STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES

60 State Street, Wethersfield, CT 06161

http://ct.gov/dmv

Seat Belts Do Save Lives An Affirmative Action/Equal Opportunity Employer

July 8, 2019

CONNECTICUT ENTITIES THAT ARE

NOW REQUIRED TO USE THE ON-LINE DEALER SYSTEM

Effective July 1, 2016, Connecticut General Statutes section 14-61(b) requires that all entities

filing seven (7) or more vehicle registrations per month with the Department of Motor Vehicles

must conduct registration transactions electronically, using the on-line dealer system described

below. This system allows users to process vehicle and title transactions at their work location

without taking a trip to the Connecticut DMV. Section 14-61(b) also states that “Any dealer may

make a written request to the commissioner for an exemption from filing such applications

electronically due to a hardship, including, but not limited to, a lack of access to a device capable

of communicating electronically.”

BEFORE YOU BEGIN

The on-line dealer system was developed and is maintained by the Connecticut Automotive

Retailers Association (CARA) by agreement with the State of Connecticut Department of Motor

Vehicles. It is available to all dealers, Titling Services, and business entities who regularly

conduct business with the Connecticut DMV. Please contact CARA at 860-293-2500 to begin

the process of using the on-line dealer system. CARA and its vendor will guide you through

the process and help you with all of the documents required to become an on-line dealer. You

are not required to be a member of CARA to use the on-line system.

If you have any further questions concerning the statute cited above, please call the Support

Services Unit at 860-263-5262.

Thank you.

Daniel Silbo

DMV Manager

Support Services and Relationship Management

04/2019  

K41A Checklist for a DMV Business License 

Type of Transaction: Business License for Registration Purposes Only (Titling Service) 

K7 Application:  (There is no application fee or renewal fee.) Complete Section 1 only and have signature notarized.  Leave Section 2 blank.    

Registration Issuance Bond D‐47:   Must complete entire form with signatures and witnesses. $5,000.     State Police Record Check: ($75. Fee to State Police) Criminal History record checks must be submitted for all applicants listed on the K7.   

Please submit a copy of the request form along with a copy of the check/money order or your receipt from State 

Police dated within 30 days of application.  (State Police responses are emailed directly back to DMV.) 

               

Trade Name Certificate:  When using a DBA.  From town clerk’s office.  

Form K‐26 Notarized Business License Personnel List: Must list all applicants on the K7 and have signature notarized. 

                 Sales Tax Permit:   From CT Dept. of Revenue Services      

Clear Copy of Valid Driver’s License or clear copy of Gov’t issued, valid photo ID: For all Applicants on the K7.  Copy of User Agreement for LLC’s: Must be signed by all members.   Online Registration Program Requirements Document: Bottom must be completed in its entirety.   

If LLC, the Following are required: Certificate of Existence as filed with the Secretary of State Form K‐198 Agent for Service Operating Agreement (if more than 1 member) Articles of Organization  

If Corporation, the Following are required: Certificate of Existence as filed with the Secretary of State Form K‐198 Agent for Service  

Please mail all completed forms and documents to: Dept. of Motor Vehicles 

Dealers and Repairers, Room 322 60 State Street 

Wethersfield, CT 06161 

Place a check mark in the box below, stating that you have no intention to apply for, nor have applied for a Manufacturer's license. Failure to check the box, willresult in a Dealer's or Repairer's license NOT being issued.

APPLICATION FOR AUTOMOBILEDEALER'S,REPAIRER'S OR TITLINGSERVICE LICENSEK-7 REV. 10-2018

STATE OF CONNECTICUTDEPARTMENT OF MOTOR VEHICLES

DEALERS AND REPAIRERS SECTIONOn The Web At ct.gov/dmv

INSTRUCTIONS:1.2.

3.

SECTION 1 - Must be completed by APPLICANTSECTION 2 - Must be completed and signed by local authorities of the city or town in which the location isproposed. (Titling Services do NOT complete Section 2)Submit application and supporting documents to: DEPARTMENT OF MOTOR VEHICLES, DEALERS ANDREPAIRERS SECTION, 60 STATE STREET, WETHERSFIELD, CT 06161-2011.

