Form Mv-14 - Affidavit To Opt In To The Title Ad Valorem Tax System

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MV-14 (3-2013)
Affidavit to Opt In to the Title Ad Valorem Tax System
Transfer/Purchase Date: _____________________
VIN: __________________________________
Year: _________
Make: ________________________
Email Address: _______________________________
Daytime Phone Number: ________________________
I, __________________________ whose Drivers License number is __________________________
Choose not to Opt In to the TAVT system at this time; however, I understand that I can return to the
County Tag Office in the county I reside in by February 28, 2014 to Opt In. Furthermore, I also understand
that ad valorem taxes will not be refunded once they have been paid.
Elect to Opt In to the new Title Ad Valorem Tax (TAVT) system for this vehicle.
By electing to Opt In to the TAVT, I qualify due to the following reason.
I purchased this vehicle in Georgia between the dates of January 1, 2012 and February 28, 2013.
I received this vehicle (whether gifted, purchased, or inherited) from an immediate family member
(spouse, parent, child, sibling, grandparent, grandchild).
Signature _________________________________
Date ________________________
Any person who falsifies any information in this affidavit shall be subject to a penalty not to exceed
$2,500.00 as a state penalty and not to exceed $2,500.00 as a local penalty as determined by the state
revenue commissioner.

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