State Form 13215 PDF Details

Embarking on the journey to acquire a vehicle or watercraft dealer business license in Indiana involves navigating through the comprehensive State Form 13215, as mandated by the Secretary of State's Dealer Division. This pivotal document not only facilitates the legal groundwork for establishing dealership operations but also delineates a precise framework for applicants to submit essential details such as business identity, federal identification numbers, and the nature of the dealership, whether it revolves around vehicles or watercrafts. Moreover, it underscores the importance of compliance with local zoning regulations, a testament to its meticulous design to ensure lawful adherence across various facets of dealership management. Beyond the straightforward identification and procedural instructions, the form dives into specifics about the types of vehicles or watercrafts sold, expected sales volume, and the legal structure of the applying business entity. Further intricacies include the prerequisites for national criminal history checks for all principal owners and officers, thereby emphasizing the gravity of accountability and legal integrity in this realm of business. With provisions for disclosing past dealership affiliations and criminal histories, the form serves a dual purpose of legal compliance and ethical business operations, ensuring that applicants are not only qualified on paper but also uphold a certain standard of professional conduct in the industry.

QuestionAnswer
Form NameState Form 13215
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesLLC, proprietorship, E-mail, WATERCRAFT

Form Preview Example

APPLICATION FOR VEHICLE OR WATERCRAFT DEALER BUSINESS LICENSE

State Form 13215 (R11 / 8-13)

Approved by State Board of Accounts, 2013

Go to www.in.gov/sos/dealer for a list of required documents.

CONNIE LAWSON

SECRETARY OF STATE

DEALER DIVISION

302 W. Washington Street, Room E018

Indianapolis, Indiana 46204-2700

Telephone: (317) 234-7190

Fax: (317) 233-1915

www.sos.in.gov

1. Name in which the business license will be issued

 

 

 

 

 

 

 

 

2. Federal identification number (FIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Daytime telephone number

 

Evening telephone number

Fax number

 

 

 

E-mail address

 

 

 

 

 

(

)

 

 

(

 

)

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Legal address of business (number and street)

 

 

 

City

 

 

 

 

State

 

 

ZIP code

 

 

 

County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Tax identification number

 

 

 

 

 

 

 

 

 

Location number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. The business location is:

 

If leased, name of lessor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Leased

Owned

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address of lessor (number and street)

 

 

 

 

City

 

 

 

 

State

ZIP code

 

Telephone number of lessor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7a. Name of insurance carrier

 

 

 

 

 

 

 

Policy number

 

 

 

 

 

Date of expiration (month, day, year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7b. Name of bond carrier

 

 

 

 

 

 

 

Bond number

 

 

 

 

 

Effective date of bond (month, day, year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8a. Type of dealer (check one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle

Watercraft

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8b. Indicate the type of license being applied for by checking the appropriate box.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dealer

Factory Representative

Distributor

 

Converter Manufacturer

 

 

 

Wholesale Dealer

Manufacturer

Distributor Representative

Automobile Auction

 

Research and Development

 

 

Transfer Dealer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. If applying for a LICENSE, indicate the type of vehicles sold by checking the appropriate box(es).

 

 

 

 

 

 

 

 

 

CARS

TRUCKS

MOTORCYCLES MOBILE HOMES

TRAILERS

 

RECREATIONAL

 

ALL TERRAIN

 

BOATS

OTHER

New Only

New Only

New Only

New Only

 

New Only

 

VEHICLES

 

VEHICLES (ATVs)

 

New Only

New Only

 

 

 

 

 

 

 

 

 

Used Only

Used Only

Used Only

Used Only

 

Used Only

 

New Only

 

 

New Only

 

 

Used Only

Used Only

 

 

 

 

 

 

 

 

 

New & Used

New & Used

New & Used

New & Used

 

 

 

 

 

Used Only

 

 

Used Only

 

 

New & Used

New & Used

 

New & Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New & Used

 

 

New & Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you checked Other, please explain.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Number of full-time sales persons directly

 

11. Number of other full-time employees

 

12. How many units do you expect to sell during the next twelve (12) months?

involved with selling

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wholesale ____________

 

 

 

Retail ____________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Type of applicant (check one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Sole proprietorship

 

b. Partnership

 

c. Corporation

d. LLC

 

 

e. LLP

Applicants (Corporations, LLC, LL, LLP, etc) with fillings with the Indiana Secretary of State Business Services are required to submit copies of their fillings (Articles of Incorporation, etc.) with the application.

14. Do you intend to buy dealer plates?

 

15. Do you intend to buy interim plates?

 

Yes

No

How many? ____________

Yes

No

How many? ____________

 

 

 

 

 

 

16. ZONING APPROVAL - TO BE COMPLETED BY LOCAL ZONING BOARD / AUTHORITY

I, the undersigned, verify compliance with local zoning ordinances or other local ordinances for conducting motor vehicle business at the address cited above.