DMV USEONLY

LICENSE NUMBER

SECTION 1: BUSINESS INFORMATION

SECTION 2: CERTIFICATE OF LOCAL APPROVAL FOR PROPOSED LOCATION (Do NOT complete if a Titling Service)

TYPE OFLICENSE

NEW CARDEALER

USED CARDEALER

GENERALREPAIRER

LIMITEDREPAIRER

NAME UNDER WHICH BUSINESS OF APPLICANT IS TO BE CONDUCTED

FULL ADDRESS OF LOCATION FOR WHICH LICENSE IS REQUESTED (Use separate application for each location)

MAILING ADDRESS, IF DIFFERENT FROM ABOVE

TYPE OF OWNERSHIPINDIVIDUAL PARTNERSHIP CORPORATION LLC

DEEP PERMIT IF APPLICABLEIF INCORPORATED OR LLC, UNDER LAWS OF WHICH STATE

THE BUSINESS HOLDS A FACTORY FRANCHISE TO SELL THE FOLLOWING MAKE(S) OF VEHICLE(S) AT THE ABOVE LOCATION

If applicant firm is owned by individual or partnership, enter data below for all owners. If owned by a corporation enter data for principal officers or major stockholders. If LLC, enter members and managers.

TITLE NAME HOME ADDRESS DATE OF BIRTH SEX

CERTIFICATION (To be signed by Owner, Partner, Managing Member, or Authorized Officer in presence of Notary)Pursuant to CGS 53a-157b, Ideclare that the statements madeby me in this application or in anydocuments attached hereto aretrue and complete to the best ofmy knowledge and belief.

SIGNED (Owner, partner, major stockholder or authorized officer)

XTITLE

Subscribed and swornto before me:

DATE SIGNED (Notary Public, Justice of Peace, or Commissioner of Superior Court)

X

Pursuant to CGS 14-54, local approval is hereby granted for the above named firm or individual to conduct a business of the type checked below at the locationspecified in this application.

Signatures of Building Official and Fire Marshal indicate compliance with applicable laws and regulations.

TYPE OF BUSINESS APPROVEDNEW CARDEALER

USED CARDEALER

GENERALREPAIRER

LIMITEDREPAIRER

PROPOSED LOCATION ADJOINSSTATEHIGHWAY

LOCALROAD

EXAMINER INITIALS

E-MAIL ADDRESS

I have not applied and do not intend to apply for a Manufacturer's license.

DISTRIBUTION: White - D & R Copy Canary - License Copy Pink - Audit

SIGNATURE OF BUILDING OFFICIAL

XPRINT DATE

SIGNATURE OF LOCAL FIRE MARSHAL

XPRINT DATE

TITLE DATE

XSIGNATURE OF AUTHORIZED OFFICIAL

Are there any restrictions placed onthe licensee's use of the property? NO YES (If "YES", a copy of the restrictions MUST be attached to this application.)

PRINT

PAGE 1 OF

TITLINGSERVICE

NOT APPLICABLE

REGISTRATION ISSUANCE BOND FOR AMOTOR VEHICLE DEALER OR BUSINESSD-47 REV. 10-2018

STATE OF CONNECTICUTDEPARTMENT OF MOTOR VEHICLES

DEALERS AND REPAIRERS SECTION60 STATE STREET, WETHERSFIELD, CT 06161

On The Web At: ct.gov/dmv

KNOW ALL MEN BY THESE PRESENTS:

PRINCIPAL AND WITNESS SIGNATURES

ATTORNEY-IN-FACT AND WITNESS SIGNATURES (Surety Company)

The Signature of Principal and Surety must be witnessed. If executed by a Surety Company, acurrent Power of Attorney for the Surety's attorney-in-fact must be attached to this bond.

SIGNATURE OF WITNESS OF PRINCIPAL

SIGNATURE OF WITNESS OF ATTORNEY-IN-FACT

SIGNATURE OF PRINCIPAL

PRINTED NAME OF ATTORNEY-IN-FACT

X

X

XSIGNATURE OF ATTORNEY-IN-FACT

NAME OF SURETY:

NAME OF PRINCIPAL:

BOND NUMBER:

That we, as Principal, andof , a Corporation organized and existing under the laws of the Stateof and authorized to do business in the State of Connecticut, as Surety, are heldand firmly bound unto the Commissioner of Motor Vehicles, and his successors in office, as trustees for the benefitof those who may have suffered loss of Motor Vehicle Department fees paid to ,for the payment of which the said Principal and Surety do jointly and severally bind themselves, their heirs,executors, administrators, successors and assigns, and each and every of them, firmly by these presents.

