Form Fms 210 - Vehicle Registration Refund Application
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1FMS 210 (04/23/2015)
VEHICLE REGISTRATION REFUND APPLICATION
Purpose:
Use this form to request a refund of the DMV registration fee when vehicle tags are returned to DMV and have at least
6-full months remaining on the registration.
Instructions: Submit this form and your license plates to any Customer Service Center, or mail the form and license plates to the
Registration Renewal Work Center at the above address.
NOTE: Your refund will be mailed to you at the address DMV has in their system. If your address has recently
changed, update your address with DMV prior to submitting this request. Read the Registration Refund Information
below before completing this form. Save a copy of this form and contact your local county/city/town for complete
information about your eligibility for refunds of local license fees.
VEHICLE INFORMATION
PLATE NUMBER
TITLE NUMBER
MAKE
YEAR
EXPIRATION DATE (mm/dd/yyyy)
APPLICANT INFORMATION
NAME
EIN/DRIVER LICENSE NUMBER OR SSN
MAILING ADDRESS
CITY
ZIP CODE
STATE
CERTIFICATION
I/We certify that this vehicle has been sold, disposed of, and/or will not be used on the roads and highways of Virginia without proper
registration.
I/We further certify and affirm that all information presented in this form is true and correct, that any documents I/we have presented to DMV are
genuine, and that the information included in all supporting documentation is true and accurate. I/We make this certification and affirmation
under penalty of perjury and I/we understand that knowingly making a false statement or representation on this form is a criminal violation.
OWNER SIGNATURE
DATE (mm/dd/yyyy)
CO-OWNER SIGNATURE
DATE (mm/dd/yyyy)
CHECK ONE AND SIGN BELOW (if applicable)
EXECUTOR
POWER OF ATTORNEY
LEGAL HEIR
ADMINISTRATOR OF ESTATE
OWNER SIGNATURE
DATE (mm/dd/yyyy)
REGISTRATION REFUND INFORMATION
If your refund check does not arrive within 30 days from the date of your application, write to:
DMV Refund Section
Financial Management Services
P.O. Box 25700
Richmond, Virginia 23260.
Refund amounts are based on each 6 full months remaining in the registration period.
No refunds are made if less than 6 full months remain in the registration period.
A $5.00 processing fee is charged if none of the registration period has passed.
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