Free franchise agreement 10
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OFFICE USE ONLY

MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES

Print Form

DEALER NUMBER:
DATE RECEIVED:

445 Minnesota Street, Suite 186, St. Paul, MN 55101-5186

COUNTY:
AREA:

Phone: (651) 201-7800 Fax: (651) 297-1480
Web: dvs.dps.mn.gov Email: [email protected]

INITIALS:

Franchise Agreement
• New vehicle dealers must file this agreement for each new make of vehicle they sell.
• If a new vehicle dealer fails to file an agreement for each new make of vehicle they sell, they are subject
to Minnesota sales tax.
SECTION A – Dealer Information
Dealer Name
Street
City

Dealer Number:

State

Zip Code

County

SECTION B – Manufacturer/Distributor Information
Name of Manufacturing Company:
Make of Vehicle:
Name of Authorized Representative:
Authorized Representative's Position:
SECTION C – AGREEMENT

I, as an authorized representative of the above described manufacturer, state that the dealer in SECTION A of this
form has an agreement with the manufacture