| Owner information | Application type - title, or title and registration with plates issued. The electronic title option, a yes-or-no on whether DMV keeps the certificate on file instead of posting a paper one. Whether the vehicle is owned by individuals or business owned. And the survivorship question: for joint ownership, whether clear rights of ownership pass to the surviving owner on the death of either owner or co-owner. |
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| Names, telephone and customer number | Full legal name in last, first, mi, suffix order, a telephone number, and the DMV customer number, FEIN or SSN. There is a co-owner row underneath it and a residence or business jurisdiction box to the right. |
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| Addresses | Four separate rows - owner's street address, owner's mailing address, co-owner's street, co-owner's mailing - and a bolded note that owners and lessees must give a residence, home or business address and that the address can not be a P.O. Box. |
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| Location where vehicle is principally garaged | A tick for city, county or town and the name of it. This is the line the local car tax follows, and it is about where the car sleeps rather than where the buyer collects post. |
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| Vehicle information | Year, make, model, body type, the vehicle identification number and the number of axles; then empty weight, GVWR as a single vehicle weight from the manufacturer, gross weight and GCWR for a truck with a trailer. Fuel type, vehicle colour, and two yes-or-no ticks - is this a low speed vehicle, is this a logging vehicle. Then a previous title number and the state it came from. |
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| Lien information | One question with two answers, and the no branch says skip to the next section. A yes needs the date of first lien, lienholder name, lienholder code and address - and a note that for additional liens you complete a VSA 66 and attach it. |
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| Source of ownership information | How the vehicle was sold to you - used, new or demonstrator - the purchase date, then sales price, processing fee, sales and use tax, and who it was purchased from with their street address. The rentor number, dealer licence number and manufacturer rebate boxes beside them are marked dealers only. |
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| Odometer statement | The reading, no tenths, and a certification with four mutually exclusive ticks: the reading above is the actual mileage; it is not the actual mileage, an odometer discrepancy; it is in excess of its mechanical limits; or the vehicle was exempt from disclosure in prior state of title, which requires the out-of-state title showing the exemption. |
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| Personal property tax relief eligibility | Four questions on page two about business use - more than 50% of annual mileage claimed as a business expense or reimbursed by an employer, more than 50% of depreciation deducted, cost expensed under Section 179, or a leasing company paying the tax without reimbursement. Any yes means business use and no car tax relief. |
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| Insurance certification and registration | A single tick certifying the vehicle is insured through a company licensed to do business in Virginia and will remain insured while registered, with the insurer's name beside it. Then the registration period - one year, two years with a $2 discount, three years with a $3 discount and not for an emissions area, or a transfer with a plate number - and the registration type. |
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| Certification | Applicant name printed, signature and date, with a co-applicant row underneath. Everything above it is affirmed under penalty of perjury; nothing on the page is sworn in front of anybody. |
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