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The DMV DSD 10 form is essential for manufacturers, distributors, and factory branches aiming to operate within the Commonwealth. It serves multiple purposes, including applying for an initial license, renewing an existing one, or making changes to an existing license. Each applicant must provide important details about their business, such as names, addresses, and ownership structure. Significantly, if a business collaborates with multiple dealers, a sample franchise agreement is necessary. This ensures transparency and compliance, while a distributor must include documentation that affirms their authorization from a manufacturer. The form also allows for various change requests, including alterations to ownership or business location. In addition, applicants must disclose any past issues related to licensure, which helps to uphold the integrity of the motor vehicle business landscape. By detailing vehicle types, line-makes, and affiliated dealerships, the DSD 10 aids the DMV in accurately regulating the industry. Overall, this form is a crucial step for those looking to navigate the regulatory waters of motor vehicle commerce in the Commonwealth.

Dmv Dsd 10 Example

MANUFACTURER AND DISTRIBUTOR

LICENSE APPLICATION

FOR INITIAL LICENSE OR RENEWAL

FOR LICENSE YEAR ENDING

PURPOSE: Manufacturers, distributors and factory branches use this form to apply for, renew or change a license to do business in the Commonwealth.

DSD 10 (07/28/2017)

OFFICE USE ONLY

P.C.T. & O. FEE

SLS FEE

 

 

AMT. OF CHECK

TOTAL FEE

 

 

OVERPAY

CHECK NO.

 

 

RETURN OVERPAY

ASMT. FEE

FOR APPROVAL

 

 

 

CLERK'S

 

INITIALS

 

Each applicant must include a sample franchise agreement if doing business with more than one dealer (see Franchise Agreement Information on page 2). If applicant does not do business with more than one dealer, he/she may choose not to submit a sample franchise agreement but must include a statement acknowledging the applicant’s understanding that he/she must provide a sample franchise agreement upon doing business with more than one dealer.

Each distributor must include a copy of a distributor agreement with, or a parent letter from, the manufacturer or parent distributor authorizing the distribution of each vehicle line-make listed on the application.

APPLICATION TYPE

Authorized Changes: address change, name change, add/delete manufacturer or distributor, ownership change and relocation.

INITIAL APPLICATION

RENEWAL APPLICATION

CHANGE (explain)

VEHICLE/BUSINESS TYPE

Vehicle Type

CAR / TRUCK / UTILITY

MOTORCYCLE

TRAILER

RECREATIONAL VEHICLE

Business Type

MANUFACTURER - a person engaged in the business of constructing or assembling new motor vehicles and, in the case of trucks, also means a person engaged in the business of manufacturing engines, transmissions, power trains, or rear axles, when such engines, transmissions, power trains or rear axles are not warranted by the final manufacturer or assembler of the truck.

DISTRIBUTOR - a person who sells or distributes new motor vehicles pursuant to a written agreement with the manufacturer, to franchised motor vehicle dealers in the Commonwealth.

FACTORY/DISTRIBUTOR BRANCH - a branch office maintained by a person for the sale of motor vehicles to distributors or for sale of motor vehicles to motor vehicle dealers, or for directing or supervising, in whole or in part, its representatives in the Commonwealth.

BUSINESS INFORMATION

BUSINESS NAME

TRADING AS NAME

LICENSE NUMBER

BUSINESS STREET ADDRESS

CITY

STATE

ZIP CODE

BUSINESS MAILING ADDRESS

CITY

STATE

ZIP CODE

BUSINESS JURISDICTION

 

 

 

 

 

COUNTY

OR

 

CITY

 

FACTORY REPRESENTATIVE (person operating business)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEDERAL EMPLOYER ID NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS PHONE NUMBER

FACTORY REP. PHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS EMAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS WEBSITE ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF OWNERSHIP - check one

 

INDIVIDUAL

 

 

PARTNERSHIP

 

CORPORATION

 

LLC

 

