tax;

•A copy of the original Surety Bond, Irrevocable Letter of Credit, or an original continuation certificate in the amount of $25,000 for the licensing period that was submitted with the primary location;

•A copy of the garage liability insurance certificate which shall 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 insurance policy coupled with a business automobile policy, which shall include, at a minimum, $25,000 combined single-limit liability coverage including bodily injury and property damage protection and $10,000 personal injury protection that was submitted with the primary location;

Please Note: Salvage Dealers (SD) are exempt from Garage Liability Insurance Requirements.

•Surety Bond Rider (If the supplemental location has a new fictitious name);

•Division of Corporations registration if a fictitious name is going to be added to the supplemental location; and

•Fee $50 for the supplemental location.

Documents required for supplemental location establishment for licensed Mobile Home Dealers (DH), Mobile Home Brokers (BH), and Recreational Vehicle Dealers that sell Used Recreational Vehicles (RU):

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•True copy of Lease agreement/proof of ownership or property tax;

•Mobile home dealers must submit a copy of the original Surety Bond, Irrevocable Letter of Credit, or an original continuation certificate in the amount of $25,000 for the licensing period that was submitted with the primary location;

Please note: 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;

Recreational Vehicle Dealers must submit copy of surety bond or original continuation certificate in the amount of $10,000 for the licensing period that was submitted with the primary location with primary location.

Please note: 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;

•Recreational vehicle dealers must submit a copy of the Garage Liability Certificate at a minimum of $25,000 combined single limit liability coverage including bodily injury and property damage protection and $10,000 personal injury protection that was submitted with the primary location;

•Mobile home dealers and mobile home brokers that sell recreational vehicles must submit a copy of the Garage Liability Certificate at a minimum of $25,000 combined single limit liability coverage including bodily injury and property damage protection and $10,000 personal injury protection that was submitted with the primary location;

•Surety Bond Rider (If the supplemental location has a new fictitious name);

•Division of Corporations registration if a fictitious name is going to be added to the supplemental location; and

•Fee of $50 for the supplemental location.

Documents required for supplemental location establishment for recreational vehicle dealers that sell new Recreational Vehicles (RV):

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Manufacturers letter of approval if the supplemental location is going to sell new recreational vehicles;

•True copy of lease agreement/proof of ownership or property tax;

•A copy of the original surety bond or an original continuation certificate in the amount of $10,000 for the licensing period that was submitted with the primary location;

Please note: 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;

•A copy of the Garage Liability Certificate at a minimum of $25,000 combined single limit liability coverage including bodily injury and property damage protection and $10,000 personal injury protection that was submitted with the primary location;

•Surety Bond Rider (If the supplemental location has a new fictitious name);

•Division of Corporations registration if a fictitious name is going to be added to the supplemental location; and

•Fee of $50 for the supplemental location.

PLEASE NOTE: 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.

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.

Documents required for supplemental location establishment for a licensed franchise dealer (VF) if exemption(s) or no exemption(s) under section 320.642, Florida Statutes, is claimed:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Manufacturers letter of approval if the supplemental location is going to sell new line- make(s);

•Final order from the Department if the supplemental location is going to sell new line- make(s);

•True copy of Lease agreement/proof of ownership or property tax;

•Fee of $50;

•A copy of the original Surety Bond, Irrevocable Letter of Credit or an original

•continuation certificate in the amount of $25,000 for the licensing period that was submitted with the primary location;

•A copy of the Garage Liability Certificate at a minimum of $25,000 combined single limit liability coverage including bodily injury and property damage protection and $10,000 personal injury protection that was submitted with the primary location; and

•Surety Bond Rider (If the supplemental location has a new fictitious name).

CHANGE OF LOCATION

Documents required for change of location for a licensed independent dealer (VI), wholesale dealer (VW), salvage dealer (SD) and auctions (VA):

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•True copy of lease agreement/proof of ownership or property tax;

•Original license or affidavit from dealer if license is lost; and

•Fee of $50.

Documents required for change of location for a licensed recreational vehicle dealer selling new recreational vehicles (RV):

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Manufacturer’s approval letter;

•True copy of Lease agreement/proof of ownership or property tax;

•Original License or affidavit from dealer if license is lost; and

•Fee of $25.

Documents required for change of location for a licensed mobile home dealer (DH), mobile home broker (BH) and recreational vehicle dealer selling used recreational vehicles (RU):

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•True copy of Lease agreement/proof of ownership or property tax;

•Original License or affidavit from dealer if license is lost; and

•Fee of $25.

