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Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information. MV-20 (Revised 3-2021) Web and MV Manual Georgia Department of Revenue - Motor Vehicle Division Request for Vehicle Information Purpose of this form: This form is to be used to request information for vehicles titled or registered in the State of Georgia. Completing this form: This form must be completed in its entirety, legibly printed or typed in blue or black ink. Section A: Complete the requestor’s information. Check the box that applies and complete the section below. Section B: Provide as much search information as possible about the record(s) you are requesting. Section C: Check one or more of the boxes to indicate the type of information you wish to receive. Calculate the total fee and enter the total amount due to the Department. Section D: Identify permissible use(s) or reason(s) for request. Section E: Certify that all statements are true and accurate. How to submit this form: Submit this form along with all required document(s) and fees to the Title Processing Unit of the Georgia Department of Revenue, Motor Vehicle Division. Please mail to ATTN: Title Processing - Research, DOR/Motor Vehicle Division, P. O. Box 740382, Atlanta, GA 30374-0382. Required document(s): Include a photocopy of your unexpired driver’s license/government-issued identification card with this request form and the below required documents. A REQUESTOR INFORMATION Check applicable box and attach appropriate document(s): [ ] Vehicle Owner (requesting own information) [ ] Vehicle Dealer (state license or registration) [ ] Judgment Creditor (certified writ of fieri facias) [ ] Attorney (bar association card & subpoena/court order) [ ] Law Enforcement Officer (copy law enforcement ID & request of letterhead) [ ] Lienholder [ ] Government Agency [ ] Insurance Company Requestor’s Full Legal Name: First Name Middle Initial Last Name Suffix Badge ID No.: If law enforcement officer Business Name: If applicable Company/Entity/Agency Telephone No.: 5 Mailing Address: Street No. Street Name Apt/Suite No. City State ZIP Code B SUBJECT INFORMATION Vehicle Owner’s Full Legal Name: First Name Middle Initial Last Name Suffix Date of Birth: Residence Address: Street No. Street Name Apt/Suite No. City State ZIP Code Vehicle Identification No. (VIN): Year: Make: Model: Tag Number: C INFORMATION REQUESTED Check one or more boxes: Fees: [ ] Tag/Title/Lien Vehicle Information Printout [ ] General Salvage Vehicle Information Printout [ ] Title History [ ] Letter of Verification [ ] Certification of Tag/Title/Lien (must be requested 7 days in advance) [ ] Salvage Letter/Certification $1.00 $1.00 $5.00 $5.00 $14.00 $14.00 Total Due: $ Exemption From Fees: Government agencies, law enforcement, or legal aid bureaus/societies are exempt as long as they identify themselves and the records being requested are for an official business purpose. PRINT CLEAR 0.00 ---PAGE BREAK--- Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information. Page 2 MV-20 (Revised 9-2019) Web and MV Manual D PERMISSIBLE USE(S)/REASON FOR REQUEST The Federal Driver’s Privacy Protection Act (DPPA), 18 U.S.C. § 2721 et seq., regulates access to motor vehicle records. Recipient hereby certifies that the information provided hereunder by MVD shall be used solely for the following purpose(s). Check all that apply: [ ] Use in any civil, criminal, administrative, or arbitral proceeding in any court or agency, including service of process, investigation in anticipation of litigation, and execution/enforcement of judgments and orders or pursuant to a court order. (18 U.S.C. § 2721(b)(4)) [ ] Use by an insurer or insurance support organization or self-insured entity in claims investigations, anti-fraud activities, rating, or underwriting activities (18 U.S.C. § 2721(b)(6)) [ ] Use by any government agency, including any court or law enforcement agency, in carrying out its functions (18 U.S.C. § 2721(b)(1)) [ ] Use in matters of motor vehicle or driver safety or theft. (18 U.S.C. § 2721(b)(2)) [ ] Use specifically authorized by Georgia or federal law, if such use is related to the operation of a motor vehicle or public safety. Cite the specific Georgia or federal provision here: (18 U.S.C. § 2721(b)(14)) E PERMISSIBLE USE CERTIFICATION By signing below, I certify that I have read the Driver’s Privacy Protection Act (DPPA) (18 U.S.C. § 2721 et seq.) and will comply fully with the terms of such law. I solemnly swear and affirm, under criminal penalty for the fraudulent use of a false or fictitious name or address or for making a material false statement punishable as a felony by a fine of up to $5,000.00 or by imprisonment of up to 5 years, or both, that the representations made on this form and on any other required document or request is true and accurate. See O.C.G.A. § 16-10-20. I also understand that I may be subject to federal criminal fines under the DPPA for any false representation to obtain or misuse personal information from an individual’s motor vehicle record. I further acknowledge that any information I receive cannot be published, redisclosed, or used to contact individuals. I agree to defend, hold harmless, and indemnify the Georgia Department of Revenue (DOR) from all actions brought against DOR, or damages alleged against DOR for my negligent, improper, or unauthorized use or dissemination of the information provided by DOR. Requestor’s Printed Name: Requestor’s Signature: Date: / /