Sole Proprietorship

Date(mm-dd-yyyy)*
First Name
Last Name
Do you have a DBA?*
DBA / Assumed Name*
DBA / Assumed Name or Desired Business Name*
Business Address
Mailing Address (if different)
Business Phone Number*
Business Fax Number
Business Email Address
Tax ID Number

Partnership

Date(mm-dd-yyyy)*
First Name *
Last Name *
First Name *
Last Name *
Do you have a DBA?*
DBA / Assumed Name*
DBA / Assumed Name or Desired Business Name*
Business Address
Mailing Address (if different)
Business Phone Number*
Business Fax Number
Business Email Address
Tax ID Number

Corporation

Date(mm-dd-yyyy)*
Corporation Name*
Do you have a DBA?*
DBA / Assumed Name*
DBA / Assumed Name or Desired Business Name*
Business Address
Mailing Address (if different)
Business Phone Number*
Business Fax Number
Business Email Address
Tax ID Number
EIN Number

Limited Liability Company

Date(mm-dd-yyyy)*
Limited Liability Company Name*
Do you have a DBA?*
DBA / Assumed Name
DBA / Assumed Name or Desired Business Name
Business Address
Mailing Address (if different)
Business Phone Number*
Business Fax Number
Business Email Address
Tax ID Number
EIN Number

OWNERSHIP INFORMATION

How many owners will there be? *
First Name *
Last Name *
Title*
Percent of Ownership*
Residence Address*
Drivers License Number*
State Issued*
Date of Birth(mm-dd-yyyy)*
Social Security Number*
Phone Number*
Email Address*
First Name *
Last Name *
Title*
Percent of Ownership*
Residence Address*
Drivers License Number*
State Issued*
Date of Birth(mm-dd-yyyy)*
Social Security Number*
Phone Number*
Email Address*
First Name *
Last Name *
Title*
Percent of Ownership*
Residence Address*
Drivers License Number*
State Issued*
Date of Birth(mm-dd-yyyy)*
Social Security Number*
Phone Number*
Email Address*
First Name *
Last Name *
Title*
Percent of Ownership*
Residence Address*
Drivers License Number*
State Issued*
Date of Birth(mm-dd-yyyy)*
Social Security Number*
Phone Number*
Email Address*
First Name *
Last Name *
Title*
Percent of Ownership*
Residence Address*
Drivers License Number*
State Issued*
Date of Birth(mm-dd-yyyy)*
Social Security Number*
Phone Number*
Email Address*

ALL APPLICANT MUST ANSWER THE FOLLOWING QUESTIONS

Has any person listed on this application ever been convicted of a felony, or is he/she Presently charged with any such crime or court judgments against them? *
Yes No
Please remit full details including the date, the crime, place of conviction and the sentence received. Also explain if you have copies of all final court judgments for those convictions.
Have you, any partner, any LLC member or manager, or any director, officer or owner ever been licensed in the State of Texas? *
Yes No
Has any license ever issued to the applicant, any partner, any LLC member or manager, or any director, officer or owner ever been denied, revoked, or suspended? *
Yes No
Has the applicant, any partner, any LLC member or manager, or any director, officer or owner ever have been found to have violated the Texas Occupations Code Chapter 2301 or Chapter 503 of the Transportation Code? *
Yes No
Does any motor vehicle manufacturer or distributor, or does any person directly or indirectly controlled by any motor vehicle manufacturer, own an interest in, operate, or control this dealership? *
Yes No
Please upload a copy of your Photo ID, DBA if available and all other Additional Signed Forms or documents pertaining to your business*
Note: Current photo identification (State or U.S. government issued ID only) This can be a drivers license, photo ID or passport. No Foreign Id's will be accepted


How did you hear about us? *

CLIENTS CERTIFICATION, AUTHORIZATION AND AGREEMENT

WARNING: FALSIFYING INFORMATION IN THIS APPLICATION IS A FELONY UNDER THE TEXAS PENAL CODE

The undersigned certify the following

I/We fully understand that it is a State crime punishable by fine and or imprisonment to knowingly make any false statements when applying for Auto Title Transactions of any kind, Title Transfers, Title Bonds, Surety Bonds, Auto Registrations, Mechanic Liens, Lost Title Replacements, 30 Day Tags, Dealer Licensing, Insurance, Etc.

I/We have requested and rendered the services of The Texas Auto Title Company. I/We have made no misrepresentations in the application or other documents, nor did I/We omit any pertinent information.

I/We understand and agree that The Texas Auto Title Company reserves the right to review the information provided on the application as well as my or our insurance identification card or policy, odometer reading, and sales price.

I/We fully understand that service fees are and will be non-refundable

The applicant or an authorized agent hereby certifies under penalty of perjury that statements made in this application for a dealer license, attachments and additional documents submitted for the completion of application for a dealer’s license submitted to The Texas Auto Title Company herewith are true, complete, correct, submitted in their entirety, and accurately represented. Applicant agrees to allow The Texas Auto Title Company to examine ownership documents pertaining to the business. Applicant agrees to allow the Texas Department of Transportation to examine during working hours the ownership papers for each registered or unregistered vehicle in the applicant’s possession or control. Applicant swears they are not at this time delinquent in any court-ordered obligation to pay child support or any other judgement’s against them. The applicant has complied with all applicable state laws and municipal ordinances.

NON-REFUNDABLE LICENSE FEES: If you have a felony conviction or are found ineligible for a license or permits, your fees cannot be refunded. It must have been at least three years since the termination of sentence, parole, mandatory supervision or probation for a felony conviction before you may be deemed eligible for in particular a motor vehicle dealer’s license. Criminal history checks will be conducted on each and every applicant.


By initialing and check marking below I certify that I have read all and agreed to all terms and conditions set forth. By typing my name below I certify it to be a valid e signature

Date (mm-dd-yyyy)*
First Name*
Last Name*

Terms and Conditions

I have read and agreed to all Terms and Conditions set forth by this Certification, Authorization and Agreement

Privacy Policy

I have read and agree to The Texas Auto Title Companies Privacy Policy