Revved Up Motorsports Dealership licenseV-J
Your Safet • Your Mobilit Application For Vehicle Or ITD 3170 (Rev. 07-17)
Y Y itd.idaho.gov
%Your Economic Opportunity Vessel Dealership License
Application Date Dealership EIN Number of Plates Large Small Motorcycle Small Restricted Use
ihtMol�- 'D O I U� Requested
Application Type (Check One) (A New Application Must be Completed for Each Type)
New Application ❑ Change of Location ❑ Change of Business Name ❑ Supplemental Lot
❑ Change of Ownership ❑ Change of Officers/Members
License Type (Check One) I Vehicle/Vessel Sales Type (Check All New Sales That Apply OR Check One Used Category)
❑ Wholesale ❑ New Automobile/Truck' ❑ New Trailer* ❑ Used ATV/UTV/MC/Snowmobile Only
etail ❑ New Recreational Vehicle* ❑ New Vessel* ❑ Only Used Vehicles (Including Trailer/
❑ New ATV, UTV, Motorcycle or Snowmobile* ATV/UTV/Motorcycle/Snowmobile/Vessel)
*A copy of the franchise agreement for any new vehicle or vessel make must be enclosed with your application
Dealership Information (Check One) (Complete All the Information Requested Below and see Instructions on Page 1)
❑ Individual ❑ Partnership ❑ Corporation
p (LLP) ❑ y p y (LLC)
(Please submit verification of the filing.)
F-1LimitedPartnership ( LP) ❑ Limited LiabilityPartnershi LLP Limited Liability Com an LLC
Owner's Name(s) or Corporation/LP/LLP/LLC Name
Idaho Code 53-504 requires any business doing business as (DBA) a name other than the legal owner's name to file a Certificate of
Assumed Business Name with the Secretary of State's Office. Idaho Code 53-504 exempts a corporation from this requirement, unless
the corporation is using an assumed business name.
Dealership or Trade Name (DBA)
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Dealership Phone Fax Number
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Cell Number
Street Address V
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City
Title
State
Zip Code
Mailing Address
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City
State
Zip Code
Directions to Dealership (If Other Than a Street Address)
Name of Person or Persons Having Legal Custody of Real Property
Phone Number
Mailing Address
City
State I
Zip Code
List the legal name (as shown on their driver's license) and title of each individual owner, partner, officer, member, or stockholder of
the business. A Personal History form (ITD 3171) is reauired for each individual listed below (attach a senarate sheet_ if nececcarvl_
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Zoning Authorization (This section must be signed and stamped by the county or zoning authority with jurisdiction over the dealership location if
this is a new application, a change of location, or a new supplemental location. A separate authorization may be submitted.)
I hereby certify, in accordance with Idaho Code 49-117(15), that the location listed above is in compliance with all county and/or
city zoning -,and gther land - e ordinances for the sale and repair of vehicles/vessels.
Zoning Off' er ig ature 5e C C 1 _ �0� Q` O J
rl U l
Please Use Official Stamp
(If Available)
County f 4D
City of M
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