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Get GA MV-1 2009

MV-1 Revised 12-2009 Original Title Fee 18. 00 Replacement Title Fee Title Penalty Fee 10. 00 License Plate to Transfer Attach copy of current registration. GA Sales Tax Expedited Title Fee by mail or in person at State MV- PC. Vehicle Identification Number Date Purchased County Ad Valorem Tax License Tag Fee Mfg. Fee Special Tag Special Tag Annual Fee Tag Transfer Fee 10 Tax Penalty 5 Min. 25 Tag Penalty Tag/Decal Mail Fee Year Emission Certificate Odometer Reading Make Body Style Current Title Model Color Cylinders GA County of Residence District Fuel EXEMPT Not the Actual Mileage Warning odometer discrepancy Exceeds Mechanical Limits of Odometer New or Used Gross Vehicle Weight Load Straight Truck Complete For All Commercial Vehicles Used For Hire Type of Trailer Pulled Product Hauled Is This A Farm Vehicle Yes No Owner Section Number of Owners Owner 1 Leased Vehicle Full Legal Name of Owner 1 Driver s License If individual State/Country of Issue First Middle Last Yes Complete Lessee Section Date of Birth Suffix Purchaser s GA Sales Tax when applicable If you purchased this vehicle from an outof-state dealer/business did you pick-up the vehicle out-of-state Address Street address including city state zip Mailing Address If different from street address including city state zip Seller Section GA Dealer s/Bank s 12 Digit Customer ID Lessee Section Seller s GA Sales Tax 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 Interests or Liens Section If you are an electronic lien or security interest holder participant please check the following box s Number of Security Interests or Liens 1st lien 2nd Lien 3rd Lien Name Address of 1stSecurity 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 Georgia identification card. DOR - Processing Center-Motor Vehicle Title/Tag Application Clear Print Vehicle Section. 00 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 County Ad Valorem Tax License Tag Fee Mfg. Fee Special Tag Special Tag Annual Fee Tag Transfer Fee 10 Tax Penalty 5 Min. 25 Tag Penalty Tag/Decal Mail Fee Year Emission Certificate Odometer Reading Make Body Style Current Title Model Color Cylinders GA County of Residence District Fuel EXEMPT Not the Actual Mileage Warning odometer discrepancy Exceeds Mechanical Limits of Odometer New or Used Gross Vehicle Weight Load Straight Truck Complete For All Commercial Vehicles Used For Hire Type of Trailer Pulled Product Hauled Is This A Farm Vehicle Yes No Owner Section Number of Owners Owner 1 Leased Vehicle Full Legal Name of Owner 1 Driver s License If individual State/Country of Issue First Middle Last Yes Complete Lessee Section Date of Birth Suffix Purchaser s GA Sales Tax when applicable If you purchased this vehicle from an outof-state dealer/business did you pick-up the vehicle out-of-state Address Street address including city state zip Mailing Address If different from street address including city state zip Seller Section GA Dealer s/Bank s 12 Digit Customer ID Lessee Section Seller s GA Sales Tax 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 Interests or Liens Section If you are an electronic lien or security interest holder participant please check the following box s Number of Security Interests or Liens 1st lien 2nd Lien 3rd Lien Name Address of 1stSecurity 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. .

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