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Vehicle & Motor Carrier Services

vscusto@iowadot.us

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Application Reason
Check the box relating to ownership
I certify by signing this application that (typed name) who is the
Has the applicant, owner, or any partner if a partnership or if a corporation, any officer or director been convicted of a felony
Has the applicant owner, or any partnership or if a corporation, any officer or director been convicted of a violation of the provisions of Iowa Code Chapters 322 or 322C (Dealer Licensing Act)
Convicted of A. Consumer frauds
H. Falling upon the sale or transfer of a vehicle to deliver to the purchaser or transferee of the vehicle sold or transferred, a manufacturer's or importer's certificate of title duly assigned, as provided in Iowa Code Chapter 321.
Convicted of B. 321.52 (Wrecked or Salvage Title Law)
Convicted of C. 321.71 (Odometer law)
Convicted D. 321.78 (Injuring or tampering with a motor vehicle)
E. Have you ever been convicted of a fraudulent practice in dealing in motor vehicles?
I. Falling upon the purchasing or otherwise acquiring of a vehicle to obtain a manufacturer's or importer's certificate, or a certificate of title duly assigned as provided in Iowa's Code Chapter 321.
Convicted of F. 321.92 (Altering or changing motor vehicle identification numbers)
J. Failing upon the purchasing or otherwise acquiring of a vehicle to obtain a new certificate of title to such vehicle when and where required in Iowa Code Chapter 321.
Convicted of G. 321.97 (Fraudulent application)
B. Have you ever been a dealer in Iowa or any other state?
C. Have you had a dealer license denied, suspended or revoked before?
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