services equipment or modifications specifically designed to facilitate use or operation of a motor vehicle or watercraft by an individual who is disabled solicits or advertises the sale, installation, or servicing of equipment or modifications specifically designed to facilitate use or operation of a motor vehicle or watercraft by an individual who is disabled Signature—Owner or Manager Indiana law requires that a dealer owner or dealer manager (as defined by statute) must sign the license application. The title of the dealer owner or dealer manager must also be entered in the appropriate field, along with the date of signature. Required Documents: Along with completing your application (State Form 56188), you must submit the following items. An application cannot be approved until all required items have been submitted. Zoning Affidavit All applicants must submit a completed Zoning Affidavit (State Form 55936). If no person or officer has jurisdiction over the location, the applicant must submit a written statement by the executive of the unit in which the real property is located. The statement must indicate that the proposed location is zoned for the operation of the business for which the applicant is seeking a license. State Form 55936 can be found at . Indiana Vehicle Merchandising Certificate/Bond All applicants must submit a completed Indiana Vehicle Merchandising Certificate/Bond (State Form 53966). Make sure that the principal name and address match the dealer name and address provided on your application, and that both the bond company and the dealer owner signs the form. If the license is granted, a valid bond must be maintained on file with the Division for the entire licensing period. A lapse in coverage will result in the suspension of the license. State Form 53966 can be found at . Certificate of Insurance All applicants must submit a Certificate of Liability indicating at least the minimum coverage required by statute (see Indiana Code § 9-32-11-13). Make sure the
services equipment or modifications specifically designed to facilitate use or operation of a motor vehicle or watercraft by an individual who is disabled solicits or advertises the sale, installation, or servicing of equipment or modifications specifically designed to facilitate use or operation of a motor vehicle or watercraft by an individual who is disabled Signature—Owner or Manager Indiana law requires that a dealer owner or dealer manager (as defined by statute) must sign the license application. The title of the dealer owner or dealer manager must also be entered in the appropriate field, along with the date of signature. Required Documents: Along with completing your application (State Form 56188), you must submit the following items. An application cannot be approved until all required items have been submitted. Zoning Affidavit All applicants must submit a completed Zoning Affidavit (State Form 55936). If no person or officer has jurisdiction over the location, the applicant must submit a written statement by the executive of the unit in which the real property is located. The statement must indicate that the proposed location is zoned for the operation of the business for which the applicant is seeking a license. State Form 55936 can be found at . Indiana Vehicle Merchandising Certificate/Bond All applicants must submit a completed Indiana Vehicle Merchandising Certificate/Bond (State Form 53966). Make sure that the principal name and address match the dealer name and address provided on your application, and that both the bond company and the dealer owner signs the form. If the license is granted, a valid bond must be maintained on file with the Division for the entire licensing period. A lapse in coverage will result in the suspension of the license. State Form 53966 can be found at . Certificate of Insurance All applicants must submit a Certificate of Liability indicating at least the minimum coverage required by statute (see Indiana Code § 9-32-11-13). Make sure the
Watercraft%20Dealer%20License%20Application.docx