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The DPSMV 1968 form is a critical document used in Louisiana for individuals and businesses applying for or renewing an auto title company license. This application requires specific information, including the business name, physical and mailing addresses, and contact details. Each application must be submitted separately for each location and co-owner, ensuring a comprehensive review process. Applicants must disclose any previous license denials, revocations, or suspensions, as well as any felony convictions or probation history. The form also mandates the submission of three references, with at least one from a current or former customer, to support the applicant's credibility. A notary public must witness the signature, affirming the accuracy of the information provided. Additionally, a fee of $200 is required, with an extra charge for multiple locations. This form plays a significant role in maintaining the integrity and accountability of auto title companies operating within the state.

Document Example

State of Louisiana

Department of Public Safety and Corrections

Office of Motor Vehicles

 

 

 

 

P. O. Box 64886

 

 

 

 

 

Baton Rouge, Louisiana 70896-4886

 

NEW RENEWAL

Auto Title Company Application

 

 

 

 

 

 

 

A SEPARATE APPLICATION MUST BE SUBMITTED FOR EACH LOCATION AND EACH CO-OWNER

 

 

 

PLEASE TYPE OR PRINT

 

 

 

Business Name (must read exactly the same on both the bond and on the contract)

 

 

 

 

 

 

 

 

 

 

 

Physical Address of Business

 

 

 

 

Parish

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

Phone No.

 

 

 

Fax No.

 

 

(

)

 

 

(

)

 

 

Email Address: (Mandatory)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous License No. /Authorization No. (if applicable)

 

 

Bond No.

 

 

 

 

 

 

 

 

 

 

 

Name of Surety Company

 

 

 

 

Surety’s Phone No.

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.Has any license ever been denied, revoked or suspended by this Department to you or any of the principals of the partnership or corporation? Yes _____ No _____ if yes, give details below.

2.Have you ever been on probation or sentenced to jail/prison as a result of a felony conviction or guilty plea to a felony charge? Yes ____ No ____ If yes, give the law enforcement authority (city police, sheriff, FBI, etc.) the offense, date of the offense, place and disposition of case. Use back of this document if additional space is needed.

3.You are required to submit three (3) references, at least one of which must be from a current/former customer.

4.PLEASE READ THIS APPLICATION, ALL ATTACHMENTS AND THIS CERTIFICATION PRIOR TO

SIGNING THIS APPLICATION BEFORE A NOTARY PUBLIC

I HEREBY CERTIFY THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND THAT I AM FAMILIAR AND WILL ABIDE WITH THE PROVISIONS OF ALL THE LAWS, RULES AND REGULATIONS UNDER WHICH THIS REQUEST IS MADE.

OWNER’S SIGNATURE ________________________________________________________________DRIVER’S LICENSE #____________________

OWNER’S PRINTED NAME _____________________________________________________________

SWORN TO AND SUBSCRIBED BEFORE ME THIS ________________________________ DAY OF _____________________________, 20 _______

NOTARY PUBLIC SIGNATURE __________________________________________________________________________________________________

NOTARY PUBLIC PRINTED NAME & NUMBER _________________________________________________________ /____________________________

FEE: A check/money order in the amount of $200.00 must accompany request. If auto title companyhas more than one location, a separate request and a fee of $50.00 must be submitted for each additional location.

$

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MVCA Officer

Dollar Amount Received

Date Processed

DPSMV 1968 (R 02/2012)

Dos and Don'ts

When filling out the DPSMV 1968 form, it is important to follow certain guidelines to ensure your application is processed smoothly. Here are ten things you should and shouldn’t do:

  • Do read the entire application carefully before starting to fill it out.
  • Do provide accurate information for each section of the form.
  • Do use black or blue ink if you are filling out the form by hand.
  • Do type your responses if the form allows for electronic submission.
  • Do ensure that your business name matches exactly on all documents.
  • Don’t leave any sections blank; if a question does not apply, indicate that appropriately.
  • Don’t forget to include your signature and the date before submitting the form.
  • Don’t submit the form without the required fee; ensure payment is included.
  • Don’t rush through the form; take your time to avoid mistakes.
  • Don’t hesitate to seek assistance if you have questions about any part of the application.

