State Form 13215 PDF Details

Would you like to start a business in Illinois? If so, you'll need to file a State Form 13215 with the Illinois Secretary of State. This form is used to create a limited liability company (LLC). The process is simple and can be completed online. There are several benefits of owning an LLC, including limited liability protection and tax flexibility.

This knowledge can help you comprehend better the details of the state form 13215 before starting filling it out.

QuestionAnswer
Form NameState Form 13215
Form Length3 pages
Fillable?Yes
Fillable fields166
Avg. time to fill out34 min 1 sec
Other namesLLC, proprietorship, LLP, Indiana

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

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stage 1 to filling out indiana business license

Inside the field If, you, checked, Other, please, explain New, Used New, Used involved, with, selling Type, of, applicant, check, one Number, of, other, full, time, employees Wholesale, Retail, a, Sole, proprietorship b, Partnership c, Corporation d, LLC eLL, P Do, you, intend, to, buy, dealer, plates and Do, you, intend, to, buy, interim, plates note the data that the program requests you to do.

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Highlight the key details of 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 part.

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