Vehicle Section MV 1 Tag And Or Application Form MV1 0
User Manual: MV 1
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Page Count: 1
- Complete For All Commercial Vehicles
- Number of Owners___________ Owner Section Leased Vehicle? □ No □ Yes (Complete Lessee Section)
- Owner # 1
- Full Legal Name of Owner #1
- Date of Birth
- First, Middle, Last Suffix
- Owner # 2
- Full Legal Name of Owner #2
- Date of Birth
- First, Middle, Last Suffix
- Mailing Address (If different from street address including city, state & zip)
- Seller Section
- Lessee Section
- Number of Security Interests or Liens: _______ Security Interests or Liens Section
- Security Interest Holder’s/Lien Holder’s or ELT 12 Digit Customer ID #
- Security Interest Holder’s/Lien Holder’s or ELT 12 digit Customer ID #
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 Year Make Body Style Model Color Cylinders New or Used
Date Purchased Emission Certificate # Current Title # Current Title’s State of Issue GA County of Residence District #
Odometer Reading □
□ □ Warning odometer discrepancy!
Complete For All Commercial Vehicles
Gross Vehicle Weight & Load Straight Truck? Used For Hire? Type of Trailer Pulled? Product Hauled? Is This A Farm Vehicle?
_______________________ □Yes □No □Yes □No __________________ _______________ □Yes □No
Number of Owners___________ Owner Section Leased Vehicle? □No □Yes
Owner # 1
MV-1 (Revised 11-2013)
Full Legal Name of Owner #1 Date of Birth
If you purchased this vehicle from an out-
of-state dealer/business, did you pick-up
the vehicle out-of-state?
□Yes □No
Owner # 2 Full Legal Name of Owner #2 Date of Birth
Address (Street address including city, state & zip) Mailing Address (If different from street address including city, state & zip)
Seller Section Lessee Section
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 Lessee’s GA County Location
Security Interests or Liens Section
Name & Address of 1stSecurity Interest Holder/Lien Holder: Name & Address of 2nd Security Interest Holder/Lien Holder:
Name & Address of 3rd Security Interest Holder/Lien Holder:
Name & Mailing Address of Attorney-in-Fact - Attach original power of attorney if title is to
be mailed to attorney-in-fact.
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
DOR - Motor Vehicle
Title/Tag Application
GA Dealer’s/Bank’s 12 Digit Customer ID# (If Applicable)
Number of Security Interests or Liens: _______
Driver’s License #, if individual*
Security Interest Holder's/Lien Holder's ELT 12 Digit Customer ID#
Security Interest Holder’s/Lien Holder’s ELT 12 Digit Customer ID # Security Interest Holder’s/Lien Holder’s ELT 12 Digit Customer ID #
Georgia identification card. Owner's E-mail Address___________________________________________________________________________________
$ 10.00
* Directly Financed Dealer Sale
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