Fillable Division of Motor Vehicles (State of West Virginia)

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Division of Motor Vehicles (State of West Virginia)

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The Division of Motor Vehicles (State of West Virginia) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for State of West Virginia

BROWSE STATE OF WEST VIRGINIA (WV) FORMS

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NAME(S)
MAILING
ADDRESS
NAME
MAILING
ADDRESS
Number Street CountyCity or Town State Zip Code
MAKE YEAR
V.I.N.
STYLE OF BODY WEIGHT
ODOMETER READING
(No Tenths)
Passenger vehicle only TRUCKS Requested (GVW)
Title Brands:
RECONSTRUCTED
OTHER:
PURCHASE PRICE $ TRADE IN$ NET COST $ 6% SALES TAX
(Credit allowed only on vehicles titled in West Virginia and the tax paid thereon by applicant)
1)
2)
Make Year VIN/Serial no.
VIN/Serial no.
Make Year West Virginia title number
West Virginia title number
Make of Vehicle Weight VIN/Serial Number Title Number License Plate Number
AMOUNT
KIND OF LIEN DATE
Street City State Zip Code C/S/C D/T S/A
NAME
MAILING
ADDRESS
AMOUNT
KIND OF LIEN DATE
Street City State Zip Code C/S/C D/T S/A
I hereby state that there is a motor vehicle liability policy in eect on the described vehicle in accordance with the provisions of the West Virginia Motor Vehicle Laws and certify that the
statements made are true and correct to the best of my knowledge and belief under penalty of false swearing. West Virginia Motor Vehicle Law § 17A-9-1: Fraudulent Applications.
NAME OF INSURANCE COMPANY
NAME OF INSURANCE AGENT
INSURANCE POLICY NUMBER
NATIONAL ASSOCIATION INSURANCE COMMISSIONERS (NAIC) NUMBER
If the title reads “AND” Both Signatures of Owners Must Appear
** INSURANCE MUST BE IN EFFECT WHEN THIS APPLICATION IS RECEIVED
This is to certify that the above described vehicle was acquired from
on
month
The undersigned dealer further certies that the sale price, trade-in, and net cost are true and accurate and that the Federal Odometer Regulation has been satised.
Federal regulations require that you state the odometer mileage upon transfer of ownership.
I certify to the best of my knowledge that the odometer reading is and reects the actual mileage of the vehicle unless one of the following
statements is checked:
day year and sold to the above named purchaser on month
day
year
.
Mileage stated is in excess of its mechanical limits (or)
The odometer reading is not the actual mileage -
WARNING-ODOMETER DISCREPANCY
DEALER NAME
ADDRESS
SIGNATURE (X)
DEALER
LICENSE NO.
West Virginia Department of Transportation
Division of Motor Vehicles
TYPE OR PRINT IN BLUE OR BLACK INK
MAKE CHECKS PAYABLE TO THE DIVISION OF MOTOR VEHICLES.
INSTRUCTIONS ARE ON THE REVERSE SIDE OF THIS FORM.
Application for Certicate of Title
DMV-1-TR
REVISED 07/21
FOR DMV USE ONLY
CLASS
PLATE NUMBER
EXP. DATE
DL OR ID NUMBER
TRADE-IN DESCRIPTION
LIENS AND ENCUMBRANCES
DEALER CERTIFICATION
(X)
(X)
The buyer(s)/owner(s) of the following motor vehicle make application for this motor vehicles Certicate of Title and hereby state the following:
VEHICLE DESCRIPTION
REGISTRATION PLATE TRANSFERRED FROM (Send copy of registration card both sides)
2
1
THIS TITLE APPLICATION MUST BE SIGNED BY THE PURCHASER(S)/OWNER(S)
FOR DMV USE ONLY
DEPT. NUMBER ___ ___ ___ ___
UNIT NUMBER ___ ___ ___ ___
FOR DMV USE ONLY
TITLE NUMBER
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Instructions
Table of Fees
Checklist
• Type or complete this application in BLUE OR BLACK INK ONLY.
• DO NOT SEND CASH. SEND CHECK OR MONEY ORDER payable to the Division of Motor Vehicles. Any check that is not
honored for payment will result in a $10.00 SERVICE CHARGE.
• If the vehicle was previously titled in another state, the title must accompany this application.
• If there is a lien, make sure the complete address and zip code are included.
• If you wish to purchase a new plate, include the appropriate fees detailed below.
• A statement of insurance must be submitted with each application for motor vehicle registration.
• Credit on trade-in allowed only for vehicles titled in West Virginia and taxes paid thereon by applicant.
Is the application completed, including
signatures?
Did you enclose a check or money order
payable to DMV for the total fees and
payment due?
Do you have all required documents such as:
• Proof of insurance (Certicate of Insurance
WV-1) or a completed statement of insurance
• Copy of the registration card front and back
if you are transferring a license plate
• Out-of-State title if the vehicle was previously
titled in another state
MAIL ALL REQUIRED DOCUMENTS, FORMS, AND PAYMENT TO:
Division of Motor Vehicles
5707 MacCorkle Avenue, SE, PO Box 17710
Charleston, WV 25317
Toll Free Telephone (In-state only) 1-800-642-9066
Out of State (304) 558-3900
Title Fee (This fee is required)
Lien Fee - If applicable
($10.00 Per Lien)
License Plate Transfer Fee - If applicable
6% Sales Tax
(All sales under $500.00 must pay $30.00 instead of 6%)
Fee for Registration and License Plate - If applicable
Class A - Cars & Trucks up to 10,000 lbs.
Class B - Trucks 10,001 lbs. and up
Class G - Motorcycles
Class H - Buses
Class J - Taxi Cabs
TOTAL PAYMENT REQUIRED (Send a check or money order ONLY if mailing this application) =
$15.00
$10.50
X .06 =
$15.00
SEE THE “MOTOR VEHICLE
REGISTRATION FEE”
BROCHURE FOR A FEE
SCHEDULE.
dmv.wv.gov/manuals
Class M - Mobile Equipment
Class R - Travel Trailers
Class T - Trailers
Class V - Antique Vehicles
Type of Fee Fee Information Fee Totals
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Division of Motor Vehicles (State of West Virginia)

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Completed 27 April 2022

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