WV Division of Motor Vehicles Dealers Temporary Location Request

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Temporary Additional Location Request

Please answer all questions.

1) Name of Dealership:

2) Address of Dealership:
	Mailing Address:
	City:
	State:
	Zip Code:

3) Dealer Number:

4) Dealership Telephone Number (999) 999-9999:

5) Dealership Fax Number (999) 999-9999:

6) Dates of Off Premise Display/Sale:
From:	To:

7) Location of Display/Sale:
(Name of facility, Street Address, City and Zip Code are required for the location of the off premise display/sale.)
	Name of Facility:
	Street Address:
	City:
	Zip Code:

Use Comments or Description to explain nature of display/sale.
Comments or Description of Display/Sale:

8) Your Email Address (Certificate Will Be Sent to This Address):

When you submit this form, the information will be transmitted to the DMV, and you will be taken to a page that you may print for your records only.

The OFFICIAL PERMIT will be emailed to you once it is approved.

To validate this request, please answer the following question:

7 plus 9 =

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	West Virginia Department of Transportation Division of Motor Vehicles Building 3 Room 113 • 1800 Kanawha Boulevard, East • Charleston, WV 25317 Toll Free: 1-800-642-9066 (in-state) Phone: (304) 558-3900 General information and/or questions, please email dot.info@wv.gov