Form Dsd 36 - Dealer Request For Dmv Forms Page 2

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DSD 36 (09/25/2015) Page 2 of 2
DMV DEALER FORMS
(continued)
STOCK NUMBER
DESCRIPTION
UNIT ISSUE
QUANTITY ORDERED
POD
MVDB 57 -- MOTOR VEHICLE DEALER QUALIFICATION TEST APPLICATION
100/PACK
POD
SUT 1 -- VEHICLE PRICE CERTIFICATION
100/PAD
(VEHICLE MUST BE MORE THAN 5 YEARS OLD)
FRM-SUT 2
SUT 2 -- APPLICATION FOR REFUND OF SALES AND USE TAX
100/PACK
FRM-SUT 3
SUT 3 -- PURCHASER'S STATEMENT OF TAX EXEMPTION
50/PAD
FRM-SUT 4
SUT 4 -- TRANSFER OF CERTIFICATE OF LIEN INFORMATION
50/PAD
POD
VSA 04 -- DEALER TRANSACTION RECAP SHEET
50/PAD
FRM-VSA 05
VSA 05 -- ODOMETER DISCLOSURE STATEMENT
200/PACK
FRM-VSA 06
VSA 06 -- VEHICLE COLOR CHART
50/PACK
POD
VSA 10 -- LICENSE PLATE APPLICATION
50/PAD
FRM-VSA 14
VSA 14 -- VEHICLE REGISTRATION APPLICATION
250/PACK
VSA 14 I -- REGISTRATION INFORMATION SHEET
FRM-VSA 14 I
100/PACK
(Use with VSA 14)
FRM-VSA 17A
VSA 17A -- APPLICATION FOR CERTIFICATE OF TITLE AND REGISTRATION
500/PACK
POD
VSA 17B -- APPLICATION FOR CERTIFICATE OF TITLE - MANUFACTURED HOMES 100/PACK
FRM-VSA 24
VSA 24 -- STATEMENT OF AUTHORITY TO ASSIGN TITLE
100/PAD
FRM-VSA 27
VSA 27 -- RECEIPT FOR MONEY PAID FOR TRANSFER OF LICENSE PLATES
50/PACK
FRM-VSA 39
VSA 39 -- EMERGENCY PERMIT TO TRANSFER LICENSE PLATE
25/BOOK
POD
VSA 56 -- APPLICATION FOR SALVAGE CERTIFICATE
50/PAD
POD
VSA 57 -- APPLICATION FOR NON-REPAIRABLE CERTIFICATE
50/PAD
VSA 66 -- APPLICATION FOR SUPPLEMENTAL AND TRANSFER LIEN, OR
FRM-VSA 66
100/PAD
REPLACEMENT AND SUBSTITUTE TITLES
VSA 70 -- POWER OF ATTORNEY TO SIGN FOR OWNER WHEN REGISTERING
FRM-VSA 70
100/PAD
AND/OR TRANSFERRING OWNERSHIP OF A MOTOR VEHICLE
FRM-VSA 71
VSA 71 -- APPLICATION FOR CHANGE OF EXISTING VEHICLE RECORD
50/PAD
POD
VSA 124 -- FIREFIGHTER OR RESCUE SQUAD LICENSE PLATES CERTIFICATION
50/PAD

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