Form D 100 at a glance
What it is: Form D-100 (03-07) is the New Vehicle Dealer Franchise Certification: this is to certify that the dealer is a party to a written selling agreement with a manufacturer or distributor.
Who signs: The form is to be certified by first or second stage manufacturer or distributor: the Name of Authorized Representative, with Signature and Hand Printed Name.
A filled-in Form D 100 example: a dealer with a continuous agreement
How to fill out Form D 100, box by box
The dealer
Enter the Owner Name(s), KS Dealer Business Name, Business Address, E-mail Address, City, State and Zip of the dealer.
The manufacturer or distributor and the selling agreement
Enter the Name of Manufacturer or Distributor and the Address of Mfg or Distributor: Street, City, County, State and Zip, then the Manufacturer's Kansas Registration Number D-, Telephone Number and Fax Number.
If the dealer is authorized with a continuous agreement, enter “Continuous” on the Expiration Date of Selling Agreement line.
This certification will NOT be accepted if the Expiration Date of Selling Agreement line is left blank.
The Division of Vehicles MUST be notified of termination or transfer of this agreement immediately.
Makes of new vehicles to sell
Enter the makes of new Automobiles, Trucks, Motorcycles, Manufactured Homes, Trailers and Recreation Vehicles the dealer is to sell in the Auto Makes, Truck Makes, Motorcycle Makes, Mfg Home Makes, Trailer Makes and Recreation Vehicle Makes boxes.
Certified by the first or second stage manufacturer or distributor
TO BE CERTIFIED BY FIRST OR SECOND STAGE MANUFACTURER OR DISTRIBUTOR: (Hand Print Only) Name of Authorized Representative/Contact Person & Title, Address/Phone #: Street, City, State, Zip and Phone #.
By my signature I swear or affirm that this is a true and correct statement.
More rules for Form D 100
The Division of Vehicles must receive a copy of your franchise agreement for the dealer.
Common questions about Form D 100
Is there a penalty?
I am aware that the law provides severe penalties for making false statements under oath.
Sources
[1] Form D-100 (03-07), New Vehicle Dealer Franchise Certification, Kansas Department of Revenue (the Official source link on this page).