THE CONDITION OF THIS OBLIGATION IS SUCH THAT:

Whereas, the said is the licensed Dealer or Business pursuant to thestatutes of the State of Connecticut and has been required by regulations of the Commissioner of Motor Vehicles tofile a surety bond in the amount of Five Thousand Dollars ($5,000.00) for any monetary loss suffered by theCommissioner of Motor Vehicles by reason of the failure of the Principal to remit any fees collected by the Principalon behalf of the Commissioner of Motor Vehicles for the issuance of Motor Vehicle Registrations.

Provided, however, that the liability of the Surety may be terminated by giving thirty days written notice thereof, byregistered or certified mail, to the Commissioner of Motor Vehicles and upon giving such notice, the Surety shall bedischarged from all liability under this bond for any act or omission of the Principal occurring after the expiration ofthirty days from the date of service of such notice.

It is an express condition of this obligation that the liability of the Surety shall be limited to the amount of fees notremitted by the Principal, and in no event shall the liability of the Surety exceed Five Thousand Dollars ($5,000.00).

Now therefore, if the Principal shall fully comply with the regulations of the Commissioner of Motor Vehiclespertaining to the remittance of Motor Vehicle Registration fees then this obligation shall be null and void; otherwiseto remain in full force and effect.

IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument thisday of 20 .

X

BUSINESS LICENSE PERSONNEL LISTK-26 REV. 10-2018 STATE OF CONNECTICUT

DEPARTMENT OF MOTOR VEHICLESDEALERS AND REPAIRERS SECTION

On The Web At ct.gov/dmvLICENSE NUMBER

BUSINESS

AND

MANAGEMENT

INFORMATION

LIST

OWNERS,

PARTNERS,

MEMBERS,

MANAGERS,

MANAGING

MEMBERS,

OR

CORPORATE

OFFICERS

*NOTE: A clear copyof a Connecticut

/out-of-state photolicense for each

individual listed mustbe submitted.

I declare that the applicant(s) or holder(s) of this license, including any officer,member, manager, or major stockholder, have not been convicted of a violation ofany provision of laws pertaining to the business of a motor vehicle dealer, titlingservice, or repairer, including a motor vehicle junkyard, lease or transportercompany, in the courts of the United States or any state. I hereby certify, underpenalties of false statement, that the statements made by me on this form are trueand complete to the best of knowledge and belief.

BUSINESS NAME

DOING BUSINESS AS

FEDERAL EMPLOYER IDENTIFICATION NO.(Social Security No.(s) if applicable)

BUSINESS ADDRESS (No. and Street) (City or Town (State) (Zip Code)

MAILING ADDRESS (If different) (No. and Street) (City or Town (State) (Zip Code)

BUSINESS TELEPHONE NUMBER(S)MANAGER, OPERATOR, CONTACT PERSON

DEPARTMENT OF REVENUE SERVICES TAX ID. NO. DEPARTMENT OF ENVIRONMENTAL PROTECTION WASTE DISPOSAL NUMBER, IF USED. (If applicable)(If not, specify how you dispose of your waste - oil, paint, thinner, etc. Explain on additional page.)

OTHER LICENSES HELD (Leasing, Gasoline, etc. - Description and License Number of Each)

FRANCHISES (New car dealers only)

TYPE OF OWNERSHIP INDIVIDUAL PARTNERSHIP CORPORATIONNAME

NAME

NAME

NAME

NAME

NAME

TITLE

DATE

SIGNED (Owner, partner, major stockholder or authorizedofficer)

Subscribed andsworn

to before me:

SIGNED (Notary Public, Justice of Peace, orCommissioner of Superior Court)

POSITION WITH BUSINESS

POSITION WITH BUSINESS

POSITION WITH BUSINESS

POSITION WITH BUSINESS

POSITION WITH BUSINESS

POSITION WITH BUSINESS

HOME ADDRESS (No. and Street) (City or Town (State) (Zip Code)

HOME ADDRESS

HOME ADDRESS

HOME ADDRESS

HOME ADDRESS

HOME ADDRESS

(No. and Street)

(No. and Street)

(No. and Street)

(No. and Street)

(No. and Street)

(City or Town (State) (Zip Code)

(City or Town (State) (Zip Code)

(City or Town (State) (Zip Code)

(City or Town (State) (Zip Code)

(City or Town (State) (Zip Code)