By adhering to these guidelines, you can help facilitate a smoother application process. Your attention to detail is crucial in ensuring that everything is in order.

Detailed Instructions for Filling Out Dpsmv 1968

Completing the DPSMV 1968 form is an essential step for those looking to apply for or renew an auto title company license in Louisiana. This process requires careful attention to detail to ensure that all necessary information is accurately provided. Following these steps will help streamline the application process.

  1. Begin by clearly indicating whether this is a new application or a renewal by checking the appropriate box.
  2. Enter the business name exactly as it appears on both the bond and the contract.
  3. Fill in the physical address of the business, including the parish, city, state, and zip code.
  4. Provide the mailing address, if different from the physical address, along with the city, state, and zip code.
  5. Input the phone number and fax number in the designated fields.
  6. Include a mandatory email address for communication purposes.
  7. If applicable, provide the previous license number or authorization number.
  8. Enter the bond number and the name of the surety company.
  9. Provide the surety company’s phone number and address, including city, state, and zip code.
  10. Answer the first question regarding any past license denials, revocations, or suspensions, and provide details if applicable.
  11. Respond to the second question about felony convictions or guilty pleas, including necessary details if applicable.
  12. List three references, ensuring at least one is from a current or former customer.
  13. Carefully read the application and all attachments before signing in front of a notary public.
  14. Sign the application, including your driver's license number and printed name.
  15. Have the notary public sign and print their name and number on the form.
  16. Prepare a check or money order for the fee of $200.00, or $50.00 for each additional location if applicable.

Documents used along the form

When submitting the DPSMV 1968 form for an auto title company application in Louisiana, several other documents may be required to complete the process. Each document serves a specific purpose and provides additional information that supports your application. Understanding these forms can help streamline your application experience.

  • Surety Bond: This document guarantees that the auto title company will comply with state laws and regulations. It protects customers by ensuring that funds are available for claims against the company.
  • Bill of Sale Form: This legal document serves as proof of ownership transfer for personal property, outlining key details such as item description and purchase price. For more information, visit arizonapdfs.com/bill-of-sale-template/.
  • Proof of Business Registration: This form verifies that the business is legally registered with the state. It often includes the business name, address, and type of business structure.
  • Personal Background Check: A background check may be required for the owners or principals of the company. This document provides insight into any past criminal history, ensuring that the individuals involved meet state requirements.
  • References List: Applicants must submit a list of references, including at least one from a current or former customer. This document helps establish credibility and trustworthiness in the business.
  • Business Plan: A concise business plan outlines the company's goals, operations, and financial projections. This document can demonstrate the applicant's commitment and understanding of the industry.
  • Insurance Policy: Proof of liability insurance is often required to protect the business and its customers from potential claims. This document provides assurance that the company is financially prepared for unforeseen events.
  • Ownership Documentation: This may include articles of incorporation or partnership agreements. Such documents clarify the ownership structure of the business, which is essential for regulatory purposes.
  • Application Fee Payment: A check or money order for the required fee must accompany the application. This document confirms that the applicant is ready to proceed with the licensing process.

By gathering these documents along with the DPSMV 1968 form, you can enhance the likelihood of a smooth application process. Each piece of information plays a crucial role in demonstrating your business's compliance and integrity. Ensuring all documents are accurate and complete will help you navigate the licensing journey with confidence.

Your Questions, Answered

1. What is the purpose of the DPSMV 1968 form?

The DPSMV 1968 form is an application for an Auto Title Company license in the state of Louisiana. It is used by businesses that wish to operate as auto title companies, allowing them to handle transactions related to vehicle titles. This form must be completed accurately to ensure compliance with state regulations.

2. Who needs to fill out this form?

Any individual or business entity seeking to establish or renew an auto title company in Louisiana must complete the DPSMV 1968 form. Each location and co-owner requires a separate application, ensuring that all relevant parties are properly documented and licensed.

