Fillable Title Application (South Carolina DMV)

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Title Application (South Carolina DMV)

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The Title Application (South Carolina DMV) form is 2 pages long and contains:

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  • 28 check-boxes
  • 69 other fields

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South Carolina Department of Motor Vehicles
Title Application
All vehicles or mobile homes
No strikeovers, erasures or correction fluid is acceptable on this form.
Form 400
(Rev. 02/18)
1
Applications can be mailed to: SCDMV P.O. Box 1498 –10311 Wilson Blvd. Blythewood, SC 29016 – 0024. Title will be mailed to the address on record with SCDMV.
Visit our website www.scdmvonline.com to verify and correct your mailing address prior to requesting the title or call our Customer Call Center at (803) 896-5000.
I am applying for a (check box that applies):
NEW TITLE AND REGISTRATION
TITLE AND PLATE TRANSFER
TITLE ONLY
LEASED VEHICLE
MAKE
BODY STYLE
MODEL
EMPTY WEIGHT
GVW
ADDRESS WHERE VEHICLE IS HOUSED (IF DIFFERENT FROM RESIDENTIAL ADDRESS)
CITY
STATE
ZIP CODE
COUNTY
SC
NEW OR USED
DATE OF PURCHASE
DATE FIRST OPERATED IN SC
ENERGY EFFICIENT MANUFACTURED HOME?
FUEL TYPE (GAS, ELECTRIC)
YES NO
I state that the odometer now reads_____________________________________ (no tenths) and to the best of my knowledge that it reflects the ACTUAL mileage of the vehicle
described above unless one
of the following statements is checked:
DO NOT CHECK ONE OF THE FOLLOWING UNLESS IT APPLIES.
EXEMPT
I certify that to the best of my knowledge the mileage stated is in excess of its mechanical limits (the odometer started at zero again).
I certify that the odometer reading is not the ACTUAL mileage. WARNING ODOMETER DISCREPANCY.
LEASING COMPANY NAME
ONLY COMPLETE FOR LEASED VEHICLES
PHONE NO.
CONTACT PERSON
CUSTOMER NO.
LEASING COMPANY ADDRESS
CITY
STATE
ZIP CODE
COUNTY
PRIMARY OWNER’S / REGISTRANT’S LEGAL NAME (LAST, FIRST, MIDDLE)
CO-OWNER’S / CO-REGISTRANT’S LEGAL NAME (LAST, FIRST, MIDDLE)
PRIMARY OWNER’S CUSTOMER NO., SC DRIVER’S LICENSE NO.
DATE OF BIRTH
CO-OWNER’S CUSTOMER NO., SC DRIVER’S LICENSE NO.
DATE OF BIRTH
PRIMARY OWNER’S RESIDENTIAL ADDRESS (APT NO IF APPLICABLE)
STATE
CO-OWNERS’S RESIDENTIAL ADDRESS (APT NO IF APPLICABLE)
STATE
CITY
ZIP CODE
COUNTY
CITY
ZIP CODE
COUNTY
SHARED OWNERSHIP
DAYTIME PHONE NUMBER
EMAIL ADDRESS
AND OR
IS THERE A SECOND LIEN? YES NO IF YES, COMPLETE FORM 400-L FOR THE SECOND LIEN
CUSTOMER NO.
LIENHOLDER NAME
DATE OF LIEN
CONTACT PERSON
TELEPHONE NUMBER
MAILING ADDRESS
CITY
STATE
ZIPCODE
SECTION A – VEHICLE INFORMATION
VEHICLE IDENTIFICATION NUMBER
TRANSFER PLATE NUMBER
SECTION B – ODOMETER MILEAGE
Federal and state law requires that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement
may result in fines and/or imprisonment.
SECTION C – OWNER INFORMATION
SECTION D – LIEN INFORMATION
South Carolina Department of Motor Vehicles
Title Application
All vehicles or mobile homes
No strikeovers, erasures or correction fluid is acceptable on this form.
Form 400
(Rev. 02/18)
2
TRANSFERRED FROM:
TRANSFERRED AS:
MILITARY:
OTHER:
PARENT
SPOUSE
LEGAL HEIR
ACTIVE DUTY NON
RESIDENT
THIS VEHICLE WAS A BONAFIDE GIFT
CHILD
BROTHER/SISTER
BENEFICIARY
SPOUSE/DEPENDENT
TAX CREDIT PAID IN RECIPROCAL STATE:
$____________________
GRANDPARENT
GRANDCHILD
DISTRIBUTEE
SELLER OR DEALER NAME
SC DEALER/WHOLESALER NO.
SC SALES TAX NO.
TRADE-IN
SELLER/DEALER ADDRESS
CITY
ZIPCODE
