State of Wisconsin Commercial Dealer Recreational Vehicle ...State of Wisconsin Department of...
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Commercial Dealer Recreational Vehicle Registration for Snowmobiles, All-Terrain Vehicles, Utility-Terrain Vehicles or Off-Highway Motorcycles Form 9400-589 (R 9/16) Total Enclosed: State of Wisconsin Department of Natural Resources dnr.wi.gov Notice: Pursuant to chs. 23 or 350, Wis. Stats., this application may be used for commercial dealer snowmobile, all-terrain vehicle (ATV), utility-terrain vehicle (UTV) or off-highway motorcycle (OHM) registrations. Incomplete applications will not be considered. Personally identifiable information will be used for administrative purposes and may be provided to requesters to the extent required by Wisconsin's Open Records Law (ss. 19.31-19.39, Wis. Stats.). Instructions: Every person who is a snowmobile, ATV or UTV manufacturer, dealer, distributor, renter or any combination thereof and engaged in business in this state must register with the Department and obtain the applicable commercial certificate. Every person who is engaged in this state in the sale of OHMs for a profit at retail shall register with the Department and obtain a commercial OHM certificate. Registration fees are not prorated. No person may operate a snowmobile, ATV, UTV or OHM until the decals are received and displayed as required. Leave Blank - DNR Use Only Date Total $ Received Plate Numbers / Dealer ID Issued DNR Txn # Registration Type (select all that apply) Dealer Information DNR Customer ID FEIN (Federal Employer Identification Number) Email Address ZIP Code State City Mailing Address Phone Number (include area code) Contact Name Business Name (Print) County where dealership is located Snowmobile: Registration fees reflect a three-year registration cycle that expires on June 30 and are not prorated. Mail to: Commercial Dealer Registration Department of Natural Resources PO Box 7924 Madison, WI 53707-7924 Date Signed Authorized Signature for Dealership Withhold personal identifiers collected on this form from disclosure on any list of 10 or more individuals that the DNR is requested to provide to another person [s. 23.45, Wis. Stats.]. I certify that to the best of my knowledge information and statements on this application are true and correct. Certification OHM: Registration fees reflect a two-year registration cycle that expires on March 31 and are not prorated. ATV / UTV: $ Registration fees reflect a two-year registration cycle that expires on March 31 and are not prorated. Commercial Dealer Registration (Original or Renewal) - Includes certificate and 3 decals $ 90.00 $ Additional Decal(s) (Commercial Dealer Certificate must be current) X $30.00 $ # of additional decals Duplicate Decal(s) X $ 2.00 $ # of duplicate decals $ – List decals being replaced: OHM Subtotal Commercial Dealer Registration (Original or Renewal) - Includes certificate and 3 decals $ 90.00 $ Additional Decal(s) (Commercial Dealer Certificate must be current) X $30.00 $ # of additional decals Duplicate Decal(s) X $ 5.00 $ # of duplicate decals $ – List decals being replaced: ATV / UTV Subtotal $ $ 5.00 Duplicate Commercial Dealer Certificate $ $ 5.00 Duplicate Commercial Dealer Certificate Commercial Dealer Registration (Original or Renewal) - Includes certificate and 3 decals $ 90.00 $ Additional Decal(s) (Commercial Dealer Certificate must be current) X $30.00 $ # of additional decals Duplicate Decal(s) X $ 5.00 $ # of duplicate decals $ – List decals being replaced: Snowmobile Subtotal $ $ 5.00 Duplicate Commercial Dealer Certificate
Transcript of State of Wisconsin Commercial Dealer Recreational Vehicle ...State of Wisconsin Department of...
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Commercial Dealer Recreational Vehicle Registration for Snowmobiles, All-Terrain Vehicles, Utility-Terrain Vehicles or Off-Highway MotorcyclesForm 9400-589 (R 9/16)
Total Enclosed:
State of Wisconsin Department of Natural Resources dnr.wi.gov
Notice: Pursuant to chs. 23 or 350, Wis. Stats., this application may be used for commercial dealer snowmobile, all-terrain vehicle (ATV), utility-terrain vehicle (UTV) or off-highway motorcycle (OHM) registrations. Incomplete applications will not be considered. Personally identifiable information will be used for administrative purposes and may be provided to requesters to the extent required by Wisconsin's Open Records Law (ss. 19.31-19.39, Wis. Stats.).Instructions: Every person who is a snowmobile, ATV or UTV manufacturer, dealer, distributor, renter or any combination thereof and engaged in business in this state must register with the Department and obtain the applicable commercial certificate. Every person who is engaged in this state in the sale of OHMs for a profit at retail shall register with the Department and obtain a commercial OHM certificate. Registration fees are not prorated. No person may operate a snowmobile, ATV, UTV or OHM until the decals are received and displayed as required.
Leave Blank - DNR Use OnlyDate Total $ Received
Plate Numbers / Dealer ID Issued
DNR Txn #
Registration Type (select all that apply)
Dealer Information
DNR Customer IDFEIN (Federal Employer Identification Number)Email Address
ZIP Code State City
Mailing Address
Phone Number (include area code) Contact Name
Business Name (Print)
County where dealership is located
Snowmobile: Registration fees reflect a three-year registration cycle that expires on June 30 and are not prorated.