STATE IN WHICH INCORPORATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GIVE THE NAME, TITLE AND RESIDENTIAL ADDRESS OF EACH OWNER, PARTNER AND/OR OFFICER OF THE BUSINESS (attach additional sheets if necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

TITLE

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DSD 10 (07/28/2017)

Page 2

LINE-MAKE(S) AND FRANCHISE DEALER(S)

LIST LINE-MAKE(S) OF VEHICLE(S) TO BE SOLD IN THE COMMONWEALTH. DO NOT LIST MODELS AS LINE-MAKE(S) (attach additional sheets if necessary)

LIST APPLICANT'S FRANCHISE DEALER(S) (attach additional sheets if necessary)

FRANCHISE DEALERSHIP

DEALERSHIP LOCATION

LINE-MAKE(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER/PARTNER/OFFICER INFORMATION

Read each question below and check the appropriate response.

A. Has any owner, partner or officer of the business ever:

1.

Been refused a license or Certificate of Registration for conducting motor vehicle or trailer business or ever had this credential

 

YES

 

 

 

 

suspended or revoked?

 

 

 

 

YES

 

2.

Been convicted of a felony?

 

 

 

 

3.

Been convicted of a fraudulent criminal act in connection with the business of selling motor vehicles or trailers; larceny of a vehicle or

 

YES

 

 

 

 

receipt or sale of a stolen vehicle, or odometer tampering or related violation?

 

 

 

 

 

 

4.

Committed any act or omitted any duty, which has resulted in administrative action by the Motor Vehicle Dealer Board or DMV? ....

 

YES

 

 

 

B.

Does any owner, partner or officer of the business own, operate, or control any vehicle dealership in the Commonwealth?

 

YES

 

 

 

If the answer to any of the above questions is YES, please explain on a separate attached sheet (include names, dates, court jurisdiction and result of administrative proceedings.)

NO

NO

NO

NO

NO

PRIVACY STATEMENT

In accordance with Virginia Code §§ 2.2-803, 2.2-4807 and § 58.1-520 et seq., the State Comptroller requires that this information, including your social security number, be collected for debt set off collection purposes.

CERTIFICATION

I certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.

OWNER/PARTNER/OFFICER OF BUSINESS NAME (print)

NAME OF BUSINESS

OWNER/PARTNER/OFFICER OF BUSINESS NAME (signature)

DATE (mm/dd/yyyy)

FRANCHISE AGREEMENT INFORMATION

A sample franchise agreement or sale, service or sales and service agreement refers to a manufacturers or distributors standard franchise agreement provided to all dealers that do not contain particularized terms, such as specific dealer's names, dealership address, dates or signatures of the parties.

Va. Code. 46.2-1569(9) requires that a franchise agreement contain the following language or words to the same effect:

If a provision herein contravenes the laws or regulations of any state or jurisdiction wherein this agreement is to be performed, or denies access to the procedures, forums, or remedies provided to such laws or regulations, such provision shall be deemed to be modified to conform to such laws or regulations, and all the other terms and provisions shall remain in full force, or words to that effect.

The above language, or words to the same effect, may appear in the main text or as an addendum to the franchise agreement. If an addendum is selected, the form must contain signature lines for the parties.

Form Characteristics

Fact Name Description
Purpose of Form The DSD 10 form is used by manufacturers, distributors, and factory branches to apply for, renew, or change their license to operate in the Commonwealth of Virginia.
Regulatory Basis This form is governed under Virginia Code § 46.2-1569, which outlines the requirements for motor vehicle business licensing in the state.
Submission Requirements Applicants must include a sample franchise agreement when doing business with more than one dealer. If working with only one dealer, a statement acknowledging the requirement is sufficient.
Distributor Agreement Each distributor must provide either a copy of a distributor agreement or a parent letter from the manufacturer, authorizing the distribution of each vehicle line-make in the application.
Types of Applications The DSD 10 accommodates initial applications, renewal applications, and changes, such as address or ownership updates.
Vehicle/Classifications Applicants can identify multiple vehicle types including cars, trucks, motorcycles, trailers, and recreational vehicles on this form.
Certification Requirement Applicants must certify, under penalty of perjury, that all information provided is true and correct. False statements can lead to criminal violations.
Privacy Notice The information collected via the DSD 10 is governed by Virginia Code §§ 2.2-803, 2.2-4807, and § 58.1-520 et seq., primarily for debt collection purposes.

