The following information must be provided on each salvage
vehicle dealer application:
(1) the full legal name of the applicant;
(2) the full business address, including number, street,
municipality, county, and zip code for each location where the applicant
will conduct business under the license if each location is in the
same county;
(3) the business telephone number and email address;
(4) the mailing address;
(5) a statement acknowledging that the department will
consider the applicant's designated mailing address the applicant's
last known address for department communication, including service
of process under Subchapter E of this chapter (relating to Administrative
Procedures). The designated mailing address will be considered applicant's
last known address until such time that the mailing address is changed
in the licensing records of the department after the license holder
submits an amendment to change the license holder's mailing address;
(6) all assumed names as registered with the secretary
of state or county clerk, as applicable;
(7) if applying as a sole proprietor, the social security
number, address and telephone number for the sole proprietor;
(8) if applying as a general partnership, the social
security number, address and telephone number for each of the general
partners;
(9) if applying as a limited partnership, limited liability
company, or corporation, the full name, social security number, address
and telephone number for each officer or director of the corporation,
each member, officer, or manager of the limited liability company,
each partner, and each officer of the limited partnership, including
the information for the general partner based on the type of entity;
(10) the state sales tax number;
(11) the National Motor Vehicle Title Information System
(NMVTIS) number evidencing that the applicant is registered with NMVTIS;
(12) a statement indicating whether the applicant or
any person described in §211.2 of this title (relating to Application
of Subchapter) has previously applied for a license under this chapter
or the salvage vehicle dealer licensing laws of another jurisdiction,
the result of the previous application, and whether the applicant,
including a person described in §211.2 of this title, has ever
been the holder of a license issued by the department or another jurisdiction
that was revoked, suspended, or subject of an order issued by the
board or by another jurisdiction to pay an administrative penalty
that remains unpaid;
(13) a statement indicating whether the applicant has
an ownership, organizational, affiliation, or other business arrangement
that would allow a person to direct the management, policies, or activities
of an applicant or license holder, whether directly or indirectly,
who was the holder of a license issued by the department or by another
jurisdiction that was revoked, suspended, or subject of an order issued
by the board or by another jurisdiction to pay an administrative penalty
that remains unpaid;
(14) details of the criminal history of the applicant
and any person described in §211.2 of this title;
(15) details of the professional information of the
applicant and any person described in §211.2 of this title;
(16) a statement that the applicant at the time of
submitting the application is in compliance, and, after issuance of
a license, will remain in compliance, with all ordinances and rules
of the municipality or county of each location where the applicant
will conduct business; and
(17) an acknowledgement that the applicant understands,
is, and will remain in compliance with all state and federal laws
relating to the licensed activity.
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