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Dealer License Renewal Application Form

  1. Business Information *
    Provide local business & corporate information
  2. This number is provided to you in your renewal form.
  3. Preffered Mailing Address*
  4. Ownership – Principals, Sole Owners, Shareholders, Partners, etc.
  5. If you have additional owners, please attach a listing.
  6. Employees
    All new employees are required to submit to a history and background check and be approved by the Clerk's Office. Please call 630-823-5602 to make an appointment for fingerprinting.
  7. If you have additional employees, please attach a listing.
  8. Property Ownership
    Building Owner
  9. Execute*
    By selecting I agree option below you are giving your electronic signature.
  10. No False statements
    Your submission of this form certifies that the information provided is true and correct.
  11. Information for individual completing this form.
  12. Leave This Blank:

  13. This field is not part of the form submission.