Are you looking for an easy way to keep track of your taxes and other important financial information in Virginia? The VaBTRO1 Form is the perfect solution! This quick and simple form can help you file your state income tax return, report sales and use tax liability, register or renew a professional or occupational license, or provide motor vehicle registration. It's easy to complete online and offers all the features of a traditional paper form with added convenience. Learn more about how this innovative form can simplify managing finances in Virginia!
Question | Answer |
---|---|
Form Name | Virginia Btro 1 Form |
Form Length | 5 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min 15 sec |
Other names | virginia restoration of rights application, restoration of firearms rights virginia, application to restore gun rights in virginia, btro virginia |
Commonwealth of Virginia
Board of Towing and Recovery Operators
c/o Department of Motor Vehicles
Post Office Box 27412
Richmond, VA
Web Page: www.btro.vi.virginia.gov |
Telephone No. (804) |
||||
For Office Use Only: Date Received: |
Fee Amount Received: |
||||
|
|
|
|
|
|
Pending Application No. |
|
Approval Code: |
|
|
INITIAL APPLICATION FOR TOWING AND RECOVERY OPERATOR LICENSE
General Instructions
a.Use this application when applying for an initial operator's license.
b.Complete the application in its entirety, including providing the attachments. DO NOT LEAVE ANY BLANKS. Incomplete applications and not providing the applicable attachments will delay the processing.
c.Please print or type all answers, and do not use pencil.
d.Ensure application is signed/dated by the appropriate individual.
e.Enclose a
f.Additional information may be requested after receipt of and review of the application and its attachments.
g.Retain a copy for your records.
h.Ensure that the Responsible Individual can be easily reached and is readily available.
i.Mail the completed application to the Board of Towing and Recovery Operators c/o Department of Motor Vehicles, Post Office Box 27412, Richmond, VA
LICENSE TYPE APPLIED FOR
Check One
Class A - For towing vehicles of unlimited weight
Class B - For towing vehicles of a gross vehicle weight of 26,000 or less
BUSINESS INFORMATION
1.Name of Business
(As it should appear on the license if approved)
Trading As:
(Include any fictitious names, dba names, etc. - attach a separate page if necessary)
2.Physical Address of Business: City, State & Zip Code
Mailing Address, if different:
City, State & Zip Code
3.Email Address
4. |
Telephone and Facsimile Nos. |
( |
) |
|
|
( |
) |
|
|
|||
|
|
|
|
|
Telephone |
|
|
Facsimile |
||||
|
Cell Phone Nos. |
( |
) |
|
|
( |
) |
|
|
|||
5. |
Business Entity Type - Select One |
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sole Proprietorship |
|
|
|
Limited Partnership |
|
|
|
Limited Liability Company |
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
General Partnership |
|
|
|
Association |
|
|
|
Corporation |
|
|
Taxpayer Identification Number - Select and Complete One
Federal Employer Identification No.
or
Sole Proprietor's Social Security No.
BTRO 1 04/20/2010
BUSINESS INFORMATION
6.Did you own and operate your towing and recovery business on or before January 1, 2006?
No
Yes If yes, please include supporting documentation, including, but not limited to, a copy of a state or federal tax return, or a local business license; a receipt for payment of other taxes or governmental fees; or paid purchase order forms or similar documents related to the repair, lease, or purchase of a tow truck.
7.List the street addresses for ALL other facilities and offices (attach a separate page if necessary).
(a)
(b)
(c)
9.Provide the full name of the Responsible Individual, their title, SSN or DMV Customer Number, and a number where they can be easily reached. The Responsible Individual is the person representing the business and is accountable for all aspects of the license for the operator. The Responsible Individual must be knowledgeable of all applicable state, federal, and local laws and regulations related to the tow and recovery services the licensee offers or renders, and for ensuring that the operator conforms to them. The Responsible Individual is either the principal owner or chief executive officer of the business entity, or manager of business operations for the operator. Additionally, they should be readily available and able to timely respond to the Board.
