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Click ‘Get Form’ to open the mvdb 41 in the editor.
Begin by filling in the DEALER INFORMATION section. Enter your Dealership Trade As Name, Dealer Certificate Number, and provide the Dealer-Operator, Owner, or Authorized Signature along with the Date.
In the SALESPERSON INFORMATION section, list up to four salespersons who have terminated employment. For each salesperson, include their Name (Last, First, Middle, Suffix), Customer Number or SSN, and Termination Date.
Attach the salesperson's license to the form. Write 'Terminate', sign, and date directly on the license. If you cannot obtain a license, indicate this in the designated area.
Once completed, submit your form via fax at (804) 367-1053, mail it to the Motor Vehicle Dealer Board at 2201 W. Broad St., Suite 104 Richmond, VA 23220, or send an email notification to dboardreply@mvdb.virginia.gov.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (86 Votes)
2009	4 Satisfied (39 Votes)

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