3. What information is required on the form?

The form requests various details, including:

  • Business name and physical address
  • Mailing address and contact information
  • Previous license or authorization numbers, if applicable
  • Bond number and surety company information
  • Details regarding any past license denials, revocations, or suspensions
  • Criminal history related to felony convictions
  • Three references, including at least one from a customer

4. Is there a fee associated with submitting the DPSMV 1968 form?

Yes, a fee of $200.00 must accompany the application. If the auto title company operates more than one location, an additional fee of $50.00 is required for each extra location. Payment should be made via check or money order.

5. What happens if I have a criminal record?

If you have been on probation or sentenced to jail or prison due to a felony conviction, you must disclose this information on the form. You will need to provide details about the offense, including the law enforcement authority involved, the date, location, and the case disposition. Transparency is crucial for your application to be considered.

6. How do I ensure my application is processed correctly?

To ensure a smooth processing experience, carefully read the entire application and all attachments before signing. It is essential to provide accurate and complete information. Additionally, make sure to have your application notarized and include the required fee to avoid delays.

7. Where do I send the completed form?

Once you have completed the DPSMV 1968 form, send it to the following address:

State of Louisiana Department of Public Safety and Corrections
Office of Motor Vehicles
P. O. Box 64886
Baton Rouge, Louisiana 70896-4886

Common mistakes

Filling out the DPSMV 1968 form can be a straightforward process, but many applicants make common mistakes that can delay their application or lead to rejection. One frequent error is failing to provide the correct business name. This name must match exactly on both the bond and the contract. If there are any discrepancies, it can raise red flags during the review process.

Another mistake involves the incomplete address information. Applicants often forget to include all necessary details, such as the physical and mailing addresses. Omitting the parish, city, or zip code can lead to confusion and potential delays. Ensure every section is filled out completely and accurately to avoid unnecessary complications.

Additionally, many people overlook the requirement for three references. It's essential to include at least one reference from a current or former customer. Without these references, the application may be considered incomplete. Taking the time to gather this information upfront can save applicants from having to resubmit their forms later.

Finally, applicants frequently neglect to read the application thoroughly before signing. The certification statement at the end of the form requires that all information provided is true and correct. If any inaccuracies are found, it could lead to serious consequences. Taking a moment to review the entire application ensures that everything is in order and that the applicant is fully compliant with the requirements.

Misconceptions

Misconceptions about the DPSMV 1968 form can lead to confusion for applicants. Here are seven common misunderstandings:

  • Only one application is needed for multiple locations. Many believe that a single application covers all locations. In reality, a separate application must be submitted for each location and each co-owner.
  • Previous license issues are not relevant. Some applicants think that past denials or revocations don’t matter. However, the form specifically asks about any past issues with licenses, which can impact the approval process.
  • Felony convictions are not a concern. It’s a common belief that a felony conviction will not affect the application. The form requires disclosure of any felony convictions, and this information is taken seriously during the review.
  • References are optional. Many applicants assume that providing references is not mandatory. In fact, three references are required, including at least one from a current or former customer.
  • Notary public certification is not necessary. Some think they can submit the form without notarization. However, the application must be signed before a notary public to be valid.
  • Fees are fixed regardless of location. There is a misconception that the fee is the same for all applications. The base fee is $200, but if there are multiple locations, an additional $50 fee is required for each extra site.
  • Application processing is immediate. Many applicants expect their applications to be processed quickly. However, processing times can vary, and applicants should allow for delays.

Document Attributes

Fact Name Details
Form Purpose The DPSMV 1968 form is used to apply for a new or renewal license for an auto title company in Louisiana.
Governing Law This form is governed by the Louisiana Revised Statutes, specifically Title 32, which relates to motor vehicles.
Application Requirement A separate application must be submitted for each location and each co-owner of the auto title company.
References Needed Applicants must provide three references, including at least one from a current or former customer.
Background Questions The form includes questions regarding past license denials, revocations, suspensions, and felony convictions.
Signature Requirement The application must be signed in the presence of a notary public, certifying the truthfulness of the information provided.
Fees A fee of $200.00 is required with the application. For additional locations, a fee of $50.00 must be submitted for each.
Processing Information The form includes sections for the MVCA officer to record the dollar amount received and the date processed.