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Dealer Orginal Vehicle Dealer Application - …

DEPARTMENT USE ONLY License Number Approved by Date AR-0032 (08/2017) By Authority of PA 300 of 1949, as amended Michigan Department of State 888-SOS-MICH (888-767-6424) ORIGINAL Vehicle Dealer LICENSE APPLICATIONR egular Plates THRU Cycle Plates THRU READ THE INSTRUCTION BOOKLET BEFORE COMPLETING THIS FORM NAME (Include any assumed names or corporation names) LOCATION - NOTE: RR or PO Box numbers alone will not be accepted. The actual location must be identified.(Street) (City) (County) (Zip) contact I NFORMATION (Telephone and e-mail address are required for licensure)Telephone ( ) Fax ( ) E-mail TYPE (Check only one) Individual Owner (one P artnership (two or more C orporation L imited Liabilityperson or husband and wife)persons or husband and wife)Company5.

BUSINESS CONTACT INFORMATION (Telephone and e-mail address are required for licensure)

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