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Get GA MV-5 2004

I do certify that the vehicle described is covered with the required Georgia liability insurance. FIRST Owner s Full Legal Name MIDDLE LAST County of Residence Legal Name of Business/Company Street Address including City State Zip Mailing Address Including City State Zip if different from above address Dealer s Signature If Applicable Dealer s Permanent ID Number Personal Signature s of Owner s Dealer s Master Tag Number Date MV-5 Instructions Information Rev. 12-04 Application for a Replacement Registration Certificate Instructions Information The other side of this form is an application for the replacement of a certificate of vehicle registration. A vehicle registration expires at midnight on the last day of the owner s requires a certificate of title. A certificate of title is required to transfer the ownership of a vehicle when the vehicle requires a title i.e. 1986 and newer year model vehicles etc. Georgia where the owner resides. All license plates are transferable from one vehicle an owner sells or transfers to another vehicle the same owner buys or acquires as long as both vehicles require the same price and category license plate. The registration certificate has been lost stolen or mutilated and for a lost or stolen registration certificate I have no knowledge as to where it may be or in whose possession it is now and I request that I be furnished a replacement registration certificate for this vehicle originally registered. I do solemnly swear under criminal penalty of a felony for fraudulent use or a false or fictitious name or address or for making a material false statement punishable by a fine up to 5 000 or by imprisonment of up to five- 5 years or both that the statements contained herein are true and accurate. I do certify that the vehicle described is covered with the required Georgia liability insurance. FIRST Owner s Full Legal Name MIDDLE LAST County of Residence Legal Name of Business/Company Street Address including City State Zip Mailing Address Including City State Zip if different from above address Dealer s Signature If Applicable Dealer s Permanent ID Number Personal Signature s of Owner s Dealer s Master Tag Number Date MV-5 Instructions Information Rev. 12-04 Application for a Replacement Registration Certificate Instructions Information The other side of this form is an application for the replacement of a certificate of vehicle registration. A vehicle registration expires at midnight on the last day of the owner s requires a certificate of title. A certificate of title is required to transfer the ownership of a vehicle when the vehicle requires a title i.e. 1986 and newer year model vehicles etc. Georgia where the owner resides. The undersigned filed an application in accordance with Georgia law and paid the lawful fee for the registration of the above described vehicle and was furnished a license plate/renewal decal and registration certificate with the number recorded above. The registration certificate has been lost stolen or mutilated and for a lost or stolen registration certificate I have no knowledge as to where it may be or in whose possession it is now and I request that I be furnished a replacement registration certificate for this vehicle originally registered. I do solemnly swear under criminal penalty of a felony for fraudulent use or a false or fictitious name or address or for making a material false statement punishable by a fine up to 5 000 or by imprisonment of up to five- 5 years or both that the statements contained herein are true and accurate. I do certify that the vehicle described is covered with the required Georgia liability insurance. FIRST Owner s Full Legal Name MIDDLE LAST County of Residence Legal Name of Business/Company Street Address including City State Zip Mailing Address Including City State Zip if different from above address Dealer s Signature If Applicable Dealer s Permanent ID Number Personal Signature s of Owner s Dealer s Master Tag Number Date MV-5 Instructions Information Rev. 12-04 Application for a Replacement Registration Certificate Instructions Information The other side of this form is an application for the replacement of a certificate of vehicle registration. A vehicle registration expires at midnight on the last day of the owner s requires a certificate of title. MV-5 REV 12-04 FEE - 1. 00 APPLICATION FOR A REPLACEMENT REGISTRATION CERTIFICATE The original is lost stolen or mutilated Georgia County Georgia License Plate Number Owner s Georgia Driver s License Number Type of Trailer if Trailer Date of Birth Vehicle ID Number Gross Weight of Vehicle Load if Truck Vehicle Make Year Model Registration Expiration Date Emission Certificate No. If Applicable Style of Body Model Original Fee Emission Expiration Date If Applicable Caution motor vehicle or the vehicle owner will be subject to fines of up to 100 by law enforcement for improper registration. New vehicles must be properly registered within thirty- 30 days of the date of purchase or ownership transfer. For vehicles requiring a Georgia certificate of title the vehicle owner must apply for Georgia certificate of title promptly after the purchase or ownership transfer of a vehicle. A Georgia certificate of title when required must be obtained prior to registration or applied for at the time of registration or a license plate will not be issued or transferred to the vehicle in the owner s name. .

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