Sonya Little
Tax Commissioner
Dana McKinzie
Chief Deputy Tax Commissioner
2780 Marietta Highway ~ Canton, Georgia 30114 ~ 678-493-6400 Phone ~ 678-493-6421 Fax
REQUEST FOR CANCELLATION OF REGISTRATION
I,_______________________________________________________________ (Printed name of registered owner),
request that the registration for the following vehicle be cancelled.
A copy of your driver's license must be submitted to cancel your vehicle registration.
155 Towne Lake Pkwy. ~ Woodstock, GA 30188 ~ 770-924-4099 Phone ~ 770-924-9567 Fax
Date
Year
Make
Model
Reason for Cancellation
Signature of the Registered Owner
Tag Number
Print Form