APPLICATION FOR CERTIFICATE OF TITLE
VR-005
(10-20)
READ INSTRUCTIONS ON REVERSE SIDE
APPLICANT’S FIRST NAME MIDDLE LAST CO-APPLICANT’S FIRST NAME MIDDLE LAST
APPLICANT’S SOUNDEX/MARYLAND DRIVER’S LICENSE NO. DATE OF BIRTH CO-APPLICANT’S SOUNDEX/MARYLAND DRIVER’S LICENSE NO. DATE OF BIRTH
MONTH DAY YEAR MONTH DAY YEAR
APPLICANT’S STREET ADDRESS CITY OR TOWN CO-APPLICANT’S STREET ADDRESS CITY OR TOWN
COUNTY STATE ZIP CODE EMAIL ADDRESS COUNTY STATE ZIP CODE EMAIL ADDRESS
IS THE VEHICLE TO BE TITLED AS JOINT TENANTS OR TENANTS BY ENTIRETIES? £ JOINT TENANTS £ TENANTS BY ENTIRETIES
£
NEW VEHICLE
£
USED VEHICLE
MODEL YEAR
MAKE OF VEHICLE
MODEL NO. VEHICLE IDENTIFICATION NUMBER
MODEL YEAR
MAKE OF VEHICLE
TYPE OF FUEL
# OF CYLINDERS MOTOR CARRIER # UNIT #
£
TWO STAGE VEHICLE
COMPLETE MAKE & YEAR
FOR EACH VEHICLE
£
TRUCK
£
TRUCK TRACTOR
G.V.W. G.C.W. AXLES
£
BUS
SEATS
£
MOTORCYCLE
ENGINE NO. ENGINE SIZE (C.C.)
£
TRAILER (SPECIFY LENGTH)
G.V.W. TYPE OF TRAILER
If this vehicle is subject to any liens or encumbrances, complete the following section(s). Attach form VR-217 for additional Lien Filings. LIEN FILING FEE
$20.00 for each Lien led. IF NOT SUBJECT TO A LIEN, WRITE THE WORD “NONE” BELOW.
NAME OF SECURED PARTY
CITY OR TOWN
STREET ADDRESS OF SECURED PARTY KIND OF LIEN (DESCRIBE) DATE OF LIEN
STATE ZIP CODE
AMOUNT OF LIEN
IF VEHICLE RECENTLY PURCHASED MARYLAND DEALER’S CERTIFICATION DEALERS ONLY
MD. EXCISE
TAX 6% OF $_______________________
FULL PURCHASE PRICE
ATTACH A NOTARIZED BILL OF SALE SIGNED BY
SELLER(S) AND PURCHASER(S)
I hereby certify, under penalty of perjury, that the purchase price represents the full
amount paid for this vehicle.
Date of Delivery
DEALER’S NUMBER N U
NAME OF DEALERSHIP
SIGNATURE OF DEALER DATE
CERTIFIED
SELLING PRICE
TRADE-IN ALLOWANCE
TAXABLE PRICE
GROSS TAX COLLECTED
NET TAX REMITTED
VEHICLE DESCRIPTION
PURCHASE INFORMATION FOR TAX PURPOSES – SEE INFORMATION ON REVERSE SIDE
VIN OF TRADE-IN _______________________________________________ _________________________ STATE ___________________________________________
APPLICATION FOR NEW REGISTRATION PLATES OR TRANSFER OF REGISTRATION PLATES
I/we do hereby make application for:
£
New Tags
£
Transfer of Tags
£
30 Day Inspection Plate
£
Title Only Class of Tags desired __________________
Is this vehicle to be operated for short term rental?
£
Yes
£
No If transferring plates, complete below:
TAG NO.
__________________________________
and STICKER NO.
___________________________
Name of Insurance Co.
__________________________
Policy or Binder No.
_____________________
Agent or broker
___________________________________________
I/we certify that I/we have compared the manufacturer’s vehicle identication number on this application with the number on the vehicle and they agree and that this vehicle is subject to the liens or
encumbrances indicated herein and none other. For vehicles registered over 10,000 lbs. by signing this application, I/we certify knowledge of the Federal and State Motor Carrier Safety Laws and certify
this vehicle is maintained in compliance with the Maryland Preventive Maintenance Program. If making application for new plates or transfer of registration plates I/we certify under Penalty of Law
that the vehicle is covered by at least the minimum amounts of insurance required by the Maryland Motor Vehicle Laws, and further certify that this vehicle will be continuously insured throughout its
registration period. I/We further certify under Penalty of Perjury that the statements made herein are true and correct to the best of my knowledge, information and belief.
Signature of Applicant
_________________________________________________________
Printed Name of Applicant
_____________________________________
Signature of Co-Applicant
______________________________________________________
Printed Name of Co-Applicant
__________________________________
Witness my/our Hand(s) and Seal(s) this
______________
day of
________________
year
_______________________
Signature of Co-Signer
_________________________________________________________
Relationship
__________________________________________________
Soundex
_____________________________________________________________________
Date of Birth
__________________________________________________
Complete this section in its entirety if you qualify for an Excise Tax Credit in this State. I/we have been resident(s) in Maryland for approximately __________________.
