SALVAGE BUYER IDENTIFICATION (BID) CARD APPLICATION
Wisconsin Department of Transportation
               MV2651         5/2021       Ch. 218 Wis. Stats.
 Driver License Number OR Photo ID Number                 State of License or ID
                                                              APPLICATION TYPE
       S4132-31788-41206                                   ontario -canada
                                                                In-State
Employee Applicant Name (Last, First, MI)                          If Dealer license expires in less than 1 year, fee is $6
                                                                   If Dealer license expires in more than 1 year, fee is $12
   SIDHU, HARSIMRAN, SINGH
Social Security Number (for verification purposes)              Out-of-State  – 1 year, fee $6
        569-474-091                                             Original
Residence Street Address, City, State, ZIP Code                 Renewal
UNIT-11 134 KENNEDY RD S , BRAMPTON,CA L6W3G4                   Duplicate (check reason below)
Height            Weight              Eye Color    Hair Color      Lost     Destroyed        Stolen    Illegible
                    70 KG                BROWN                     Name   Change   (give former name)
5-10                                                              BLACK
 Gender                                     Birth Date (m/d/yyyy)
                                             NOV 09 2022                                      Address Change (give former address)
 1 Male           Female
 Dealer License Number                                License Expiration (m/yyyy)
   VF0073 21                                             JANUARY 2023                APPLICANT’S STATEMENT You must check a box for statement 1-2
 Dealer Name                                                                              Yes      No     (1) Were you ever denied a Salvage BID card*,
  TRIPLE S TRUCK REPAIR INC                                                                               salesperson, representative or dealer license in
                                                                                                          this or any other state?
 Business Owner Name                                  Business Owner Phone No.                            If Yes, attach explanation.
 HARSIMRAN SIDHU                                       5874290050                         Yes      No     (2) Have you ever been convicted of a crime?
 Business Street Address, City, State, ZIP Code                                                           If Yes, attach explanation.
 UNIT-11 134 KENNEDY RD S , BRAMPTON , ON ,                                          I understand pursuant to s.218.0114 Wisconsin Statute that this license
 Email Address                                                                       alone does not allow me to sell vehicles to retail customers in the state
                                                                                     of Wisconsin.
      sid.repairs@gmail.com                                                          I certify with my signature below that I have read and understand all the
 DEALER’S STATEMENT – I acknowledge I am responsible for the                         provisions pertaining to the Salvage BID card for which I am making
 actions of the above-named applicant as a salvage buyer identification              application and that the answers and statements made are complete,
 cardholder.                                                                         correct and true.
 X                                                             nov-09-2022           X                                                    nov - 09- 2022
     (Owner, Officer or Authorized Agent Signature)             (Date – m/d/yyyy)        (Employee/Applicant Signature)                      (Date – m/d/yyyy)
 Title                                                                               Print Name
          director                                                                                    hasrimran sidhu
* A Salvage Buyer Identification (BID) Card is required to submit bids and purchase motor vehicles held and offered for sale by a motor vehicle
  salvage pool. Motor vehicle dealers, wholesalers, salvage dealers and their employees are eligible for BID cards.
In-State Salvage Buyer Identification (BID) card is valid until employing dealer's license expires. Out-of-State Salvage Buyer
Identification (BID) card is valid until employing dealer’s license expires, for a maximum of 12 months. The BID card
expiration date will appear on your card.
                               All licenses are mailed to the dealer license credential address only
                                                                  APPLICATION INSTRUCTIONS
1. A separate Salvage BID card application is required for each                     7. Indicate the type of application: In-State or Out-of-State, original,
   dealership for which you will be purchasing salvage vehicles.                        renewal, or duplicate. Include the appropriate fee with the
2. Complete all blanks on the application.                                              application. If a DUPLICATE application, indicate the reason.
3. Copy the ID number to the appropriate area on this application                       Include original Salvage BID card with this application if not lost,
   exactly as it appears from a driver’s license or other official                      stolen or destroyed. If a lost or stolen card is recovered after a
   government issued PHOTO IDENTIFICATION card belonging to                             duplicate is issued, return the recovered card. If name and/or
   the applicant.                                                                       address have changed, enter former name and/or address.
4. Provide social security number. The Salvage BID card cannot be                   8. Sign the application where applicant's signature is indicated.
   issued without it.                                                               9. Have Dealer's statement signed by an owner, officer or agent of
5. Give physical description and birth date.                                            the dealership.
6. Enter the motor vehicle dealer, wholesaler, or salvage dealer                    10. Make check payable to: Registration Fee Trust
   license number issued to the business if licensed in Wisconsin. If                   Submit completed application with check to:
   the dealer is an out-of-state business, include the two-letter state                           Wisconsin Department of Transportation
   abbreviation as a prefix to your dealer number. Include with the                               Dealer and Agent Section
   application a PHOTOCOPY of the credential which is issued to                                   P.O. Box 7909, Madison, WI 53707-7909
   the business by the regulating authority in that jurisdiction                    Upon termination of employment, the Salvage BID card shall be
   verifying the authority of the entity to do business.                            surrendered to the dealer or firm named on the card. This dealer
NOTE: If the dealer license is not in English, you must include an English          or firm shall return the card to the department for cancellation at
translation. The license must allow buying and selling, not just importing          the address listed above.
and exporting, to qualify.
                                                         If you have questions, please call (608) 266-1425