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Vendor Lincense Application in Illinois 2017
Only
License Year Ending December 31,
DRS Number:
DL Number:
Type of Dealer License desired (mark one only):
❏ New and used
❏ Used vehicles only
❏ Motorcycles
❏ Manufactured home dealer
❏ Salvaged dealer designation
Firm’s Legal Name (type or print):
❏ Trailers
Business Address:
City:
Retailer’s Occ. Tax Number:
Email address:
County:
Year
❏ Community-based manufactured home
Business Telephone:
State:
ZIP:
Makes of vehicles sold or manufactured (Attach a letter of franchise...
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