Mail to: Commercial Dealer Registration Department of Natural Resources PO Box 7924 Madison, WI 53707-7924
Date Signed Authorized Signature for Dealership
Withhold personal identifiers collected on this form from disclosure on any list of 10 or more individuals that the DNR is requested to provide to another person [s. 23.45, Wis. Stats.].
I certify that to the best of my knowledge information and statements on this application are true and correct.Certification
OHM: Registration fees reflect a two-year registration cycle that expires on March 31 and are not prorated.
ATV / UTV:
$
Registration fees reflect a two-year registration cycle that expires on March 31 and are not prorated.
Commercial Dealer Registration (Original or Renewal) - Includes certificate and 3 decals $ 90.00 $
Additional Decal(s) (Commercial Dealer Certificate must be current) X $30.00 $# of additional decals
Duplicate Decal(s) X $ 2.00 $# of duplicate decals
$
– List decals being replaced:
OHM Subtotal
Commercial Dealer Registration (Original or Renewal) - Includes certificate and 3 decals $ 90.00 $
Additional Decal(s) (Commercial Dealer Certificate must be current) X $30.00 $# of additional decals
Duplicate Decal(s) X $ 5.00 $# of duplicate decals
$
– List decals being replaced:
ATV / UTV Subtotal
$$ 5.00Duplicate Commercial Dealer Certificate
$$ 5.00Duplicate Commercial Dealer Certificate
Commercial Dealer Registration (Original or Renewal) - Includes certificate and 3 decals $ 90.00 $
Additional Decal(s) (Commercial Dealer Certificate must be current) X $30.00 $# of additional decals
Duplicate Decal(s) X $ 5.00 $# of duplicate decals
$
– List decals being replaced:
Snowmobile Subtotal
$$ 5.00Duplicate Commercial Dealer Certificate
Commercial Dealer Recreational Vehicle Registration
for Snowmobiles, All-Terrain Vehicles, Utility-Terrain Vehicles or Off-Highway Motorcycles
Form 9400-589 (R 9/16)
Total Enclosed:
State of WisconsinDepartment of Natural Resourcesdnr.wi.gov
Notice: Pursuant to chs. 23 or 350, Wis. Stats., this application may be used for commercial dealer snowmobile, all-terrain vehicle (ATV), utility-terrain vehicle (UTV) or off-highway motorcycle (OHM) registrations. Incomplete applications will not be considered. Personally identifiable information will be used for administrative purposes and may be provided to requesters to the extent required by Wisconsin's Open Records Law (ss. 19.31-19.39, Wis. Stats.).
Instructions: Every person who is a snowmobile, ATV or UTV manufacturer, dealer, distributor, renter or any combination thereof and engaged in business in this state must register with the Department and obtain the applicable commercial certificate. Every person who is engaged in this state in the sale of OHMs for a profit at retail shall register with the Department and obtain a commercial OHM certificate. Registration fees are not prorated. No person may operate a snowmobile, ATV, UTV or OHM until the decals are received and displayed as required.
Leave Blank - DNR Use Only
Date
Total $ Received
Plate Numbers / Dealer ID Issued
DNR Txn #
Registration Type (select all that apply)
Dealer Information
Snowmobile:
Registration fees reflect a three-year registration cycle that expires on June 30 and are not prorated.
Mail to: Commercial Dealer Registration
Department of Natural Resources
PO Box 7924
Madison, WI 53707-7924
Withhold personal identifiers collected on this form from disclosure on any list of 10 or more individuals that the DNR is requested to provide to another person [s. 23.45, Wis. Stats.].
I certify that to the best of my knowledge information and statements on this application are true and correct.
Certification
OHM:
Registration fees reflect a two-year registration cycle that expires on March 31 and are not prorated.
ATV / UTV:
Registration fees reflect a two-year registration cycle that expires on March 31 and are not prorated.
$ 90.00
X $30.00
X $ 2.00
– List decals being replaced:
OHM Subtotal
$ 90.00
X $30.00
X $ 5.00
– List decals being replaced:
ATV / UTV Subtotal
$ 5.00
$ 5.00
$ 90.00
X $30.00
X $ 5.00
– List decals being replaced:
Snowmobile Subtotal
$ 5.00
DNR
State of Wisconsin Department of Natural Resources
Form 9400-589
Commercial Dealer Recreational Vehicle Registration for Snowmobiles, All-Terrain Vehicles, Utility-Terrain Vehicles or Off-Highway Motorcycles
09/2016
Adrienne Sullivan
09/2016
Registration Number (Wisconsin or out of state): Date of Birth: E-Mail Address: ZIP Code: State: City: Mailing Address: Telephone Number: Serial Number of Body/Frame: Date Signed: Signature of Authorized Rep.: Withhold Personal Identifiers: 0TextField4: CheckBox1: 0TextField2: TextField1: TextField3:
