Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information.
T-226 (Revised 5-2019)
Web and MV Manual
Georgia Department of Revenue - Motor Vehicle Division
Application to Extend the Initial Registration Period
ANY CORRECTION OR ALTERATION WILL VOID THIS AFFIDAVIT
Purpose of this Affidavit: This affidavit should be used by a vehicle transferor or transferee to request an extension of the initial registration period for a motor
vehicle for which the transferor or lienholder has not delivered the title to the transferee. This form should be submitted no sooner than five (5) business days prior
to the expiration of the original temporary operating permit (license plate).
How to submit this Affidavit: This affidavit must be completed in its entirety, legibly printed in blue or black ink or typed, and submitted along with the required
document to the county tag office in the county where the transferee resides. Please refer to http://dor.georgia.gov/motor-vehicles to locate the county tag office
in the transferee’s county of residence.
Required Document: Copy of the motor vehicle bill of sale or dealer’s invoice.
A
OWNER INFORMATION
Primary Owner’s
Full Legal Name:
First Name
Last Name
Suffix
Residence
Address:
Street No.
Street Name
Apt/Suite No.
City:
State: ZIP Code: Telephone No.:
Secondary Owner’s
Full Legal Name:
First Name
Middle Initial
Last Name
Suffix
Residence
Address:
Street No.
Street Name
Apt/Suite No.
City:
State: ZIP Code: Telephone No.:
B
VEHICLE INFORMATION
Vehicle Identification
No. (VIN):
Year:
Make: Model:
Seller/Transferor’s
Full Legal Name:
Full Legal Name (First, Middle Initial, Last, Suffix) / Business Name / Leasing Company Name
City and State
Purchase Date:
/ /
C
SWORN STATEMENT
I/We, the transferor or transferee request that ______________________________________ County Tag Agent extend the initial registration period for this
vehicle and issue a County Tag Agent temporary operating permit to expire thirty (30) days from issuance.
I/We also acknowledge and understand that any false statement submitted is punishable under the law and may result in a denial of my/our request.
Transferor’s or Transferee’s
Printed Name:
Title:
Transferor’s or Transferee’s
Signature:
Date: / /
D
NOTARY PUBLIC ACKNOWLEDGMENT
Sworn to and subscribed before me this
day of
Month
,
Year
Notary Seal or Stamp
Notary Public’s
Full Legal Name:
Physical Address:
E
-mail Address: Telephone No.:
Signature of
Notary Public:
Commission Expires:
/ /
PRINT
CLEAR
Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information.
INSTRUCTIONS
How to complete the T-226 Form
COMPLETING this AFFIDAVIT
This affidavit must be completed in its entirety, legibly printed in blue or black ink or typed. Any correction or alteration will void this affidavit.
1. Record the registrant(s) information. The mailing address block should contain the physical address of the registrant.
2. Record the vehicle information for which the temporary operation permit is issued.
3. Certify that the information contained in this affidavit is true and accurate. Signature must be notarized.
REQUIRED DOCUMENT(S)
The following document is required: Copy of the motor vehicle bill of sale or dealer’s invoice.
SUBMITTING this AFFIDAVIT
This affidavit must be submitted along with all required documents to the county tag office in the transferee’s county of residence. Please refer to
http://dor.georgia.gov to locate the county tag office in the transferee’s county of residence.
IMPORTANT INFORMATION
This affidavit should be submitted no sooner than five (5) business days prior to the expiration of the original temporary operating permit.