I/we last registered this vehicle in _________________________ and paid ___________% tax (if no tax paid, write “NONE”)
£
Check here if active duty military.
BODY STYLE
The MVA should contact me at:
_________________________________________
or
__________________________
for any questions regarding this application.
(Email address) (Phone)
Federal and State law requires that you state the mileage in connection with this vehicle. Failure to complete or providing a false statement may result in nes and/or
imprisonment. I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked:
ODOMETER READING _____________________ (NO TENTHS)
£
1. The mileage stated is in excess of its mechanical limits.
£
2.
The odometer reading is not the actual mileage. WARNING – ODOMETER DISCREPANCY.
If the name entered above is a business or trust, enter the FEIN here _______________________________. Check the type of business entity below: £ Trust £ Professional Association
£ Sole Proprietorship £ Corporation £ Limited Liability Company £ Limited Liability Partnership £ Partnership £ Joint Venture £ Other, (please specify) ________________________
Please attach a copy of the BUSINESS LICENSE or see reverse of this application for proof acceptable to this Administration.
6601 Ritchie Highway, N.E., Glen Burnie, Maryland 21062
For more information visit our website at www.mva.maryland.gov, call 410-768-7000 or TTY for the hearing impaired: 1-800-492-4575.
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NEW VEHICLES
USED VEHICLES
FOR ASSISTANCE – PLEASE CALL 410-768-7000, TTY FOR THE HEARING IMPAIRED 1-800-492-4575
DOCUMENTS REQUIRED FOR OBTAINING A MARYLAND CERTIFICATE OF TITLE
NEW VEHICLES PURCHASED OUT-OF-STATE
1. A Manufacturer’s Certicate of Origin or other ownership document(s) required by
law and;
2. Original Dealer’s Bill of Sale
NEW VEHICLES PURCHASED IN MARYLAND
1. A Manufacturer’s Certicate of Origin and;
2. Maryland dealers complete the Maryland Dealer’s Certication located on the front of
this application or submit the original Dealer’s Bill of Sale.
Note: Customers purchasing new and used vehicles from licensed dealers need
to submit the original bill of sale to ensure proper deduction for trade-in-allowance,
unless Maryland Dealer Tax Certication is completed providing trade-in information.
USED VEHICLES FROM A TITLE STATE
1. An out of state Certicate of Title in the applicant’s name or;
2. A properly assigned title is required. If the vehicle is less than 7 years old, a notarized
bill of sale signed by all buyers and sellers should accompany the title.
USED VEHICLES FROM A NON-TITLE STATE OR FOREIGN COUNTRY
1. The registration from the non-title state is required. If the registration is not available,
a verication of the registration from the non-title state is acceptable if the owner
shown is the seller or applicant.
2. A bill of sale needs to accompany this application. If the vehicle is less than 7 years
old, the bill of sale should be notarized.
ODOMETER MILEAGE STATEMENT
INSURANCE REQUIREMENTS
Federal and State law requires that you indicate the mileage in connection with the
transfer of ownership. Failure to complete or providing a false statement may result in
nes and/or imprisonment.
All motor vehicles registered in Maryland must be insured by a company licensed in
Maryland and must have personal injury and property damage liability insurance at least
in the minimum amounts required by Maryland law. Van pool vehicles must have 5 times
this amount.
MOTOR VEHICLE SAFETY INSPECTION REQUIREMENTS
Used vehicles titled as CLASS A passenger, CLASS B for hire, CLASS D motorcycle, CLASS E truck, CLASS EFT farm truck, CLASS F tractor, CLASS FF farm tractor, CLASS G
trailer, CLASS GF farm trailer, CLASS J van pool, and CLASS M multi-purpose passenger vehicles being titled and registered in Maryland must be inspected at an authorized
Maryland Safety Inspection Station. The certicate of inspection must accompany this application unless a Temporary Inspection Plate is requested. CLASS J van pool and
CLASS M multi-purpose passenger buses must be Maryland safety inspected each year before the registration may be renewed.
The Motor Carrier Safety Act requires the owner of every vehicle with a r
egistered or operating gross vehicle weight greater than 10,000 pounds to have each vehicle inspected,
maintained, and repaired at least every 25,000 miles or 12 months, whichever occurs rst, and to provide written certication that the vehicle(s) is/are maintained under a
preventative maintenance program approved by the Motor Vehicle Administration and the Maryland State Police Automotive Safety Enforcement Division.
SECURITY INTEREST FILING FEE
TITLE FEE
$20 For Each Lien Recorded
Title Fee $100, qualifying gifted trailers 3000 lbs. or less $50; short term rentals $50,
mopeds and motor scooters $20 and off-road vehicles $35.
