Visio-Change of Address Notice (full page) 12-18-2019.vsd
BMV FORM NO. 2021-21|REV. Nov-05-2025 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES BUREAU OF MOTOR VEHICLES APPLICATION FOR DEALER’S LICENSE PLATE 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 - Suite 231 St. Thomas, V.I. 00802-1736 Tel: (340) 774-4268 NOTICE: Dealer plates, and permits must be renewed every year. CURRENT insurance must be presented yearly. APPLICANT NAME OF APPLICANT FIRST NAME MIDDLE NAME LAST NAME CITIZENSHIP DATE OF BIRTH / / CONTACT INFO. EMAIL ADDRESS PHONE NUMBER (S) PHYSICAL ADDRESS STREET ADDRESS CITY & ISLAND ZIP CODE MAILING ADDRESS ADDRESS |PO BOX CITY & ISLAND ZIP CODE BUSINESS BUSINESS NAME LICENSE NUMBER TRADE NAME PHYSICAL ADDRESS ADDRESS CITY & ISLAND ZIP CODE MAILING ADDRESS ADDRESS / PO BOX CITY & ISLAND ZIP CODE RETURNED PLATES PLATES RENEWED BMV FORM NO. 2021-21|REV. …
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BMV FORM NO. 2021-21|REV. Nov-05-2025 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES BUREAU OF MOTOR VEHICLES APPLICATION FOR DEALER’S LICENSE PLATE 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 - Suite 231 St. Thomas, V.I. 00802-1736 Tel: (340) 774-4268 NOTICE: Dealer plates, and permits must be renewed every year. CURRENT insurance must be presented yearly. APPLICANT NAME OF APPLICANT FIRST NAME MIDDLE NAME LAST NAME CITIZENSHIP DATE OF BIRTH / / CONTACT INFO. EMAIL ADDRESS PHONE NUMBER (S) PHYSICAL ADDRESS STREET ADDRESS CITY & ISLAND ZIP CODE MAILING ADDRESS ADDRESS |PO BOX CITY & ISLAND ZIP CODE BUSINESS BUSINESS NAME LICENSE NUMBER TRADE NAME PHYSICAL ADDRESS ADDRESS CITY & ISLAND ZIP CODE MAILING ADDRESS ADDRESS / PO BOX CITY & ISLAND ZIP CODE RETURNED PLATES PLATES RENEWED BMV FORM NO. 2021-21|REV. Nov-05-2025 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES BUREAU OF MOTOR VEHICLES APPLICATION FOR DEALER’S LICENSE PLATE DO NOT WRITE BELOW DO NOT WRITE BELOW _________________________________ _______/________/___________ Authorized Signature Date REQUIRED DOCUMENTS NEW APPLICATION DOCUMENTS o Three (3) Character Reference Letter – (No Family Members) With o A Mailing Address, Telephone number and Number of Years Known o Must Be Notarized o Police Record (Original Only, No Exceptions) o All Documents in the Renewal Application Documents section + Application Fee RENEWAL APPLICATION DOCUMENTS o Valid Up-to-Date Insurance o Copy of Valid Business License o Completed Application o Fees: o Dealer’s License Fee o Dealer’s Application Fee NO. OF PLATES REQUESTED NEW PLATE(S) ISSUED Dealer’s License Plates shall be used solely in the operation of new and used vehicles for sale and may not be used for the general business of the dealer. The Director and/ or his/her designee may revoke a dealer’s license plate at any time he/she finds that such license plate is being misused, per 20 V.I.C. § 336. In making this application I swear or affirm that I am familiar with the requirements of 20 V.I.C. § 336 as the name relates to Dealer’s License may be revoked by the Director of the Bureau of Motor Vehicles, should I violate any of the conditions of this Dealer’s License. Subscribed and sworn to before me, in my presence this _________ day of _____________________, 20_________ ______________________________ _____________________________ _________________________ Notary Public Applicant Signature Witness DLCA Business License # ______________________ Cashier Receipt #___________________________ BMV CERTIFICATE # ____________________ application Fee ____________________________ Dealer plate Fee __________________________ dealer PERMIT Fee ________________________ Date ______/_______/___________ late Fee ____________________________________