Form 400 - Application For Certificate Of Title And Registration For Motor Vehicle Or Manufactured Home/mobile Home Page 7

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Section J – Insurance Certification
This section is required if a vehicle registration is requested.  Enter the name of the liability insurance company; not the insurance 
agency’s name.  
Section K – Donate Life SC
Indicate whether you would like to make a donation to Donate Life SC.  If you would like to make a donation, indicate the amount to 
contribute on the blank line.  For more information on Donate Life SC, visit 
Section L – Signature of Owner
After verifying that all information is accurate and correct, the owner(s) must sign.  If Shared Ownership is marked with “And” 
(Section D, #5), both owners must sign the application.  If someone other than the owner signs the application, the application must 
be accompanied by an official POA (Power of Attorney). If you are registering a commercial vehicle over 10,000 lbs., you are also 
certifying that you are familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations. If 
the vehicle registered is not a commercial vehicle over 10,000 lbs., this statement is not applicable to this application. If more than 
two owners, the primary owner is required to sign all additional Forms 400 regardless of relationship (See Section D, #5 Shared 
 
Ownership).
Instructions for Completing the Application for Title (Form 400)
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