Fillable Printable Form 5308 - Missouri Department Of Revenue
Fillable Printable Form 5308 - Missouri Department Of Revenue
Form 5308 - Missouri Department Of Revenue
I hereby certify the following:
1. Iamanauthorizedofceremployedbythefranchisoridentiedonthisapplication;
2. Pursuanttomynormaldutiesasanemployeeofthefranchisoridentiedonthisapplication,Iamauthorizedtocompletethisapplication;
3. Thefranchisor’splaceofbusinessidentiedaboveisoccupiedandisused,inpart,tofacilitatethefranchisingofmotorvehicledealerswho
operatewithinthestateofMissouri;
4. ThefranchisormaintainsregularbusinesshoursduringwhichtheDepartmentofRevenueisabletocontactthefranchisor;and
5. ThefranchisorwillnotifytheDepartmentnotlessthanten(10)dayspriortomovingtheirplaceofbusinessorchangingtheirtelephonenumber.
Form
5308
MissouriDepartmentofRevenue
Application For Motor Vehicle Franchisor
or Manufacturer License
Names You Are
Doing Business As
SignatureofAuthorizedOfcer Title
PrintedNameofAuthorizedOfcer Date(MM/DD/YYYY)
____/____/________
FranchisorName TelephoneNumberattheStreetAddressProvided
StreetAddress(NoPostOfceBoxes) Country
City State/Province ZipCode
(______)______-________
Useseparatesheetifneeded
Principal Corporate Ofcers
And Their Position Titles
Vehicle Brands That You Provide
Sales And Service Agreements For
Name of
Mediators
Mail to: MotorVehicleBureau Phone: (573)526-3669
P.O.Box43 Fax: (573)751-4789
65105-0043
Visit
http://dor.mo.gov/forms/Dealer_Operating_Manual.pdf
for additional information.
Form5308(Revised05-2014)
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Instructions
Completetheapplicationandsubmitwiththeappropriatefees.Allillegible,incorrect,orincompleteapplications
will be rejected.
• ChecklistforRequirements
• Completeeachareaontheapplication
• Completethebusinessnameandaddress.Thecompletebusinessnamemustbeshown.Apostofce
boxnumberwithoutastreetaddresswillnotbeacceptedasanactualbusinessaddress.
• Completethevehiclebrandsthatyouprovidesalesandserviceagreementsfor.
• Applicationsignedbyanauthorizedofcer.
• A list of mediators as prescribed in Section 407.822, RSMo. For purpose of complying with this
requirement,amediationpanelisalistofuninterestedthirdpartieswhomayfaciliatethenegotiationof
a satisfactory solution to a dispute between the franchisor and franchisee, pursuant to 407.810 to
407.835 RSMo.
• One check or money order for licensure fee of $150 made payable to the Missouri Department of
Revenue.
Note:TheMissouriDepartmentofRevenue may electronicallyresubmitchecks returned forinsufcient or
uncollectedfees.
Form5308(Revised05-2014)
