Application for a Missouri Title Service License

Any false statement in this application is a violation of the law and may be punished by fine or imprisonment or both.

Please review the information below. You may click on any field to make corrections. Complete the "Finalize Your Application" section and click the submit button.

License Information

Physical Address:

Supporting Documents

Mailing Valiation:

Owners

,

Physical Address:

SSN:

Background Check:

Finalize Your Application

I DO SOLEMNLY SWEAR OR AFFIRM THAT THIS APPLICATION IS MADE TO CONDUCT BUSINESS AS A BONA FIDE DEALER, AUCTION, OR MANUFACTURER AS PROVIDED BY SECTIONS 301.550 THROUGH 301.580, RSMo, THAT THE INFORMATION SET FORTH HEREIN IS TRUE AND ACCURATE AND THAT I HAVE THE AUTHORITY TO PROVIDE ALL SUCH INFORMATION AND TO SIGN THIS APPLICATION. THIS SHALL FURTHER CERTIFY THAT THE BUSINESS SHALL MAINTAIN, DURING THE ENTIRE PERIOD OF REGISTRATION, FINANCIAL RESPONSIBILITY FOR EVERY MOTOR VEHICLE IT OWNS, LICENSES, OR OPERATES ON THE STREETS AND HIGHWAYS.

Fees
Title Service Business License $50.00
Amount Due $50.00

License Information

Effective Date of License (Optional)

If you are requesting a specific effective date, it must be within 15 days of today's date. The license effective date is dependent upon application approval.

Effective Date

Organization Information

Business Name

DBA Name

MITS Number

SOS Number

Ownership Type

State Of Incorporation

Contact Information

Phone Location

Phone Type

Phone Number

Organization E-mail

E-mail Location

Person To Contact

Contact Person Phone Number

Physical Address

Street Address Line One

Zip Code

Extended Zip Code

Street Address Line Two

Country

City

State

County

Mailing Address

Street Address Line One

Zip Code

Extended Zip Code

Street Address Line Two

Country

City

State

County

Mail-To Letter

Mail-to Letter

Bond Policies

Bond Policy 1

Policy Holder

Policy Number

Bond Amount

Type Of Bond

Effective Date

End Date

Cancel Date

Corporate Surety Bond

Bond Rider Check the box if you have a Bond Rider. If you do have a rider you will need to provide an upload showing your rider.

Owner Information

Owners 1

Last Name

First Name

Middle Name

SSN

Date Of Birth

Contact

Phone Location

Phone Type

Phone Number

E-mail

E-mail Location

Address

Street Address Line One

Zip Code

Extended Zip Code

Street Address Line Two

Country

City

State

County

Background Check Uploads

Background Check

Name-based criminal record

Application for a Missouri Title Service License More Information

License Information

Supporting Documents

Owners

,

Finalize Your Application More Information

License Information

Effective Date of License (Optional)

Organization Information

Contact Information

Physical Address

Mailing Address

Bond Policies More Information Add Bond

Bond Policy 1 Clear Bond

Owner Information Add an Owner

Owners 1 Clear Owner Fields

Contact

Address

Background Check Uploads More Information Add Background Check

Payment Processing

Application for a Missouri Title Service License

Finalize Your Application

Bond Policies

Bond Policy 1

Owner Information

Owners 1

Background Check Uploads