MV-359 (12-22)

www.dmv.pa.gov

APPLICATION FOR MISCELLANEOUS MOTOR

VEHICLE BUSINESS REGISTRATION PLATES For Department Use Only
Bureau of Motor Vehicles • P.O. Box 68283 • Harrisburg, PA 17106-8283

CHECK (P) ALL APPLICABLE:

q New Application q Change of Name q Change of Address q 911 Address Change q Change in Officers q Change of Owner
TYPE OF MISCELLANEOUS MOTOR VEHICLE BUSINESS YOU ARE APPLYING FOR:
q Vehicle Salvage Dealer q Repair of Towing q Transporter (copies of active q Financier or Collector-Repossessor
contracts with dealers are required) (copy of banking license required)
q Watercraft Trailer Dealer
NOTE: SEE INSTRUCTIONS FOR DOCUMENTS THAT MUST ACCOMPANY THIS APPLICATION.
A NAME AND ADDRESS OF BUSINESS - Exactly as registration is to be issued.
Name Federal ID# State Sales Tax #

Street Address (Principal Place of Business) Dealer/Bus. Partner ID#

City County State Zip Code

Business Phone Number Home Phone Number of President

or Controlling Partner

B TYPE OF BUSINESS - Check (P) One. THIS LOCATION IS - Check (P) One.

q Sole Proprietorship q Partnership q Corporation q Owned q Leased

C LIST ALL OWNERS, PARTNERS OR CORPORATE OFFICERS (Home Address)
1. Name Date of Birth Title Driver’s License #

Email Address Phone Number Fax Number

Street Address City State Zip Code

2. Name Date of Birth Title Driver’s License #

Email Address Phone Number Fax Number

Street Address City State Zip Code

3. Name Date of Birth Title Driver’s License #

Email Address Phone Number Fax Number

Street Address City State Zip Code

D LIST OTHER BUSINESSES AT THIS LOCATION

INDICATE NUMBER OF REGISTRATION PLATES YOU ARE APPLYING FOR IN THE SPACE PROVIDED BESIDE THE
E
APPROPRIATE CLASSIFICATION.
All classes of Miscellaneous Motor Vehicle Business - One-Year Registration Fee: $58 per registration plate / Two-Year Registration Fee: $116 per
registration plate.
Registration Plates Registration Cards
# of Plates Registration Plates # of Duplicates Reg. Cards
Registration Plate Type Fee
Requested Fee Subtotal Requested Subtotal
Financier or Collector-Repossessor (CR) X = $ + X $2.00 = $
Repair or Towing (RT) X = $ + X $2.00 = $
Transporter (TR) X = $ + X $2.00 = $
Vehicle Salvage Dealer (WL) X = $ + X $2.00 = $
Watercraft Trailer Dealer (WD) X = $ + X $2.00 = $

Registration Plates Subtotal: $

NOTE: Dealer registration plates may be renewed for one or two-year periods. + Reg. Cards Subtotal: $
All dealer registration plates listed must have the same expiration date.
= Total Fees Due: $
 Provide explanation below on how each of these registration plates will be used.

1. How many vehicle repairs or tows are projected for each month? ____________________________________________________

2. How many plates will be used for personal use? _________________________________________________________________

3. For transporter businesses: How many vehicles are expected to be transported each month? _____________________________

4. For Repossessor/Financier: How many vehicles are expected to be repossessed each month? ____________________________

5. For Vehicle Salvage Dealer: How many vehicles are expected to be salvaged/sold each month? ___________________________

BUSINESS DESCRIPTION - Indicate the nature of your business that qualifies your business for the type of registration for
F
which you are making application.

G INSURANCE INFORMATION - Refer to #5 in instructions for required proof of insurance.

Insurance Company Name: ____________________________________________________________________________

Agent Name: ______________________________________ Agent Phone Number: ____________________________
NAIC Number: ____________________________________ Policy Number: __________________________________
Effective Date: ______________________________________ Expiration Date: __________________________________

H ADDITIONAL INFORMATION

1. If this application is a change of ownership, explain and list former name of business.

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________
Please list Dealer/Business Partner Identification Number: ____________________________

2A. Has this business or the owners, partners or corporate officers thereof ever been registered as a dealer, miscellaneous motor
vehicle business or issuing agent in this or any other state?
q YES q NO If yes, list name(s), location(s), and identification number(s).

_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
2B. Have any owners, partners or corporate officers of this business ever been affiliated with a dealership, miscellaneous motor
vehicle business, messenger service or full agent whose registration was suspended, cancelled or revoked or is currently
under investigation or notice to attend a departmental or court hearing or is awaiting a decision by a hearing officer of a court?

q YES q NO If yes, explain:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

3. Do any of the owners, partners, corporate officers or any business with which they were previously affiliated have any
outstanding liabilities which are due and owing to the Commonwealth of Pennsylvania, including but not limited to taxes,
fees, monetary penalties or outstanding plates or paperwork?

q YES q NO If yes, explain:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________
 4. Have any owners, partners or corporate officers of this business ever been convicted or administratively sanctioned for violations
of department regulations, Pennsylvania Crimes Code or Chapters 11, 13 or 23 of the Pennsylvania Vehicle Code?

q YES q NO If yes, explain:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

5. Have any owners, partners or corporate officers of this business ever been convicted of a felony or misdemeanor?

q YES q NO If yes, explain:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

6. Have any owners, partners or corporate officers of this business ever remitted uncollectible checks payable to any agency of
the Commonwealth of Pennsylvania?

