Fillable DEALER REQUEST FOR DMV FORMS (Virginia Department of Motor Vehicles)

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DEALER REQUEST FOR DMV FORMS (Virginia Department of Motor Vehicles)

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DMV USE ONLY
REQUISITION NUMBER
DEALER REQUEST FOR DMV FORMS
Purpose: Motor Vehicle Dealers use this form to order any of the listed forms from DMV's stockroom.
Instructions: Indicate the quantity for each item and email completed form to purchasing@dmv.virginia.gov, fax to (804)
367-1054 or mail to DMV's Stockroom Division at the above address. If you have questions, call
(804) 367-0446.
DEALER INFORMATION
DEALER NAME
DATE (mm/dd/yyyy)
SHIPPING ADDRESS
CITY STATE ZIP CODE
EMAIL TELEPHONE NUMBER
DMV DEALER FORMS
STOCK NUMBER DESCRIPTION UNIT ISSUE
QUANTITY ORDERED
POD
DSD 4 -- DEALER APPLICATION FOR 5-DAY TRANSPORT PLATES 100/PACK
POD
DSD 5A -- 5-DAY TRANSPORT CERTIFICATE 50/PACK
POD
DSD 07 -- MANUFACTURER OR DISTRIBUTOR REPRESENTATIVE LICENSE
APPLICATION
50/PAD
POD
DSD 09 -- DRIVE-AWAY/OFFICE TRAILER PLATE APPLICATION 25/PACK
POD
DSD 9A -- PERMANENT/TEMPORARY DEALER PROMOTIONAL PLATES
APPLICATION
50/PAD
FRM-DSD 27 DSD 27 -- PERMISSION FOR USE OF DEALER'S LICENSE PLATE 25/PAD
POD
DSD 27A -- PERMISSION FOR USE OF DEALER OR TRANSPORT PLATE ON
TRUCKS OR TRACTOR TRUCKS
50/PAD
FRM-DSD 27B DSD 27B -- PERMISSION TO USE DRIVE-AWAY PLATES 50/PAD
POD
DSD 36 -- DEALER REQUEST FOR DMV FORMS 50/PAD
POD
DSD 43 -- APPLICATION TO AUTHORIZE TEMPORARY PLATE PURCHASER 50/PAD
POD
FMS 210 -- VEHICLE REGISTRATION REFUND APPLICATION 100/PACK
POD
MVDB 9 -- DEALER PLATE APPLICATION 100/PACK
POD
MVDB 10 -- MOTOR VEHICLE DEALER LICENSE APPLICATION FOR INITIAL
LICENSE/RENEWAL/CHANGE
100/PACK
FRM-MVDB 35
MVDB 35 -- VIRGINIA MOTOR VEHICLE DEALER-OPERATOR/SALES PERSON
STUDY GUIDE
1 EACH
POD
MVDB 54 -- MANUFACTURED HOME DEALER OR WATERCRAFT TRAILER
DEALER CERTIFICATE OF REGISTRATION APPLICATION
100/PACK
POD
MVDB 55 -- RECORD OF ALL WHOLESALE SALES AND RETAIL SALES
REGISTERED OUT-OF-STATE
100/PACK
POD
MVDB 57 -- MOTOR VEHICLE DEALER QUALIFICATION TEST APPLICATION 100/PACK
POD
SUT 1 -- VEHICLE PRICE CERTIFICATION
(VEHICLE MUST BE MORE THAN 5 YEARS OLD)
100/PAD
DSD 36 (07/07/2020)
Save Order Form
( )
DMV DEALER FORMS (continued)
STOCK NUMBER DESCRIPTION UNIT ISSUE
QUANTITY ORDERED
FRM-SUT 2 SUT 2 -- APPLICATION FOR REFUND OF SALES AND USE TAX 50/PAD
FRM-SUT 3 SUT 3 -- PURCHASER'S STATEMENT OF TAX EXEMPTION 50/PAD
FRM-SUT 4 SUT 4 -- TRANSFER OF CERTIFICATE OF LIEN INFORMATION 50/PAD
POD
VSA 04 -- DEALER TRANSACTION RECAP SHEET 50/PAD
FRM-VSA 05 VSA 05 -- ODOMETER DISCLOSURE STATEMENT 200/PACK
FRM-VSA 06 VSA 06 -- VEHICLE COLOR CHART 50/PACK
POD
VSA 10 -- LICENSE PLATE APPLICATION 50/PAD
FRM-VSA 14 VSA 14 -- VEHICLE REGISTRATION APPLICATION 250/PACK
FRM-VSA 14 I
VSA 14 I -- REGISTRATION INFORMATION SHEET
(Use with VSA 14)
100/PACK
FRM-VSA 17A VSA 17A -- APPLICATION FOR CERTIFICATE OF TITLE AND REGISTRATION 500/PACK
POD
VSA 17B -- APPLICATION FOR CERTIFICATE OF TITLE - MANUFACTURED HOMES 100/PACK
FRM-VSA 24 VSA 24 -- STATEMENT OF AUTHORITY TO ASSIGN TITLE 100/PAD
FRM-VSA 27 VSA 27 -- RECEIPT FOR MONEY PAID FOR TRANSFER OF LICENSE PLATES 50/PACK
FRM-VSA 39 VSA 39 -- EMERGENCY PERMIT TO TRANSFER LICENSE PLATE 25/BOOK
POD
VSA 56 -- APPLICATION FOR SALVAGE CERTIFICATE 50/PAD
POD
VSA 57 -- APPLICATION FOR NON-REPAIRABLE CERTIFICATE 50/PAD
FRM-VSA 66 VSA 66 -- APPLICATION FOR TRANSFER AND SUPPLEMENTAL LIENS 100/PAD
FRM-VSA 67 VSA 67 -- APPLICATION FOR REPLACEMENT AND SUBSTITUTE TITLES 100/PAD
FRM-VSA 70
VSA 70 -- POWER OF ATTORNEY TO SIGN FOR OWNER WHEN REGISTERING
AND/OR TRANSFERRING OWNERSHIP OF A MOTOR VEHICLE
100/PAD
FRM-VSA 71 VSA 71 -- APPLICATION FOR CHANGE OF EXISTING VEHICLE RECORD 50/PAD
POD
VSA 124 -- FIREFIGHTER OR RESCUE SQUAD LICENSE PLATES CERTIFICATION 50/PAD
DSD 36 (07/07/2020) Page 2 of 2
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DEALER REQUEST FOR DMV FORMS (Virginia Department of Motor Vehicles)

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Completed 2 November 2020

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