Form 5308 - Application For Motor Vehicle Franchisor Or Manufacturer License
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Missouri Department of Revenue
Application For Motor Vehicle Franchisor
Form
5308
or Manufacturer License
Franchisor Name
Telephone Number at the Street Address Provided
(__ __ __) __ __ __ - __ __ __ __
Street Address (No Post Office Boxes)
Country
City
State/Province
Zip Code
Use separate sheet if needed
I hereby certify the following:
1. I am an authorized officer employed by the franchisor identified on this application;
2. Pursuant to my normal duties as an employee of the franchisor identified on this application, I am authorized to complete this application;
3. The franchisor’s place of business identified above is occupied and is used, in part, to facilitate the franchising of motor vehicle dealers who
operate within the state of Missouri;
4. The franchisor maintains regular business hours during which the Department of Revenue is able to contact the franchisor; and
5. The franchisor will notify the Department not less than ten (10) days prior to moving their place of business or changing their telephone number.
Signature of Authorized Officer
Title
Printed Name of Authorized Officer
Date (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Form 5308 (Revised 12-2013)
Mail to:
Motor Vehicle Bureau Phone: (573) 526-3669
Visit
P.O. Box 43
Fax: (573) 751-4789
E-mail: dealers@dor.mo.gov
for additional information.
Jefferson City, MO
65105-0043
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Parent category: Financial