Vehicle Section MV 1 Tag And Or Application Form MV1 0
User Manual: MV 1
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Clear Print 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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File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.6 Linearized : No Encryption : Standard V4.4 (128-bit) User Access : Print, Fill forms, Extract, Print high-res 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 Has XFA : No Tagged PDF : Yes XMP Toolkit : Adobe XMP Core 5.2-c001 63.139439, 2010/09/27-13:37:26 Producer : Acrobat Distiller 8.1.0 (Windows) Creator Tool : Acrobat PDFMaker 8.1 for Word Metadata Date : 2014:02:03 08:13:30-05:00 Document ID : uuid:1fa7c7ec-5f72-4172-92fc-983695887382 Instance ID : uuid:f1dbc50d-b5f9-4ff5-94c8-7ce7d6835f08 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 : 1EXIF Metadata provided by EXIF.tools