Guidelines on Utilizing Dmv Dsd 10

Filling out the DMV DSD 10 form requires careful attention to detail to ensure that all necessary information is provided accurately. Incomplete or incorrect forms may lead to delays in processing the application. The following steps outline the process for completing the form.

  1. Obtain the form: Download the DMV DSD 10 form from the official website or visit a DMV office to get a hard copy.
  2. Choose the application type: Indicate whether this is an initial application, renewal application, or a change by checking the appropriate box.
  3. Provide business information: Fill in the business name, trading as name, license number, business address, mailing address, jurisdiction, and phone numbers for both the business and factory representative.
  4. List ownership type: Check the box that corresponds to the type of ownership—individual, partnership, corporation, or LLC.
  5. Owner details: List the name, title, and residential address of each owner, partner, and officer of the business on the form or on an additional sheet if necessary.
  6. Line-make details: Enter the line-make(s) of vehicles to be sold in the Commonwealth. Attach additional sheets if more space is needed.
  7. Franchise dealership information: Provide the names and locations of franchise dealerships and list associated line-make(s) for each dealership.
  8. Owner/partner/officer certifications: Answer questions regarding past license issues or felony convictions, marking 'yes' or 'no' as applicable. If "yes" is selected, attach a separate sheet with explanations.
  9. Privacy statement acknowledgment: Be aware that your information, including social security number, will be collected for specific purposes as mandated by Virginia law.
  10. Certification: Print and sign your name, indicate the date of submission, and ensure that all information presented is true and correct.
  11. Include required documents: Attach a sample franchise agreement if applicable or include a statement acknowledging that an agreement will be provided if necessary.

What You Should Know About This Form

What is the purpose of the DMV DSD 10 form?

The DMV DSD 10 form is used by manufacturers, distributors, and factory branches to apply for, renew, or change a license to conduct business within the Commonwealth. This includes initial applications and renewals for the license year.

Who needs to submit a franchise agreement?

If you are doing business with more than one dealer, a sample franchise agreement must be included with your application. If you do not conduct business with multiple dealers, you can choose not to submit this agreement, but you must state that you understand you will need to provide one if your business changes.

What does the form require from distributors?

Distributors must include a copy of a distributor agreement or a parent letter from the manufacturer or parent distributor. This document must authorize the distribution of each vehicle line-make listed on the application.

What types of applications can be submitted using the DSD 10 form?

There are three application types available: Initial Application, Renewal Application, and Change Application. The Change Application is for modifications like address or name changes, adding or deleting a manufacturer or distributor, ownership changes, and relocation.

What information do I need to provide about my business?

You will need to provide your business name, trading as name, license number, business street address, mailing address, jurisdiction, and contact information. Additionally, you need to specify the type of ownership and provide details about each owner, partner, or officer of the business.

What if any owner or officer has a criminal record?

If any owner, partner, or officer has been refused a license, convicted of a felony, or involved in any administrative actions related to motor vehicle business, you are required to explain these circumstances on a separate sheet attached to your application.

What is the certification statement at the end of the form?

The certification statement requires the owner or officer to affirm that all information provided in the application is true and correct. Falsifying information can lead to criminal charges. It is a serious commitment to accuracy for any business operating within the automotive industry.

Common mistakes

Filling out the DMV DSD 10 form can be a straightforward process. However, many applicants make common mistakes that can cause delays or even rejection of their applications. Being aware of these issues can help ensure that your submission is as smooth as possible.

One frequent error is not including the required documents. If you are applying for a franchise with multiple dealers, you must attach a sample franchise agreement. Failing to do so can lead to significant setbacks. Even if you only deal with one franchise, a statement acknowledging your understanding of the requirement is still necessary. Many forget this when submitting the application.

