Transcription of LICENSE APPLICATION and TRANSFER of …
1 LICENSE APPLICATION and TRANSFER of ownership . Date: List #: Dealer Name: # VIN CUSTOMER(S) NAME Customer # / Stock # Dealer Amount LICENSE # RTS. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Total Dealer Amount: $. DO NOT WRITE BELOW THIS LINE. Total LA Dept. of Public Safety (DPS) Amount for Sales Tax and State Fees: $. Total dealertrack RTS Fees: $. Total Amount Received as CHECK(s) to DPS: Check #: $. Total Amount Received as CHECK(s) to dealertrack RTS: Check #: $. Alexandria, LA 71301 3730 S. Mac Arthur Drive p. f. Baton Rouge, LA 70806 8350 Florida Blvd., Suite B p. f. Houma, LA 70360 238 South Hollywood Rd., Suite 102 p. f. Lake Charles/Lafayette, LA 70506 127 Arnould Blvd. p. f. Metairie, LA 70002 3939 Veterans Blvd., Suite 204 p. f.
2 Monroe, LA 71201 1002 North 18th St. p. f. Shreveport, LA 71106 910 East 70th St. p. f. Rev. 2013-05-08 3939 Veterans Blvd., Suite 204 | Metairie, LA | 70002 | | p. | f. rtsla lato (white).docx 1 of 1.