q YES q NO If yes, explain:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

7. Have any owners, partners or corporate officers filed bankruptcy within the past seven years?

q YES q NO If yes, explain:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

8. Will this business be purchasing or selling any type of vehicles?

q YES q NO If yes, describe type of vehicles:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

I MISCELLANEOUS INFORMATION

1. Does your business location meet all local zoning and land use ordinances and building codes? qYES qNO
2. Does your business meet ADA accessibility requirements? q YES qNO
3. Have all owners, partners and officers read and understood Chapter 53 of Title 67 (Manufacturer, Dealer and Motor Vehicle
Business Registration Plates) and Chapters 11, 13 and 23 of the Pennsylvania Vehicle Code? q YES q NO
J NOTARIZATION
I/We certify under penalty of law that the information contained
herein is TRUE and CORRECT. WARNING: Misstatement of SUBSCRIBED AND SWORN
TO BEFORE ME: MONTH DAY YEAR
fact is a misdemeanor of the third degree punishable by a fine of
up to $2,500 and/or imprisonment up to one year (18 Pa.C.S.
t

Section 4904[b]) in addition to any sanction imposed by SIGNATURE OF PERSON ADMINISTERING OATH

PennDOT. S
T
NOTE: When business is discontinued, miscellaneous motor SIGN IN PRESENCE OF NOTARY
vehicle business registration plates and cards must be returned to A
PennDOT within five days. If business is moved to another M
location, PennDOT must be notified within 10 days of the change. P
A completed Form MV-359 and photographs of the new location
must accompany this notification.

__________________________________________________________________________________________________________
Printed Name of Authorized Signer Authorized Signature Title Date

__________________________________________________________________________________________________________
Printed Name of Authorized Signer Authorized Signature Title Date

__________________________________________________________________________________________________________
Printed Name of Authorized Signer Authorized Signature Title Date
 Application for Miscellaneous Motor Vehicle Business
Registration Plates
INSTRUCTIONS FOR COMPLETING MV-359
1. All information must be typed in full. List name of business exactly as Miscellaneous Motor Vehicle Business (MMVB)
registration is to be issued. Address must be the physical street address. A Post Office Box may be used only in addition to the
street address. Include business telephone and home telephone numbers. The license issued will be valid only for the business
address listed on this application.
2. Check appropriate box for the type of business and if location is owned or leased.
3. List all owners, partners or corporate officers. The official titles are required. Additional sheets may be used if necessary.
4. List other businesses at the same location.
5. Section J must be signed and notarized in the presence of a notary public.
6. (MMVB) registration plates may be personalized. Should you choose to personalize your MMVB registration plate, please
complete and attach Form MV-904D, "Application for Personalized Dealer Registration Plate," to this application. NOTE: There
is an additional $112 fee required with personalization requests.

DOCUMENTS THAT MUST ACCOMPANY THIS APPLICATION

1. Include photographs of the interior and exterior of the business which clearly show the business office work area and business
identification signs.
2. Applicants for Financier or Collector-Repossessor registration must include the appropriate license from the Pennsylvania
Department of Banking.
3. Application for Transporter registration must include copies of all active contracts with registered dealers or manufacturers to
regularly transport new or used vehicles on their own wheels, which are owned by or in the possession of said dealers or
manufacturers.
NOTE: The contract must include the name and address of the business that will be transporting vehicles. This contract should
be written on letterhead paper from the dealer/manufacturer you are contracting with. The contract must state that a fee will
be paid for transporting vehicles. This contract should be signed by the person(s) representing both the transporter and the
dealer/manufacturer.
4. Applicants for Vehicle Salvage Dealer registration who also desire to be authorized as a salvor under Chapter 73 of the
Pennsylvania Vehicle Code must also complete a Salvor Application (Form MV-951).
5. Include an original criminal history record (SP 4-164) obtained from the Pennsylvania State Police (not a copy) for each owner,
partner or corporate officer.
NOTE: If an individual owner, officer or employee is a resident of a state other than Pennsylvania, then a criminal background
check from their state of residence shall also be provided.
6. A copy of the front and back of a government issued photo identification credential for each owner, partner or corporate officer.
7. When PennDOT issues a (MMVB) registration plate, a copy of one of the following acceptable proofs of insurance must be
submitted. In addition, Title 67, Chapter 53.3(b)(iii) requires a certificate of insurance or a statement from an insurance carrier
authorized to do business in this commonwealth, on its letterhead, that indicates the applicant has sufficient liability insurance
to cover as many vehicles as the number of registration plates applied for.
A. An insurance identification card;
B. The declaration page of an insurance policy or a copy thereof;
C. A copy of a valid binder of insurance which contains all of the information required to appear on the I.D. card, excluding
the policy number, and is signed by a licensed insurance agent or broker, or,
D. A copy of application for insurance to the Pennsylvania Automobile Insurance Plan (PAIP) containing all of the
information required to appear on the I.D. card, excluding the policy number, and is signed by a licensed insurance
agent or broker.
8. Appropriate fee for the number of dealer registration plates requested. Payment is to be made by check or money order
payable to the Commonwealth of Pennsylvania. DO NOT SEND CASH.
9. Copy of deed/lease or rental agreement.

Mail all completed forms to: Bureau of Motor Vehicles, P.O. Box 68283, Harrisburg, PA 17106-8283.

Visit us at www.dmv.pa.gov or call us at 717-412-5300. TTY callers — please dial 711 to reach us.