Original ink signature

 

Date (month, day, year)

 

 

 

Printed or typed name

Title

 

 

 

Authorizing agency

 

 

Page 1 of 3

17. OWNER / OFFICER INFORMATION

A. Name of primary owner

 

Title

 

 

 

 

 

 

 

 

Home address (number and street)

 

 

 

 

ZIP code

 

 

 

 

 

City

State

 

Home telephone number

 

 

 

(

)

 

 

 

 

 

 

 

B. Name of additional owner

 

Title

 

 

 

 

 

 

 

 

Home address (number and street)

 

 

 

 

ZIP code

 

 

 

 

 

City

State

 

Home telephone number

 

 

 

(

)

 

 

 

 

 

 

 

C. Name of additional owner

 

Title

 

 

 

 

 

 

 

 

Home address (number and street)

 

 

 

 

ZIP code

 

 

 

 

 

City

State

 

Home telephone number

 

 

 

(

)

 

 

 

 

 

 

 

The applicant and all corporate officers, partners, and owners must submit to a national criminal history background check (as defined in IC 10-13-3-12) administered by the state police at the expense of the applicant and the corporate officers, partners, and owners. The secretary may deny an application based upon felony or misdemeanor convictions related to dealing in motor vehicles.

18. Has any owner, partner, officer, or director of the applicant owned or worked for another dealership in this or any other state?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, name of individual

 

 

 

 

Name of dealership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address of dealership (number and street)

 

 

 

 

City

 

State

 

 

 

ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, name of individual

 

 

 

 

Name of dealership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address of dealership (number and street)

 

 

 

 

City

 

State

 

 

 

ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19. Name of person upon whom legal service or process may be made

Address (number and street, city, state, and ZIP code)

 

 

Telephone number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20. If corporation, LLC, or LLP, state of action

Date of action (month, day, year)

If foreign corporation (not Indiana), date of admission to do business in Indiana

 

 

 

 

 

 

 

(month, day, year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21. REPRESENTATIVE

 

ADDRESS (NUMBER AND STREET)

 

CITY

 

STATE

 

ZIP CODE

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22. QUESTIONS

 

 

 

 

 

 

 

 

 

Has any owner, partner, or director on the application ever been arrested or convicted of a crime that has not been

 

 

 

Yes

No

expunged by a court?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, please give details.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Has any owner, partner, or director on the application had a license suspended, or revoked or had an application

 

 

 

 

Yes

No

for a license denied in this or any other state?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, please explain.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this location devoted solely to the business of buying, selling, and/or exchanging motor vehicles?

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If no, please explain.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 3

PLEASE NOTE: Every dealer, manufacturer, or distributor must file with the Secretary of State a current copy of each franchise to which it is a party; or, if multiple franchises are identical except for stated items, a copy of the franchise form with supplemental schedules of variations from the form is acceptable.

A Surety Bond is required for all dealers licensed under IC 9-32-11.

All applications must have the application I license fee attached. Fees are posted on the Secretary of State, Auto Dealer Service Division website: www.in.gov/sos/dealer.

All books, records, and files relating to the applicant’s inventory and motor vehicle titles must be kept at the established place of business and be available for inspection.

I hereby certify, under the penalty of perjury, that I am authorized to make this application and that the answers and information contained in this application are true and correct.

Original ink signature of applicant

Date (month, day, year)

Printed or typed name

Title

Page 3 of 3

How to Edit State Form 13215 Online for Free

The whole process of filling out the 2013 is really quick. Our team made certain our editor is not hard to utilize and can help fill in virtually any form in no time. Listed here are the four simple steps you need to follow:

Step 1: Pick the button "Get Form Here".

Step 2: Now, you're on the document editing page. You can add information, edit current information, highlight particular words or phrases, place crosses or checks, add images, sign the template, erase unwanted fields, etc.

Enter the required information in every single segment to complete the PDF 2013

stage 1 to filling out Washington

Inside the field If you checked Other please explain, New Used, New Used, Number of fulltime sales persons, involved with selling, Type of applicant check one, Number of other fulltime employees, How many units do you expect to, Wholesale, Retail, a Sole proprietorship, b Partnership, c Corporation, d LLC, and e LLP note the data that the program requests you to do.

Filling in Washington step 2

Highlight the key details of the Authorizing agency, and Page of part.

Finishing Washington stage 3

The OWNER OFFICER INFORMATION, A Name of primary owner, Home address number and street, City, B Name of additional owner, Home address number and street, City, C Name of additional owner, Home address number and street, City, State, State, State, Title, and Title field will be applied to record the rights or responsibilities of each party.

Filling in Washington stage 4

Fill out the template by reviewing all these fields: If yes name of individual, Name of dealership, Address of dealership number and, City, State, ZIP code, Name of person upon whom legal, Address number and street city, Telephone number, If corporation LLC or LLP state, Date of action month day year, If foreign corporation not Indiana, REPRESENTATIVE, ADDRESS number and street, and CITY.

Finishing Washington step 5

Step 3: Press the "Done" button. Now you may export your PDF form to your electronic device. Additionally, it is possible to send it through electronic mail.

Step 4: Come up with a minimum of a few copies of the file to prevent any possible troubles.

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