DATE OF BIRTH SOCIAL SECURITY NUMBER HOME TELEPHONE NUMBER

DATE OF BIRTH SOCIAL SECURITY NUMBER HOME TELEPHONE NUMBER

DATE OF BIRTH SOCIAL SECURITY NUMBER HOME TELEPHONE NUMBER

DATE OF BIRTH SOCIAL SECURITY NUMBER HOME TELEPHONE NUMBER

DATE OF BIRTH SOCIAL SECURITY NUMBER HOME TELEPHONE NUMBER

DATE OF BIRTH SOCIAL SECURITY NUMBER HOME TELEPHONE NUMBER

X

LLC

X

STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES

60 State Street, Wethersfield, CT 06161

http://ct.gov/dmv

Seat Belts Do Save Lives An Affirmative Action/Equal Opportunity Employer

ONLINE REGISTRATION PROGRAM REQUIREMENTS

As a condition to become and remain a participating dealer with the Department of Motor Vehicles’

(Department’s) Online Registration Program (ORP), as a duly authorized representative of the

dealership noted below, I agree to the following terms and conditions as set forth herein. I understand

that where applicable, failure to comply with the Department’s ORP requirements may result in my

dealership’s removal from the program. This includes the automatic suspension and/or revocation of

my online registration privileges, as provided by applicable law.

1. The dealership must remain in good standing with the Department at all times. This includes the

dealership’s compliance with all applicable laws and Departmental policies, including, but not

limited to, all requirements regarding insurance, bonding, complaints, personnel, franchises,

submission of original paperwork, etc.

2. Within ten (10) business days of the date on which each transaction is processed online, the

dealership agrees to submit all original paperwork to the CORE Customer Operations DOL.

3. The Department may conduct, as it deems necessary, an audit/investigation of any transactions,

material(s) or information relating to the dealership’s online registration privileges/practices.

4. Violations of ORP requirements, Skip List procedures and/or Suspense Case procedures, may

result in the loss of online registration privileges.

5. If the dealership’s online registration privileges are suspended and/or revoked, if it seeks to have

its privileges restored, upon request, the Department’s Compliance Unit will review the

dealership’s current standing with the Department prior to making a final determination regarding

such restoration.

The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned,

under penalty of false statement in accordance with sections 14-110 and 53a-157b of the Connecticut General

Statutes. I understand that if I make a statement which I do not believe to be true with the intent to mislead

the commissioner, I will be subject to prosecution under the above-cited laws.

________________________________________________________________________________

Dealer Principal (Print and Signature) Date

________________________________________________________________________________

Name of Dealership License Number

Principal Email Address ____________________________________________________________

STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES

DEALERS AND REPAIRERS SECTIONOn The Web At ct.gov/dmv

(To Be Completed by All Licensees of the Department of Motor Vehicles, that are Domestic or ForeignCorporations, Limited Liability Companies, or Statutory Business Trusts).

I, the undersigned, being duly authorized to act on behalf of

(hereinafter referred to as "the business organization") hereby certify to the Commissioner of Motor Vehicles,as to the following:

1.

2.

3.

4.

5.

The above listed name is the official and legal name of the business organization.

The business organization is incorporated, chartered or organized in the State of

.

If the business organization is not incorporated, chartered or organized in the State of Connecticut, itis duly registered and authorized as a foreign corporation, limited liability company or business trustwith the Connecticut Secretary of State, provided that it transacts business in this state, inaccordance with the legal standards applicable to such a determination.

The business organization is in good standing to conduct all of its affairs and is not subject to anycurrent legal disability including but not limited to bankruptcy, receivership or proceedings fordissolution.

The agent for service of any process, notice or demand required or permitted by law to be served onthe business organization is as follows:

Name of Statutory Agent for Service:

Business Address:

Mailing Address:

PERSON OR COMPANY MUST BE IN CONNECTICUT

Business Phone:

I acknowledge and agree on behalf of the business organization that, in addition to any other manneror method of notice authorized by law, the Commissioner of Motor Vehicles may commence anadministrative proceeding pertaining to the business organization's license status, or may order theproduction of any books, records, papers or documents in connection with any investigation as tocompliance by the business organization with the laws and regulations administered by theDepartment of Motor Vehicles, by mailing a written notice, by bulk certified mail, postage prepaid, tothe above identified agent for service at the above-stated address.

I understand and acknowledge that the making of any false statement herein to the Commissioner ofMotor Vehicles is a violation of law, in accordance with the provisions of Sections 14-110 and53a-157b of Connecticut General Statutes, as amended:

6.

7.

Subscribed by:(Signature)

Printed Name and Title:

(Name of Business)

(Business Address) (Mailing Address)

CERTIFICATE OF BUSINESS STATUS ANDAGENT FOR SERVICEK-198 REV. 10-2018

Type of Organization: