Georgia Department of Revenue - Motor Vehicle Division
Form MV-1 Motor Vehicle Title Application
For instructions on how to complete this form, please see Instructions on page 2.
Vehicle ID (VIN): _____________________________ Current Title # ____________________________ Year: _______
Make: _____________________________ Current Title’s State of Issue: _________________ Color: _______
Model: _____________________________ GA County of Residence: _________________ Cylinders: _______
Body Style: _____________________________ District # _____________________________ Fuel Type: _______
Odometer exceptions: EXEMPT Exceeds Mechanical Limits of Odometer Not the Actual Mileage, Warning Odometer discrepancy
Odometer Reading: _____________________________ Date Purchased: _____________________________
COMPLETE FOR ALL COMMERICAL VEHICLES
Gross Vehicle Weight & Load: __________________________ Straight Truck? Yes No Used for Hire? Yes No
Type of Trailer Pulled? _____________________ Product Hauled? ____________________ Is this a Farm Vehicle? Yes No
Number of Owners: _______ Leased Vehicle: No Yes (If yes, complete Section D)
If purchased from an out-of-state business, did you pick up the vehicle out-of-state? Yes No
*Owner’s signature below warrants: 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 and accurate.
OWNER # 1
Full Legal Name: _____________________________________________ Driver’s License # ___________________ State: _____
Date of Birth: ___________ Email Address: _________________________________________ Phone # __________________
Business Name: ____________________________________________ Name of Agent: _________________________________
Address: ______________________________________________________________________________________________
Mailing Address: ________________________________________________________________________________________
*Signature of Owner 1 or Business Agent: _________________________________________________ Date: ________________
OWNER # 2
Full Legal Name: _____________________________________________ Driver’s License # ___________________ State: _____
Date of Birth: ___________ Email Address: _________________________________________ Phone # __________________
Business Name: ____________________________________________ Name of Agent: _________________________________
Address: ______________________________________________________________________________________________
Mailing Address: ________________________________________________________________________________________
*Signature of Owner 2 or Business Agent: _________________________________________________ Date: ________________
GA Dealer’s/Bank’s 12 Digit Customer ID # (If Applicable)
__ __ __ __ __ __ __ __ __ __ __ __
Full Legal Name or Business Name and Address:
_________________________________________________
_________________________________________________
_________________________________________________
If Georgia Seller, County Name: _________________________
Directly Financed Dealer Sale: Yes No
Driver’s License Number, if individual:
______________________________________________
Lessee’s Full Legal Name & Address or Business Lessee’s Full Name &
Address:
___________________________________________________
___________________________________________________
___________________________________________________
Lessee’s GA County Name: ______________________________
Lessee’s Phone Number: ______________________________
SECURITY INTEREST OR LIENHOLDER INFORMATION (Attach any information on additional lienholders)
12 Digit ELT ID # __ __ __ __ __ __ __ __ __ __ __ __ Name: ______________________________________________
Address: ______________________________________________________________________________________________
12 Digit ELT ID # __ __ __ __ __ __ __ __ __ __ __ __ Name: ______________________________________________
Address: ______________________________________________________________________________________________
ATTORNEY IN FACT INFORMATION – Attach original power of attorney if title is to be mailed to attorney-in-fact.
Name: ______________________________________________________________________________________________
Mailing Address: ________________________________________________________________________________________
Phone Number: ___________________________ Email Address: _________________________________________________
MARIETTA CAR CENTER (ROSWELL)
843 ROSWELL STREET NE, MARIETTA, GA 30060
843 ROSWELL ST NE, MARIETTA, GA 30060-2136