Responsible Individuals Full Name:
|
|
|
|
First |
Middle |
Last/Suffix |
|||
Title |
|
|
SSN or DMV Control No. |
|
|
|
|
||
Daytime Contact No. ( |
) |
|
Cellular Number: |
( |
) |
|
|||
|
|
|
|
|
|
|
|
|
|
10.List the name of the Principal Owner (if more than one Principal Owner, list all) and all other individuals involved in the management and operation of the business. For example, the sole proprietor, partners of a general partnership, managing partner of a limited partnership, officers/directors of an association, managers/members of a limited liability company, or officers of a corporation (attach a separate list if necessary).
Individuals Full Legal Name |
Title |
SSN or DMV Customer No. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
11.Does the applicant business have a current or expired towing or recovery license, certification or registration in another state?
If yes, provide copies of the most recent license, certification or registration(s).
12.Does the Responsible Individual or Principal Owner have a current or expiring towing or recovery license, certification or registration in another state?
If yes, provide copies of the most recent license, certification or registration(s).
13.Has any local, Virginia or other state, or national regulatory body subjected the applicant, the Responsible Individual, or the Principal Owner to any disciplinary actions taken against it in any administrative, civil, or criminal proceeding related to the operation, management or conduct of services provided by the applicant?
If yes, provide copies of the findings, and identify the entity.
Yes
No
BTRO 1 |
Initial Application for Towing and Recovery Operator License |
04/20/2010 |
Page 2 of 5 |
BUSINESS INFORMATION
Yes No
14Has any local, Virginia or other state, or national regulatory body subjected the applicant, the Responsible Individual, or the Principal Owner to suspension or revocation of any license or certification?
If yes, provide copies of the findings, and identify the entity.
15.Has the owner, manager, or other individual involved in the operation, management, or conduct of the business, including the Responsible Individual, ever been convicted of any misdemeanor criminal offense?
If yes, provide a certified copy of the applicable warrants.
16.Has the owner, manager, or other individual involved in the operation, management, or conduct of the business, including the Responsible Individual, ever been convicted of any felony criminal offense? If yes, identify the individual(s) below, provide a certified copy of the applicable warrants, a national criminal history record check for each person, and any other information that you would like the Board to consider including status of incarceration, parole or probation, reference letters, etc.. If the person is applying for a Driver's Authorization Document, a national criminal history record check is not required.
Individuals Full Legal Name
Applying for or has a Driver Authorization Document? (Yes or No)
SSN or DMV Customer No.
15.Does the Responsible Individual understand that all towing and recovery operators must comply with the local licensing requirements of all counties, cities, and towns in which work is performed?
16.Provide a list of all drivers employed or contracted by your business to drive tow trucks, including full name, valid driver's license number and expiration date, State of issuance, and their Driver Authorization number assigned by the Board. The Responsible Individual understands that only drivers that hold a valid drivers license issued by their State of residence and holding a valid Driver's Authorization Document issued by the Board can drive the tow trucks for the applicant. List attached?
17.Provide a copy of each vehicle registration for the tow trucks that will be utilized by the applicant. Please note any changes as either additions or deletions from the previous license. Have the vehicle registration(s) been attached and any changes noted? For vehicles that will be deleted, please provide the VIN No., tag number, and vehicle description on a separate page.