A VEHICLE MUST BE INSURED WITH LIABILITY INSURANCE COVERAGE WHEN IT IS REGISTERED AND IT MUST REMAIN INSURED WHILE REGISTERED, WHETHER OR NOT IT IS OPERATED, OR
THE UNINSURED MOTORIST FEE MUST BE PAID. PENALTIES ARE SEVERE FOR VIOLATION OF THIS REQUIREMENT.
UNDER PENALTIES OF PERJURY, I (WE) DECLARE THAT THIS VEHICLE IS INSURED BY A LIABILITY INSURANCE POLICY ISSUED THROUGH AN INSURANCE COMPANY LICENSED TO DO BUSINESS
IN SOUTH CAROLINA AND IT WILL REMAIN INSURED THROUGHOUT THE REGISTRATION PERIOD.
NAME OF INSURANCE COMPANY ______________________________________________________________________________________________________
UNDER PENALTIES OF PERJURY, I DECLARE THAT I AM THE OWNER OF THIS VEHICLE AND REQUEST THAT A SOUTH CAROLINA CERTIFICATE OF TITLE AND/OR REGISTRATION BE ISSUED. I
FURTHER CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. THE VEHICLE IS SUBJECT TO THE LIENS NAMED AND NO OTHERS. ALSO, IF
REGISTERING A COMMERCIAL VEHICLE OVER 10,000 LBS.., I CERTIFY THAT I AM FAMILIAR WITH THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS AND/OR FEDERAL HAZARDOUS
MATERIALS REGULATIONS. MUST BE SIGNED IN INK BY OWNER OR AUTHORIZED AGENT (ATTACH POWER OF ATTORNEY IF APPLICABLE)
_______________________________________________________________________ __________________________________________________________________
SIGNATURE OF OWNER DATE SIGNATURE OF CO-OWNER DATE
56-3-240 (SOUTH CAROLINA CODE OF LAWS) - THE DEPARTMENT SHALL OBTAIN THE FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER WHEN A VEHICLE IS
REGISTERED WITH A GROSS VEHICLE WEIGHT OF MORE THAN 26,000 POUNDS OR A BUS COMMON CARRIER. THE DRIVER PRIVACY PROTECTION ACT OF 1994 (DPPA), 18 USC SECTION 2721-
2725 RESTRICT THE DISCLOSURE OF PERSONAL INFORMATION CONTAINED IN OUR RECORDS.
SSN ___________________________________________________________ OR FEIN ___________________________________________________________
TITLE FEE: $15.00
EXPEDITED TITLE FEE: $20.00
IF MAILED, CAN NOT BE EXPEDITED
TRANSFER FEE: $10.00
SALES TAX / IMF: 5% OF
SELLING PRICE OR $500.00 MAX.
FAILURE TO REGISTER WITHIN 45 DAYS OF THE DATE OF PURCHASE OR THE DATE OF
OPERATION IN SOUTH CAROLINA WILL RESULT IN PENALTY FEES IN ADDITION TO REGULAR
TITLE AND/OR REGISTRATION FEES. THE LATE PENALTY FEE SCHEDULE IS AS FOLLOWS:
46 - 60 DAYS LATE - $10.00 61 - 75 DAYS LATE - $25.00 76 - 135 DAYS LATE - $50.00
OVER 135 DAYS LATE - $75.00
SECTION E – SALES TAX / IMF EXEMPTION
NEW VEHICLE PURCHASES TITLED IN SOUTH CAROLINA ARE SUBJECT TO SALES TAX OR INFRASTRUCTURE MAINTENANCE FEE (IMF) UNLESS
EXEMPT. THE TAX IS 5% OF THE SALES PRICE UP TO A MAXIMUM OF $500.00. (MOBILE HOMES ARE CALCULATED DIFFERENTLY.) NEW RESIDENTS
MOVING INTO SC ARE SUBJECT TO THE $250.00 IMF FOR VEHICLES ALREADY TITLED IN THEIR NAME.
SECTION F – SELLER INFORMATION
SECTION G – INSURANCE CERTIFICATION
NOT REQUIRED FOR TITLE ONLY
SECTION H – DONATE LIFE SC
YES, I WISH TO DONATE $5.00, MORE OR LESS, TO DONATE LIFE SC. AMOUNT $___________________________
SECTION I – SIGNATURE OF OWNER
DISCLOSURE STATEMENT
REQUIRED FOR VEHICLES 26,000 LBS. OR BUS COMMON CARRIER ONLY.
FEES
THIS SECTION FOR DEALERS ONLY
THIS SECTION FOR DMV USE ONLY
THE ABOVE VEHICLE IS FOR:
DEALER USE RETAIL RENTAL
_____________________________ __________________
PROCESSED BY AND OFFICE # PLATE NUMBER
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Title Application (South Carolina DMV)

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Completed 23 August 2020

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