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Get GA MV-1 2013

DOR - Motor Vehicle Title/Tag Application 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 Date Purchased Year Emission Certificate Odometer Reading Make Body Style Current Title Model Color Cylinders GA County of Residence District EXEMPT Not the Actual Mileage Warning odometer discrepancy Fuel Gross Vehicle Weight Load Exceeds Mechanical Limits of Odometer Straight Truck Yes No Product Hauled Owner Section Number of Owners Owner 1 Complete For All Commercial Vehicles Used For Hire Type of Trailer Pulled Leased Vehicle individual Middle Is This A Farm Vehicle Yes Complete Lessee Section Full Legal Name of Owner 1 First New or Used Date of Birth Last Suffix Issue If you purchased this vehicle from an outof-state dealer/ business did you pick-up the vehicle out-of-state Purchaser s GA Sales Tax when applicable Driver s License If an State/Country of 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 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 I nterests or Liens Section Name Address of 1st Security Interest Holder/ Lien Holder Name Mailing Address of Attorney-in-Fact - Attach original power of attorney if title is to be mailed to attorney-in-fact. Vehicle Identification Number Date Purchased Year Emission Certificate Odometer Reading Make Body Style Current Title Model Color Cylinders GA County of Residence District EXEMPT Not the Actual Mileage Warning odometer discrepancy Fuel Gross Vehicle Weight Load Exceeds Mechanical Limits of Odometer Straight Truck Yes No Product Hauled Owner Section Number of Owners Owner 1 Complete For All Commercial Vehicles Used For Hire Type of Trailer Pulled Leased Vehicle individual Middle Is This A Farm Vehicle Yes Complete Lessee Section Full Legal Name of Owner 1 First New or Used Date of Birth Last Suffix Issue If you purchased this vehicle from an outof-state dealer/ business did you pick-up the vehicle out-of-state Purchaser s GA Sales Tax when applicable Driver s License If an State/Country of 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 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 I nterests or Liens Section Name Address of 1st Security Interest Holder/ Lien Holder Name Mailing Address of Attorney-in-Fact - Attach original power of attorney if title is to be mailed to attorney-in-fact. 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. .

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