Vehicle Section MV 1 Tag And Or Application Form MV1 0

User Manual: MV 1

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MV-1 (Revised 11-2013)

$ 10.00

DOR - Motor Vehicle
Title/Tag Application

Vehicle Section:

Except for the signature, this application must be typed, electronically completed & printed or legibly hand printed in black or blue ink.

Vehicle Identification Number
Date Purchased

Year

Emission Certificate #

Make

Body Style

Current Title #

Model

Color

Current Title’s State of Issue

GA County of Residence

Gross Vehicle Weight & Load
_______________________

□

□ Yes □

□

No

Yes

□

No

Owner # 1

Owner # 2

_______________

Leased Vehicle?

Full Legal Name of Owner #1

If you purchased this vehicle from an outof-state dealer/business, did you pick-up
the vehicle out-of-state?
□ Yes
□ No

Product Hauled?

__________________

Owner Section

Number of Owners___________

□

No

□

Is This A Farm Vehicle?

□

Yes

□ No

Yes

Full Legal Name of Owner #2

Address (Street address including city, state & zip)

District #

Warning odometer discrepancy!

Complete For All Commercial Vehicles
Used For Hire?
Type of Trailer Pulled?

Straight Truck?

New or Used

□

Odometer Reading

□

Cylinders

Date of Birth

Date of Birth

Mailing Address (If different from street address including city, state & zip)

Seller Section

Lessee Section

GA Dealer’s/Bank’s 12 Digit Customer ID# (If Applicable)

Driver’s License #, if individual*

Full Legal Name or Business Name & Address:

Lessee’s Full Legal Name & Address or Business Lessee’s Full Name & Address:

If Georgia Seller, GA County Name

* Directly Financed Dealer Sale

□

Number of Security Interests or Liens: _______

Lessee’s GA County Location

Security Interests or Liens Section

Security Interest Holder’s/Lien Holder’s ELT 12 Digit Customer ID #

Security Interest Holder’s/Lien Holder’s ELT 12 Digit Customer ID #

Name & Address of 1stSecurity Interest Holder/Lien Holder:

Name & Address of 2nd Security Interest Holder/Lien Holder:

Security Interest Holder's/Lien Holder's ELT 12 Digit Customer ID#

Name & Mailing Address of Attorney-in-Fact - Attach original power of attorney if title is to
be mailed to attorney-in-fact.

Name & Address of 3rd Security Interest Holder/Lien Holder:

I do solemnly swear or affirm under criminal penalty of a felony for fraudulent use of a false or fictitious name or address or for making a material false
statement punishable by fine up to $5,000 or by imprisonment of up to five years, or both, that the statements contained herein are true & accurate.
Owner #1 Signature______________________________________________ Owner #2 Signature_____________________________________________
*A Georgia license plate and registration will not be issued until the applicant presents, at the time of application, their valid Georgia driver’s license or
Georgia identification card.
Owner's E-mail Address___________________________________________________________________________________



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Author                          : mdixon
Company                         : GA DMVS
Create Date                     : 2008:12:29 14:40:22-05:00
Keywords                        : title application, apply for vehicle title, application for tag, application for title
Modify Date                     : 2014:02:03 08:13:30-05:00
Source Modified                 : D:20081229162339
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Format                          : application/pdf
Creator                         : mdixon
Title                           : Vehicle Section
Subject                         : title application, apply for vehicle title, application for tag, application for title
State                           : 1
Version                         : 1.1
Page Layout                     : OneColumn
Page Count                      : 1
EXIF Metadata provided by EXIF.tools

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