Form Mv-33 - Georgia Department Of Revenue (Dor) Title Ad Valorem Tax (Tavt) Refund Request
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Form MV-33 (rev 03-2013)
Georgia Department of Revenue (DOR) Title Ad Valorem Tax (TAVT) Refund Request
Instructions: Submit this form and a copy of your receipt to your local County Tag Office, or mail the form and a copy of your receipt to
said address.
Reason for Refund Request
Received from Immediate Family
Military Eligibility
Other ___________________________
Member. (Provide MV-16)
Vehicle Owner Information
Full, Legal Name of Person/Business Requesting Refund
Building Number
Street Name
County
Apt. No. (If applicable)
City
State
Zip Code
Driver's License No.
Customer ID No. (If Different from Driver's License Number)
EIN (Employer ID# if business)
Vehicle Information
Year
Make
Model
VIN
Tag Number
NOTE: Your refund will be mailed to you at the address in the Motor Vehicle System. If your address has recently changed,
update your address prior to or upon submitting this request. Save a copy of this form and contact your local County Tag
Office for complete information about your eligibility for refunds.
Certification
I certify and affirm that all information presented in this form is true and correct, that any documents I have presented are
genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and
affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form
is a criminal violation.
______________________________________________ ______________________________________________
________/________/__________
Signature of Owner
Printed Name & Title, if Refund Request for a Business
Date
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