Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.
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How do I fill this out?
To fill out this form correctly, you need to start by indicating whether this is a new application or a renewal. Then, fill out the necessary agent information, moral character details, and get the required signatures. In the following section, we'll provide detailed instructions for each part of the form.
How to fill out the Texas Automobile Club Agent Application Form?
1
Select new application or renewal.
2
Enter agent's personal information.
3
Complete the moral character section.
4
Obtain signatures from the agent and authorized representative.
5
Submit the form with the filing fee.
Who needs the Texas Automobile Club Agent Application Form?
1
Automobile clubs seeking to register a new agent.
2
Applicants acting as agents for automobile clubs.
3
Automobile clubs renewing an agent's registration.
4
Authorized representatives of automobile clubs completing forms for submission.
5
Individuals seeking to validate their registration status with the Texas Secretary of State.
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What are the instructions for submitting this form?
To submit this form, mail it to the Registrations Unit at P.O. Box 13193, Austin, TX 78711-3193, or deliver it to the James Earl Rudder Office Building at 1019 Brazos, Austin, TX 78701. Include a $10 filing fee payable by check, money order, or credit card (subject to a 2.7% convenience fee). For quick submission, use our online PDF editor to fill out the form and then print and mail it. If you need further assistance, you can contact the Texas Secretary of State’s office at 512-475-0775 or send a fax to 512-475-2815. Make sure to attach any additional required documents regarding the agent's moral character, if applicable.
What are the important dates for this form in 2024 and 2025?
Important dates for 2024 and 2025 include the filing deadline, which is 30 days after hiring a new agent, and the renewal date, which is 12 months from the issuance date.
What is the purpose of this form?
The purpose of the Automobile Club Agent Application Form is to ensure that all agents employed by automobile clubs in Texas are properly registered or renewed with the Texas Secretary of State. This form, required by Chapter 722 of the Texas Transportation Code, helps maintain regulatory compliance and ensures that all agent information is up-to-date and accurate. By completing this form, automobile clubs and their agents can continue to operate legally within the state.
Tell me about this form and its components and fields line-by-line.
- 1. New Application or Renewal: Indicate whether the application is new or for renewal.
- 2. Automobile Club Information: Include the name of the automobile club.
- 3. Agent Information: Enter the agent's full legal name, date of birth, address, social security number, and gender.
- 4. Moral Character Information: Disclose if the agent has been convicted of a felony or misdemeanor, along with details and court documents if applicable.
- 5. Execution: Signatures of the agent and an authorized representative of the automobile club are required.
- 6. Payment and Delivery Instructions: Specify the filing fee and provide payment and submission options.
What happens if I fail to submit this form?
Failure to submit this form within the required timeframe can result in non-compliance with state regulations and potential penalties.
- Non-Compliance: Failure to file may lead to violations of the Texas Transportation Code.
- Penalties: Penalties may be imposed for not adhering to filing deadlines.
- Operational Disruption: Agents may not be legally recognized, affecting club operations.
How do I know when to use this form?
- 1. New Agent Registration: When hiring a new agent, file within 30 days.
- 2. Renewal: Renew annually before the expiration date.
- 3. Information Update: Update agent's details as needed.
- 4. Compliance Verification: Ensure the agent remains in compliance with state regulations.
- 5. Public Record Submission: File the form to maintain public record status.
Frequently Asked Question
What is the purpose of the Automobile Club Agent Application Form?
The form is used to register or renew the registration of an agent for an automobile club with the Texas Secretary of State.
How do I submit the Automobile Club Agent Application Form?
You can submit the form either by mailing it to the Registrations Unit in Austin, Texas, or by delivering it to the specified office address.
Can I use PrintFriendly to fill out the Automobile Club Agent Application Form?
Yes, you can use PrintFriendly's PDF editor to fill out the form by uploading the PDF to our platform and entering the necessary information.
How do I pay the filing fee for this form?
The $10 filing fee can be paid by check, money order, or credit card. Credit card payments are subject to a 2.7% convenience fee.
Where do I find the Automobile Club Agent Application Form?
You can obtain the form from the Texas Secretary of State's office or website.
Does PrintFriendly support digital signatures?
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What information is required for the agent section of the form?
You'll need to provide the agent's name, date of birth, address, social security number, and gender.
How do I attach additional sheets for the moral character section?
If additional sheets are needed, you can upload them along with your form to PrintFriendly and insert as required.
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PrintFriendly allows you to edit and download your completed form when done. Ensure to save any progress externally if needed.
Is the form a public record?
Yes, once filed with the Texas Secretary of State, the form is a public record subject to public access and disclosure.
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