Fillable DEALER TRANSACTION RECAP SHEET (Virginia Department of Motor Vehicles)

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DEALER TRANSACTION RECAP SHEET (Virginia Department of Motor Vehicles)

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Purpose: Dealers
use this form to maintain a record of titling work submitted to DMV for processing.
VSA 4 (10/25/2007)
DEALER TRANSACTION RECAP SHEET
Instructions: List each titling transaction individually. Return completed form and titling work to any Customer Service Center
for submission to the DMV Dealer Center. Maintain a copy of the form for dealer records.
DEALER INFORMATION
DEALER NAME TELEPHONE NUMBER
( )
DATE (mm/dd/yyyy)
DMV USE ONLY
CUSTOMER
NAME
TITLE
FEE
LICENSE
FEE
UMV
FEE
PROCESSING
FEE
SALES
TAX
TOTAL
REMITTANCE
SHORT
REMITTANCE
OVER & RET
TOTALS
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DEALER TRANSACTION RECAP SHEET (Virginia Department of Motor Vehicles)

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Completed 2 November 2020

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