Mv1 Title License Plate Application - City Of Hayward Wisconsin Page 3

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WISCONSIN TITLE &

Title No. – New License Plate No.

LICENSE PLATE APPLICATION

Clear Form

MV1

2/2014

Amount Received – Document No.

Processor ID No.

Received – Date – Opened

Check

Cash

Go to Instructions

DO NOT WRITE ABOVE THIS LINE.

Complete form using BLUE or BLACK INK.

Section A – Vehicle Owner Information

Owner Legal Name (Last, First, Middle Initial OR Business Name)

Birth Date

Owner Social Security # or Driver License # or FEIN – Required

Co-Owner Name (if any) (Last, First, Middle Initial)

Birth Date

Co-Owner Social Security # or Driver License # or FEIN – Required



(check one)

AND

Street Address (include PO Box if applicable)

City

State

ZIP Code

Owner Daytime (Area Code) Telephone Number

If this is a leased vehicle, list Lessee Name

Lessee Social Security # or Driver License # or FEIN – Required

Lessee Street Address

City

State

ZIP Code

Lessee Daytime (Area Code) Telephone Number

Section B – Vehicle Information

Vehicle Identification Number

Year

Make

Type (Car, Truck, Van, etc.)

Color

Fleet No. (Optional)

Wisconsin License Plate to Transfer or Temporary Plate

Plate Type

C heck box if plates transferred between spouses/domestic partners (Ch. 770).



License plates cannot be transferred between other family members.

Date You First Drove This Vehicle in Wisconsin

Check any that apply (see instructions)



Title Only

Salvage

Police

Taxi

Flood Damaged

Hail Damaged

Vehicle is kept in County

City

Village

Town

(check one)



OF:

Section C – Loan Information

Use this section if you are adding a new lien. Any title with a lien listed after July 30, 2012, will be sent to the lien holder rather than the owner.

# 2

LIEN HOLDER

Name of Lending Agency(s) or Person(s)

Street Address (include PO Box if applicable)

City

State

ZIP Code

City

State

ZIP Code

Secured Party Number(s)

(Area Code) Telephone Number

Secured Party Number(s)

(Area Code) Telephone Number

Section D – Fees

Pay title fee if you are changing the owner(s) on the title, or titling the

Title Fee – $69.50

vehicle in Wisconsin for the first time. To obtain a replacement title

Purchase Price

please use form MV2119, Replacement Title Application.

(WARNING: It is a crime to understate the purchase price)

See instructions to determine which taxes apply.

Less trade-in allowance $

If tax exempt, enter code

Amount subject to tax

If tax exempt selected is: 1 Qualifying Family Member

State Sales Tax

(amount subject to tax

0.05)

Enter qualifying family member relationship

Local Sales Tax

(see example)

If other, list reason

Loan Filing Fee – $10

See instruction on local sales tax to determine your tax rate.

(pay fee for each loan in Section C)

Example:

$10,000

.005

$50

License Plate Fee

(check one)

(amount subject to tax)

(rate)

(local tax)



Passenger Vehicle

$75

For other plate types see Section G on back of this page.



Light Truck

(private operation only)

Enter plate type

4,500 pounds gross weight or less

$75

and gross weight if applicable

6,000 pounds gross weight or less

$84

8,000 pounds gross weight or less

$106

and registration period



Other License Plate Types

and enter fee at left.

(see information at right)

Miscellaneous Fees

(see instructions to determine if any apply)

Note: For Heavy Vehicles that qualify for Consecutive Monthly

Wheel Tax

or Quarterly registration, see back page of instructions for more

(see instructions)

information and Special Address.

Motor Carrier Class Fee from Section G

MAIL the original vehicle title (not a copy), application and check to:

Temporary Plate Fee – $3

WI Dept. of Transportation

(only if no plate to transfer; and if applying at an authorized agent)

PO Box 7949, Madison WI 53707-7949

Counter Service Fee – $5

(if you apply in person at WisDOT)

All SPECIAL PLATES mail entire application to:

Processing Fee

WI Dept. of Transportation

(if applying through an agent, an additional fee will be

charged. Make check payable to the agent. If application

PO Box 7911, Madison WI 53707-7911

is solely to add a loan, see instructions.)

Registration Fee Trust

Make Check Payable To:

ENTER FEE TOTAL

Vehicle Owner Certification –

If an owner is under 18 years old, complete Consent to Purchase (Section E) on back of this page.

I (we) certify that the information and statements on this application are true and correct. Commercial Carrier: I further certify that I have knowledge of applicable

federal and state motor carrier safety rules, regulations, standards, and orders, and declare that all operations will be conducted in compliance with such requirements.

(Owner Signature)

(Date)

(Co-owner Signature)

(Date)