Documents required for change of location for a licensed franchise dealer (VF) if no exemption under section 320.642, Florida Statutes, is claimed:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Manufacturer’s approval letter;

•True copy of lease agreement/proof of ownership or property tax;

•Original license or affidavit from dealer if license is lost;

•Final order approving the relocation from the Department;

•Fee of $50.

Documents required for change of location for a licensed franchise dealer (VF) if exemption under section 320.642(5)(a)1, 2, 3 or 4, Florida Statutes, is claimed:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•An affidavit on the dealership letterhead claiming an exemption under section 320.642(5)(a)1, 2, 3 or 4, Florida Statutes and FAC 15C-7.004;

•True copy of lease agreement/proof of ownership or property tax;

•Original license or affidavit from dealer if license is lost; and

•Fee $50.

Documents required for change of location as a result of buy/sell for a licensed franchise dealer (VF) if no exemption under section 320.642, Florida Statutes, is claimed:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Manufacturer’s approval letter;

•True copy of lease agreement/proof of ownership or property tax;

•Original license or affidavit from dealer if license is lost;

•Final order approving the relocation from the Department;

•Fee of $50;

•Voluntary Relinquishment of License form (VRL) completed by the selling dealer;

•Buy/Sell Affidavit completed by the buying dealer; and

•Final order(s) from the Department approving the line make(s).

Documents required for change of location as a result of buy/sell for a licensed franchise dealer (VF) if exemption under section 320.642, Florida Statutes, is claimed:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Manufacturer’s approval letter;

•True copy of lease agreement/proof of ownership or property tax;

•Original license or affidavit from dealer if license is lost;

•Final order approving the relocation from the Department;

•Fee of $50;

•Voluntary Relinquishment of License form (VRL) completed by the selling dealer;

•Buy/Sell Affidavit completed by the buying dealer; and

•Final order(s) from the Department approving the line make(s).

NAME CHANGE

Documents required for change of name for a licensed independent dealer (VI), wholesale dealers (VW), salvage dealers (SD), auctions (VA), mobile home dealers (DH), mobile home brokers (BH) and recreational vehicle dealers that sell used recreational vehicles (RU):

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Surety Bond Rider;

•Fictitious Trade Name registration with the Division of Corporations. On-line access at www.sunbiz.org;

•Licensee name change with the Division of Corporations. On-line access at www.sunbiz.org;

•Original license or affidavit from dealer if license is lost;

•Affidavit from the dealer stating that the majority of the ownership of the dealership has not changed; and

•Fee of $25 per name change.

Documents required for change of name for a licensed recreational vehicle dealer that sell new recreational vehicles (RV):

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Manufacturer’s letter of approval;

•Surety Bond Rider;

•Fictitious Trade Name registration with the Division of Corporations. On-line access at

www.sunbiz.org;

•Licensee name change with the Division of Corporations. On-line access at www.sunbiz.org;

•Original license or affidavit from dealer if license is lost;

•Affidavit from the dealer stating that the majority of the ownership of the dealership has not changed; and

•Fee of $25 per name change.

Documents required for change of name for a licensed franchise dealer (VF) that sell new vehicles:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Surety Bond Rider;

•Fictitious Trade Name registration with the Division of Corporations. On-line access at www.sunbiz.org;

•Licensee name change with the Division of Corporations. On-line access at www.sunbiz.org;

•Manufacturer’s letter of approval;

•Original license or affidavit from dealer if license is lost;

•Affidavit from the dealer stating that the majority of the ownership of the dealership has not changed and there has been no change in the signatories of the dealer sales and service agreement; and

•Fee of $25 per name change.

ADDING A FRANCHISE LINE-MAKE

Documents required for adding a franchise line-make:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Manufacturers letter of approval for each line-make; and

•Final Order from the Department.

NOTE: No fee is required to add a line-make.

DELETING A FRANCHISE LINE-MAKE

Documents required for deleting a Franchise:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers.

NOTE: No fee is required to delete a line-make.

MAILING ADDRESS CHANGE

Documents required for change of Mailing Address for all license categories:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers.

NOTE: No fee is required.

The mailing address can also be done at the time of renewal of the franchise dealer license.

SUPPLEMENTAL TO MAIN/MAIN TO SUPPLEMENTAL

Documents required for change of supplemental location to main location/main location to supplemental location for all license categories:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Original licenses of both the main and supplemental locations; and

•Affidavit from dealer if license is lost.

NOTE: No fee is required.

POSTAL UPDATE

Documents required for Postal Update for all categories of dealer licenses:

•Completed form HSMV 86072, Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers;

•Original License;

•Affidavit from dealer if the original license is lost; and

•Letter from Postal Service/County/Municipality.

NOTE: No fee is required.

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dmv fl 86072 writing process clarified (portion 1)

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dmv fl 86072 completion process shown (part 2)

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