Georgia Mv1 Title Tag Application

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Complete Georgia Mv1 Title Tag Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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MV-1 (Revised 1-2009)

Original Title Fee

$18.00

County Ad Valorem Tax

$_____________.00

Replacement Title Fee

8.00

License Tag Fee

$_____________.00

DOR-MVD

Title Penalty Fee

10.00

Mfg. Fee Special Tag

$_____________.00

License Plate to Transfer____________

Special Tag Annual Fee

$_____________.00

Title/Tag

(Attach copy of current registration.)

Tag Transfer Fee

$_____________.00

Application

GA Sales Tax

$__________

10% Tax Penalty ($5 Min.)

$_____________.00

Expedited Title

Fee*

10.00

25% Ta P

g enalty

$________

_____.00

*Expedited title processing is only available

Tag/Decal Mail Fee

$_____________. 00

Clear

by mail or in person at State MVD.

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

Fuel

□

Odometer reading is actual miles unless you check one of the following boxes:

EXEMPT

□

Exceeds Mechanical Limits of Odometer

Not the Actual Mileage,

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

__________________

_______________

Yes

□

Owner Section

Number of Owners___________

Leased Vehicle?

Yes (Complete Lessee Section)

Owner # 1

Full Legal Name of Owner #1

Date of Birth

Driver’s License # (If

State/Country of

First,

Middle,

Last

Suffix

individual)

Issue*

Full Legal Name of Business/Leasing Company’s Name

If you purchased this vehicle from an out-

Purchaser’s GA Sales Tax # (when

applicable)

of-state dealer/business, did you pick-up

the vehicle out-of-state?

□

Yes

□

Owner # 2

Full Legal Name of Owner #2

Date of Birth

Driver’s License # (If an

State/Country of

First,

Middle,

Last

Suffix

individual)

Issue*

Full Legal Name of Business/Leasing Company’s Name

Address (Street address including city, state & zip)

Mailing Address (If different from street address including city, state & zip)

Seller Section

Lessee Section

GA Dealer’s/Bank’s 12 Digit Customer ID#

Seller’s GA Sales Tax #

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

Lessee’s GA County Location

Security Interests or Liens Section

Number of Security Interests or Liens: _______

If you are an electronic lien or security interest holder participant, please check the following box(s):

lien

Lien

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 #

Name & Address of 1

Security Interest Holder/Lien Holder:

Name & Address of 2

Security Interest Holder/Lien Holder:

Security Interest Holder’s/Lien Holder’s or 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 3

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.