Get 96 0353 R05 17

This guide will assist you in completing the 96 0353 R05 17 form, designed for plate credit refund requests in Arizona. By following these steps, you will ensure that your request is submitted accurately and efficiently.

Follow the steps to complete your plate credit refund request form online.

1. Press the ‘Get Form’ button to access the 96 0353 R05 17 form and open it in an appropriate editor for filling out your information.
2. Enter the license plate number in the designated field. Ensure that this information is accurate as it is essential for processing your refund.
3. Provide the vehicle identification number (VIN) in the specified section, which helps identify the vehicle associated with the refund request.
4. Fill in the year and make of the vehicle to give further details about the specified vehicle.
5. Input your full customer name or lessee name, including first, middle, last, and suffix, as required on the form.
6. Enter your Arizona driver license number or employer identification number (EIN), or mark N/A if not applicable.
7. Fill in the address where you would like the refund to be mailed, ensuring accuracy in all fields, including city, state, and zip code.
8. Provide your date of birth, which is important for identity verification.
9. Include your email address for communication regarding your refund request, and note that this will not change your address on your MVD record.
10. Select the relevant box to certify that you no longer own the vehicle. Indicate if it was sold, traded in, transferred to another person, lease ended, or if it was totaled, destroyed, or stolen. Make sure to complete the Sold Notice section if applicable.
11. Complete the Sold Notice with the buyer or lessor's name, address, and the date sold or transferred.
12. Acknowledge the requirement to dispose of the license plate appropriately or turn it in to an MVD office.
13. Request a refund by indicating acknowledgment of the processing fee of $12.00 and understand how it will affect your total refund amount.
14. Sign and date the form at the designated areas to validate your request. Also, include your phone number for any follow-up.
15. Once you have filled out the form completely, review your entries for accuracy before submitting. Save your changes, and then download, print, or share the form as needed.

Submit your refund request online today for a swift processing experience.