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Dealer Bond Request
CA Motor Vehicle Dealer – Bond Information
Applicant Type
CHOOSE AN OPTION
INDIVIDUAL
PARTNERSHIP
CORPORATION
LLC
LLP
Your Name
Your Name
First
First
Middle
Middle
Last
Last
Phone Number
DBA/Company Name (If applicable)
If you have a dba under a company please indicate. For instance XYZ LLC DBA XZY dealer
Company Address
Type of bond
New CA Dealer 50K Bond
Used CA Dealer 10K Bond
Has the business, or any other owner/applicant: (please check box if it applies)
a. Ever been convicted of a crime?
b. Ever had their business license suspended, revoked or denied?
c. Ever been party to a surety bond claim?
(If any answers are yes, please provide details in the comments section.)
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