Total Number of Tow Trucks:
18.Attach a copy of the declarations page for the applicant's insurance coverage including automobile liability, commercial general liability, garage keepers, and workers' compensation as required by State and Federal law, as set out under 24 VAC
Yes
No
BTRO 1 |
Initial Application for Towing and Recovery Operator License |
04/20/2010 |
Page 3 of 5 |
Certification by the Principal Owner
I, the undersigned, hereby certify that the statements, answers, and documents provided herein are true, and I have not suppressed any information that might affect the Board’s decision to approve this application. I certify that I will notify the Board if the business, the Responsible Individual, or any other individual involved in the operation, management or conduct of the business are subject to any disciplinary action, or convicted of any felony or misdemeanor charges (in any jurisdiction) prior to the receipt of the requested license. I certify that I am a principal owner and am authorized to bind the applicant to contracts and other legal obligations. I also certify that I understand, have complied with, and will comply with, all of the laws of the Commonwealth of Virginia related to towing and recovery licensure under the provisions of 46.2- Chapter 28 of the Code of Virginia, and the Board of Towing and Recovery Operators General Regulations for Towing and Recovery Operators – 24 VAC
By signing this application, I acknowledge that if I am not a Virginia resident, or move outside of Virginia while I hold a Virginia Towing and Recovery Operators License, I understand that this application serves as a written power of attorney, whereby I appoint the Executive Director of the Board of Towing and Recovery Operators, and his/her successors in office, to be my true and lawful agent and
Principal
Owner's Name
|
|
|
Print Full Name |
|
|
|
|
|
Principal |
|
|
|
|
|
|
|
|
Owner's Signature |
|
|
|
Date: |
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
FEE SCHEDULE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Application Fee |
|
License Class |
|
|
Summary of Vehicle Requirements |
|
Number of Vehicles |
Amount |
||
|
|
For tow vehicles in excess of 26,000 gross vehicle weight, a |
|
Unlimited, or over |
|
|
||
|
|
combination of Class A and Class B tow vehicles, or for an unlimited |
|
26,000 gross vehicle |
|
|
||
Class A |
|
amount of tow vehicles. |
|
weight |
$500.00 |
|||
|
|
|
|
|
One or two tow |
|
|
|
Class B |
|
For tow vehicles under 26,000 gross vehicle weight |
|
vehicles |
$250.00 |
|||
Class B |
|
For tow vehicles under 26,000 gross vehicle weight |
|
Three tow vehicles |
$300.00 |
|||
Class B |
|
For tow vehicles under 26,000 gross vehicle weight |
|
Four tow vehicles |
$350.00 |
|||
Class B |
|
For tow vehicles under 26,000 gross vehicle weight |
|
Five tow vehicles |
$400.00 |
|||
Class B |
|
For tow vehicles under 26,000 gross vehicle weight |
|
Six tow vehicles |
$450.00 |
|||
|
|
|
|
|
Seven or more tow |
|
|
|
Class B |
|
For tow vehicles under 26,000 gross vehicle weight |
|
vehicles |
$500.00 |
|||
|
|
|
|
|
||||
Truck Decal Fee for Each Tow Trucks (For example, three vehicles would total $30.00) |
|
|
$10.00 |
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Calculation of Total Fees Due |
|
|
|
|
|
License Class Application Fee |
|
$ |
|
|
||||
Decal Fee (Total number of Tow Trucks multiplied by $10.00) |
|
$ |
|
|
||||
Total Application Fee Due |
|
$ |
|
|
||||
One Free Driver Authorization Document (Attach new or renewal application as appropriate) |
|
|
||||||
NOTE : If new applicant, include a $37 criminal history background check fee. If renewal, write "N/A" in the |
|
|
||||||
column. |
|
|
|
$ |
|
|
||
Driver Name: ____________________________________________ DAD No. ________________ |
|
|
|
|
||||
|
|
|
(If renewing) |
|
|
|
|
|
Grand Total Due with Application |
$ |
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BTRO 1 |
|
Initial Application for Towing and Recovery Operator License |
|
|
||||
04/20/2010 |
|
|
Page 4 of 5 |
|
|
|
|
Payment Options
1.Check or money order made payable to the "Treasurer of Virginia" in the amount of $_____________
2.Credit Card - This section is to be used for CREDIT CARD PAYMENTS ONLY. If you elect this form of payment, complete this section in its entirety. Failure to complete this section in its entirety will result in the return of the application. If the fee is not calculated properly, the cardholder authorizes the Board to adjust the total fee due (including overages and shortages).
Credit Card Type
MasterCard, Visa, American Express or Discover
Credit Card No.
Payment Amount: |
$ |
Card Expiration Date: |
Month and Year
Card Verification Code
(Last three numbers on the back of a Master Card/Visa/Discovery or four numbers found on front of American Express)
Cardholder Name (Print)
Cardholder Address:
(As shown on credit card statement including street or PO Box number)
(As shown on credit card statement including city, state, and zip code)
Cardholder Signature:
BTRO 1 |
Initial Application for Towing and Recovery Operator License |
04/20/2010 |
Page 5 of 5 |