Visio-Change of Address Notice (full page) 12-18-2019.vsd
BMV FORM NO. 2021-21|REV. May-21-2021 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES BUREAU OF MOTOR VEHICLES APPLICATION FOR RENTAL VEHICLES QUOTA BMV STX - Patrick Sweeny Headquarters RR-01 Box 10065 St. Croix, V.I. 00850-9705 Tel: (340) 713-4268 BMV STJ - Government Complex Cruz Bay St. John, V.I. 00831 Tel: (340) 776-6262 BMV STT 4605 Tutu Park Mall - Ste. 231 St. Thomas, V.I. 00802 Tel: (340) 774-4268 APPLICANT NAME OF APPLICANT FIRST NAME MIDDLE NAME LAST NAME CITIZENSHIP DATE OF BIRTH / / Email Address Phone Number ADDRESS CITY & ISLAND ZIP CODE PHYSICAL ADDRESS ADDRESS |PO BOX CITY & ISLAND ZIP CODE MAILING ADDRESS BUSINESS BUSINESS NAME LICENSE NUMBER TRADE NAME ADDRESS CITY & ISLAND ZIP CODE PHYSICAL ADDRESS ADDRESS / PO BOX CITY & ISLAND ZIP CODE MAILING ADDRESS Quota Amount Requested Additional Quota Amount Requested BMV FORM NO. 2021-21|REV. …
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BMV FORM NO. 2021-21|REV. May-21-2021 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES BUREAU OF MOTOR VEHICLES APPLICATION FOR RENTAL VEHICLES QUOTA BMV STX - Patrick Sweeny Headquarters RR-01 Box 10065 St. Croix, V.I. 00850-9705 Tel: (340) 713-4268 BMV STJ - Government Complex Cruz Bay St. John, V.I. 00831 Tel: (340) 776-6262 BMV STT 4605 Tutu Park Mall - Ste. 231 St. Thomas, V.I. 00802 Tel: (340) 774-4268 APPLICANT NAME OF APPLICANT FIRST NAME MIDDLE NAME LAST NAME CITIZENSHIP DATE OF BIRTH / / Email Address Phone Number ADDRESS CITY & ISLAND ZIP CODE PHYSICAL ADDRESS ADDRESS |PO BOX CITY & ISLAND ZIP CODE MAILING ADDRESS BUSINESS BUSINESS NAME LICENSE NUMBER TRADE NAME ADDRESS CITY & ISLAND ZIP CODE PHYSICAL ADDRESS ADDRESS / PO BOX CITY & ISLAND ZIP CODE MAILING ADDRESS Quota Amount Requested Additional Quota Amount Requested BMV FORM NO. 2021-21|REV. May-21-2021 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES BUREAU OF MOTOR VEHICLES APPLICATION FOR RENTAL VEHICLES QUOTA DO NOT WRITE BELOW DO NOT WRITE BELOW _________________________________ _______/________/___________ Authorized Signature Date REQUIRED DOCUMENTS o Articles of Incorporation o Certificate of Formation from the Corporations and Trademarks office o Proof of physical address of the business o Valid IDs of the owners of the business o Copy of Valid Business License o Completed Application o Fees NEW QUOTA ISSUED In making this application I swear or affirm that I am familiar with the requirements of 20 V.I.C. Chapter 38, § 415- 425, Regulation of Car, Rental Business. I understand that should I violate any provisions of this section of the VI Code that I will be fine, or the business license can be revoked. ______________________________ _____________________________ _________________________ Print Name Applicant Signature Date ______________________________ _____________________________ _________________________ Print Name Applicant Signature Date ______________________________ _____________________________ _________________________ Print Name Applicant Signature Date DLCA Business License # _________________________ Cashier Receipt #___________________________ Application Fee __________________________ Date ______/_______/___________ SIGN SIGN SIGN SIGN