Another mistake involves the vehicle and business type sections. Some applicants mistakenly check the wrong box and misidentify their business. Ensure you accurately classify your business, whether you are a manufacturer, distributor, or a factory branch. Inaccuracies here can create confusion and hinder the approval process.

Providing incomplete owner or officer information is a common issue as well. All owners, partners, and officers must include their name, title, and residential address. Leaving out even one piece of information can lead to delays or denial of your application. Double-check to ensure that you’ve filled in all required fields with correct details.

Failing to disclose past issues can also be problematic. If any owner or officer has ever had a license refused, suspended, or revoked, they must answer truthfully. Not disclosing this information is a serious mistake and can result in significant legal repercussions. Transparency is crucial for establishing credibility with the DMV.

Finally, forgetting to sign and date the form is an easily avoidable oversight. Your signature certifies that the information provided is accurate. Incomplete forms will be returned, increasing the timeline for your application. It’s a simple task but critical to success.

Take the time to review your application thoroughly. Avoiding these mistakes will not only make the process easier for you but will also help ensure a swift approval from the DMV.

Documents used along the form

Obtaining the Manufacturer and Distributor License in the Commonwealth often requires the submission of various forms and documents in conjunction with the DSD 10 form. Each document fulfills a specific role in the licensing process, ensuring compliance with state regulations. Below is a list of commonly required forms and documents that may be needed alongside the DSD 10 form.

  • Franchise Agreement: This document outlines the relationship between the manufacturer and the dealer. It specifies the rights and obligations of each party and is essential when multiple dealers are involved.
  • Distributor Agreement: A formal agreement between the manufacturer and distributor, granting authority to the distributor to sell specific vehicle line-makes. This agreement must be included for each line-make listed in the application.
  • Parent Letter: If a distributor operates under a parent company, this letter from the manufacturer or parent distributor authorizes the distributor to handle certain vehicle line-makes. This ensures legitimacy and compliance with business practices.
  • Business Registration Certificate: A document proving that the business is registered within the Commonwealth. It serves as evidence of legitimacy and regulatory compliance.
  • Tax Identification Number (TIN): Also known as the Employer Identification Number (EIN), this number is necessary for tax purposes and business identification. It is required for various state and federal filings.
  • Certificate of Good Standing: Often needed to demonstrate that a business is compliant with state regulations. This certificate assures the licensing authority that the business is properly registered and operational.
  • Financial Statements: These documents may be required to showcase the financial health of the business. They provide insight into the company’s profitability and operational sustainability.
  • Background Check Authorization: An authorization form allowing the DMV to conduct background checks on the owners, partners, or officers of the business. This ensures that all individuals involved meet the necessary legal standards.

Collectively, these forms and documents establish the foundation for a robust application process. They facilitate transparency between the applicant and the regulatory body, ensuring adherence to legal requirements for licensing in the automotive industry.

Similar forms

  • Business License Application: Similar to the DMV DSD 10 form, a business license application is necessary for various types of businesses to legally operate in a specific location. It requires basic information about the business, including ownership details and intended operations.

  • Franchise Disclosure Document: This document outlines the agreements and obligations between a franchisor and a franchisee. It shares similarities with the DSD 10 form in that both documents require detailed disclosure of business relationships and compliance expectations.

  • Vehicle Dealer License Application: Like the DSD 10 form, this application seeks permission for selling vehicles. It requires information about the dealer's operations, along with any criminal background that could affect licensing approval.

  • Manufacturer's License Application: Manufacturers must complete this type of application to legally produce vehicles. It requires disclosures regarding the manufacturing process and adherence to state regulations, just like the DSD 10 form.

  • Distributor License Agreement: Relevant for businesses that distribute vehicles, this agreement details the terms under which they can sell vehicles, paralleling the DSD 10 form's focus on distribution authorization and compliance.

  • Certificate of Title Application: For vehicles, this document is essential for transferring ownership. It aligns with the DSD 10 form in the sense that both documents involve important identity and ownership verification processes.