If the annual registration fee is the same or less than the previously owned vehicle, the
transfer fee is $10. If the annual registration fee is more than that of the previously
owned vehicle, the transfer fee is $10 plus any difference in the two registration fees. If
you are transferring plates with less than 12 months before the registration expiration,
the registration will be renewed for an additional year. NOTE: Vehicle class and owner
-
ship restrictions apply.
TRANSFER OF REGISTRATION PLATES
JOINT TENANTS/TENANTS BY ENTIRETY
Joint tenants and tenants by entirety are forms of ownership with rights of survivorship.
Ownership by joint tenancy may be selected by any two or more persons. Only joint
ownership between spouses may select tenants by entireties. Upon transfer to the
survivor
, the application must be accompanied by a certied copy of the death certicate.
Please note: Effective July 1, 2013, transfer of a vehicle jointly titled to spouses, will be
exempt from the title fee, if one of the owner’
s is deceased and the vehicle is transferred
to the surviving spouse.
MARYLAND EXCISE TAX
If the vehicle is purchased from a licensed dealer, the excise tax is 6% of the full purchase, less trade-in allowance.
Transactions for vehicles less than 7 years old, purchased from someone other than a dealer, accompanied by a notarized bill of sale, the tax is 6% of the greater of the purchase
price on the notarized bill of sale or $640 ($320 for trailers). When a notarized bill of sale does not accompany the title, the tax is based on the greater of the purchase price or the
clean retail value shown in the National Automobile Dealers Association Used Car Guide (NADA) adopted for use by the Administration. On passenger cars, multi-purpose vehicles,
1/2 and 3/4-ton trucks, the value is computed by the addition or subtraction for high or low mileage.
Vehicles 7 years old or older, purchased from someone other than a dealer, if the purchase price is more than $640 ($320 for trailers), the excise tax will be 6% of the purchase
price; if the purchase price is $640 ($320 for trailers) or less the tax will be the minimum excise tax $38.40 ($19.20 for trailers).
New Residents
If the vehicle is titled or registered in the name of the applicant in another state at the time of making this application, Maryland Excise Tax is 6% of the “clean retail value” of the
vehicle as shown in the NADA Used Car Guide. Vehicles “7 years old and older” currently owned by the applicant in another state will be charged the minimum excise tax of $38.40
($19.20 for trailers).
On passenger cars, multi-purpose vehicles, 1/2 and 3/4-ton trucks, the value is computed by the addition or subtraction for high or low mileage. An excise tax credit is applied if
the applicant has not been a Maryland r
esident for more than 60 days and has paid a state sales or excise tax in another state (excluding county or local tax). The excise tax shall
apply
, but at a rate measured by the difference in Maryland’s tax rate and the other state’s tax rate. The minimum excise tax imposed shall be $100. New residents leasing vehicles
need to provide a copy of the lease contract or a letter from the leasing company indicating taxes paid (if any) to the previous state to ensure that an excise tax credit may be
applied. Active duty military living in Maryland and stationed in Maryland, an adjoining state, or DC; and returning Maryland residents in the military, are entitled to receive an excise
tax cr
edit for up to 1 year. Please note that out of state military who ar
e stationed in Maryland, have the option of titling and registering their vehicles in Maryland or in the state that
is their home of record.
REGISTRATION PLATES AND FEES
Multiyear registration – All classes of vehicles will be issued a 2-year registration except for trucks (1 ton and larger), and tractors.
SurchargeTo insure stable funding for Maryland’s world-renowned emergency medical services (EMS) system, a “surcharge” of $17 per registration year, will be collected with
the registration fee. The EMS system includes med-evac helicopters, ambulances, re equipment, rescue squads, and trauma units. Surcharge does not apply for Class L Historic,
Class N Street Rod, Class G Trailers, Interchangeable and Gratis registrations.
Half-year rates are effective on or after the rst day of the seventh month of the registration year. Quarterly rates are in effect for trucks 27,000 lbs or more.
PAYMENT: Please make checks or money orders payable to MVA. The check must include (1) imprinted name and address, (2) driver’s license number (soundex number), (3) home or work
telephone number. Company checks must have the Federal Employer Identication Number (FEIN). Visa, Master Card, American Express and cash are acceptable for payment in person.
A Guide to Motor Vehicle fees in the State of Maryland can be found by accessing the MVA website at
www.MVA.Maryland.gov. Click on FORMS, Vehicle Registration Forms, VR-316 Motor Vehicle Fees.
For further assistance, please contact the MVA customer service center at 410-768-7000.
BUSINESS ENTITY PROOF OF LEGAL EXISTENCE
Articles of incorporation for Stock, Non-Stock, Closed, Religious, or Tax Exempt Non-Stock Corporation
Partnership Agreement or Certicate of Limited Liability Partnership
Sole Proprietorship - Copy of Business License, Registration, and/or Trade Name Application from SDAT, or Application for Sole Proprietorship and/or General Partnership led
with the Business Personal Property Unit
Articles of Organization for Limited Liability Company
Articles of Merger or Reorganization
Trust Agreement (Only the part naming the trust and identifying the trustees need to be submitted along with the signature and seal)