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MV-1 (Revised 11-2007) Original Title Fee $18.00 County Ad Valorem Tax Replacement Title Fee 8.00 License Tag Fee Title Penalty Fee 10.00 Mfg. Fee Special Tag License Plate to Transfer____________ Special Tag Annual Fee (Attach copy of current registration.) Tag Transfer Fee GA Sales Tax 10% Tax Penalty Min.) Expedited Title Fee* $10.00 25% Tag Penalty *Expedited title processing is only available Tag/Decal Mail Fee DOR-MVD Title/Tag Application By mail or in person at State MVD. 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 Year Make Body Style Model Color Cylinders New or Used Date Purchased Emission Certificate # Current Title # Current Title’s State of Issue GA County of Residence District # Odometer Reading Odometer reading is actual miles unless you check one of the following boxes: □ EXEMPT □ Exceeds Mechanical Limits of Odometer □ Not the Actual Mileage, Warning odometer discrepancy! Fuel Complete For All Trucks Over 14,000 Gross Vehicle Weight Gross Vehicle Weight & Load Straight Truck? Used For Hire? Type of Trailer Pulled? Product Hauled? Is This A Farm Vehicle? □ Yes □ No □ Yes □ No □ Yes □ No Number of Owner Section Leased Vehicle? □ No □ Yes (Complete Lessee Section) Owner # 1 Full Legal Name of Owner #1 Date of Birth Driver’s License # (If individual) State/Country of Issue* If you purchased this vehicle from an out- of-state dealer/business, did you pick-up the vehicle out-of-state? □ Yes □ No First, Middle, Last Suffix Full Legal Name of Business/Leasing Company’s Name Purchaser’s GA Sales Tax # (when applicable) Owner # 2 Full Legal Name of Owner #2 Date of Birth Driver’s License # (If an individual) State/Country of Issue* First, Middle, Last Suffix Full Legal Name of Business/Leasing Company’s Name 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# Seller’s GA Sales Tax # Driver’s License # & State/Country of Issue, if individual* Full Legal Name or Business Name & Address: Lessee’s Full Legal Name & Address or Business Lessee’s Full Name & Address: If Georgia Seller, GA County Name Lessee’s GA County Location Number of Security Interests or Liens: Security Interests or Liens Section If you are an electronic lien or security interest holder participant, please check the following box(s): 1st lien 2nd Lien 3rd Lien 1st Security Interest Holder’s/Lien Holder’s or ELT 12 Digit Customer ID # 2nd Security Interest Holder’s/Lien Holder’s or ELT 12 digit Customer ID # Name & Address of 1stSecurity Interest Holder/Lien Holder: Name & Address of 2nd Security Interest Holder/Lien Holder: 3rd Security Interest Holder’s/Lien Holder’s or ELT 12 digit Customer ID # Name & Address of 3rd 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 Owner #2 *A Georgia tag will not be issued unless the applicant presents, at the time of application, their valid Georgia driver’s license or Georgia identification card. This does not apply to those applicants exempt from having a Georgia driver’s license or GA ID Card. Refer to §40-5-21 of GA law. Also, attach proof of Georgia residency, e.g. copy of voter registration card, lease agreement, utility bill, etc. Print this form! Clear form