  • Sales Tax Exemption Certificate: This document allows businesses to claim exemption from sales tax on certain purchases. Like the DSD 10 form, it requires information about the business type and operations, ensuring compliance with state tax laws.

  • Compliance Certificate for Auto Dealers: This entails compliance with state and federal regulations, focusing on environmental and safety standards. It resonates with the DSD 10 form's comprehensive requirements for lawful operation of vehicle-related businesses.

  • Insurance Certification Document: Businesses in the vehicle industry must provide proof of insurance. This mirrors the DSD 10 form in its focus on protecting the business and public, reinforcing that certain coverages are mandatory for operation.

  • Annual Report for Corporations: Businesses must file these reports to maintain compliance with state laws. It shares the necessity of ongoing documentation and operational transparency found in the DSD 10 form.

Dos and Don'ts

Things You Should Do:

  • Read through the entire DMV DSD 10 form carefully before starting to fill it out.
  • Provide accurate information to avoid delays in processing your application.
  • Attach a sample franchise agreement if you deal with more than one dealer.
  • Include a copy of the distributor agreement or a parent letter authorizing distribution.
  • Double-check your business type and ensure you’ve selected the right option.
  • Sign and date the certification section to complete your application.
  • Keep copies of everything you submit for your records.
  • Contact the DMV if you have any questions about the form or requirements.

Things You Shouldn't Do:

  • Don’t leave any required fields blank; incomplete forms can cause delays.
  • Avoid using abbreviations or shorthand that might confuse the reviewer.
  • Don’t forget to provide explanations if any of your responses to the background questions are "yes."
  • Never submit false information; this can lead to serious penalties.
  • Don’t submit the form without checking for typos or errors.
  • Avoid waiting until the last minute to submit your application, as processing can take time.
  • Do not forget to review the privacy statement regarding your personal information.
  • Do not attempt to reduce the application fee; make sure to provide the correct payment amount.

Misconceptions

Misconceptions can often lead to confusion when filling out forms like the DMV DSD 10. Here are four common misunderstandings:

  • It's only for new applications. Many believe the DSD 10 form is solely for first-time applicants. In reality, it is also used for renewals and for updating existing licenses.
  • I don’t need to submit a franchise agreement if I sell only one type of vehicle. This is not correct. If operating with more than one dealer, you must include a sample franchise agreement. Even if not currently selling to multiple dealers, you need to acknowledge you will provide one if the situation changes.
  • My business type doesn’t require a distributor agreement. All distributors must include a distributor agreement or a parent letter from the manufacturer authorizing their distribution of vehicles. This ensures all parties are properly recognized and authorized.
  • I can be vague about ownership details. Being vague can lead to problems. The form requires clear and specific information about owners, partners, and officers of the business. Incomplete information may delay processing or result in rejection of the application.

Key takeaways

When filling out the DMV DSD 10 form, several important factors should be kept in mind. Here are key takeaways to guide you through the process:

  • Purpose of the Form: The DSD 10 form is specifically designed for manufacturers and distributors to apply for, renew, or change their license to operate in the Commonwealth.
  • Franchise Agreement Requirement: If you're doing business with more than one dealer, include a sample franchise agreement. If working with only one dealer, provide a statement acknowledging that a sample will be submitted if the situation changes.
  • Distributor Agreements: Each distributor must attach a copy of the distributor agreement with the manufacturer or a parent letter authorizing the vehicle line-make distribution.
  • Types of Applications: Clearly indicate whether you are submitting an initial application, a renewal application, or a change to existing information such as ownership or address.
  • Business Information: Be meticulous when providing business details. This includes your business name, address, ownership type, and contact information.
  • Owner and Officer Information: Disclose if any owners or officers have experienced any licensing issues or criminal convictions. Provide explanations on a separate sheet if necessary.
  • Certification: Ensure that all provided information is accurate and truthful. Sign and date the certification section to affirm your statements, as making false statements can lead to serious legal consequences.

By following these takeaways, completing the DSD 10 form accurately will be more manageable, ensuring compliance with regulatory requirements.