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Form Number 792-1 Revised 10-2009 MVL Used Trailer Dealer License and License Plate Application Please Type or Print Legibly Current Trailer Dealer Number: Business Name Check one type of license per application: Owner’s Name Travel Trailer Commercial Trailer List all plates in your possession: Mailing Address City, State, Zip Code Federal ID or Social Security Number of Owner List all Environmental Awareness Dealer Plates in your possession: Location Address (Post Office Box Number will not suffice) Person to Contact for Further Information: For OTC Use Only Name Plates: Decals: Phone Number Please Check One: Allow 12 Weeks for Processing Original Application (First time application for Dealer Plates) Vehicle Plates ($16.00) Environmental Plates ($51.00) Mail Fee: $3.00 per plate $ Total Amount Due $ $ $ Additional Plates (To order more Dealer Plates after initial issue) $ Vehicle Plates ($16.00) $ Environmental Plates ($51.00) $ Mail Fee: $3.00 per plate $ Total Amount Due Renewal of Current Plates: (Decal only, for renewal of Dealer Plates) $ Vehicle Decals ($16.00) Renewal applications must be received by $ Environmental Decals ($51.00) December 31st. After December 31st there will be $ Penalties/Late Fees (See Instructions) a Late Fee of $0.25 per plate per day for 31 days. $ Mail Fee: $1.50 per every 5 decals After January 31st the Late Fee is $10.00 per plate. ($1.50 Minimum) $ Total Amount Due Replacement Plates or Decals (Read Reverse Side for Instructions) Check one type of replacement: Decal Only Vehicle Decals ($9.00) Mail Fee: $1.50 per every 5 decals $ Total Amount Due $ $ Plate with Decal Vehicle Plates ($9.00) Mail Fee: $3.00 per plate Total Amount Due Read Reverse Side Carefully $ $ $ Payment must accompany the application. Make checks payable to Oklahoma Tax Commission. The Dealer number (if any) must appear on the check. A $50.00 penalty will be assessed for any dishonored check. Replacement Plates and/or Decals: If any Dealer plates and/or decals have been lost or stolen you must make a police report of the incident. You must include a copy of the police report with your application. List the decal numbers that are on missing plates on an additional sheet of paper. Damaged plates must be returned with your application. Renewals: If you have damaged dealer plates or plates you are not renewing, they must be returned with your application. Your renewal application cannot be processed until you have accounted for all plates in your possession. Penalty Fees: The license is non-assignable and expires December 31st of each year. If not renewed by that date, the applicant will become subject to a penalty of $0.25 per plate per day for a period of thirty-one (31) days. After January 31st, the penalty will be $10.00 per plate. Mail Fees: $3.00 per Plate, $1.50 per 5 Decals (1-5 decals = $1.50; 6-10 decals = $3.00, etc.) agreement It is hereby agreed by and between the applicant and the Oklahoma Tax Commission that: 1. The Trailer Dealer license and license plates will be revoked if the applicant has violated or violates any provisions of the laws of this state. 2. Separate licenses and license plates are required for each location owned or operated by the applicant. 3. The applicant will advise each purchaser of a used trailer in writing about title requirements and payment of any taxes due the state. 4. The applicant will keep such records on such forms as shall be prescribed by the Oklahoma Tax Commission and will make all reports required by the commission. The undersigned has read the agreement on this application and agrees to each condition upon which the license is to be issued. By (Printed Name) Owner’s Name (Signed Name) Sworn and subscribed before me on the Job Title day of , 20 , Notary Public Commission Number: Expiration Date: Mail this completed application and remittance to: Oklahoma Tax Commission Motor Vehicle Division Dealer License Plates 2501 North Lincoln Boulevard Oklahoma City, Oklahoma 73194-1000 Telephone: (405) 521-3669 www.tax.ok.gov This Form May Be Obtained on the Web at: www.tax.ok.gov. .