Fill - Free fillable Wisconsin Dealer Low Speed Vehicle Title & License (Wisconsin) PDF form

Wisconsin Dealer Low Speed Vehicle Title & License Plate Application

Wisconsin Department of Transportation

MV15 10/2019 Wis Stats. 340.01(27h)

How To Complete This Application

If you have any questions regarding this application, call (608) 264-7447.

To get a title and/or license plates for your vehicle, you must complete Sections A through D as they apply.

• Include the original Certicate of Title (not a copy) for a used vehicle.

• Include the Manufacturer’s Certicate of Origin for a new vehicle.

To obtain a replacement title please use form MV2119, Replacement Title Application.

Note: The electronic record held by the department is the ocial vehicle title record.

SECTION

Vehicle Owner Information

Owner/Co-owner: The names that will be on the new title.

“And” means all owners must sign the title to transfer

ownership. “Or” means only one owner must sign the title.

Social Security Number and Driver License Number:

If you are applying as an individual, you are required to provide

your Social Security Number, pursuant to 1997 Act 191, for the

purposes of ss.49.22, Wis. Stats. Under the Social Security Act,

42 USCS.405, (C)(i), the department and federal agencies may

use the Social Security Number for purposes authorized by law.

FEIN:

Federal Employer Identication Number is required

for corporations or other non-individual owners.

Consent to Purchase:

If an owner is under 18,

a parent or guardian must complete this section.

Vehicle Information

Salvage:

• Vehicle less than 7 years old which has been damaged by

collision or other occurrence to the extent that the cost of

repairing the vehicle would exceed 70% of fair market value.

• A vehicle last titled in another state as a salvage vehicle.

Note:

You cannot drive a salvage vehicle until it passes a

salvage inspection, except to travel to the inspection site.

Police/Taxi

: A vehicle that has been used, or will be used,

as a police vehicle or taxi.

Flood Damaged

: A vehicle damaged by water to the

extent that the estimated or actual repair costs, whichever

is greater, exceeds 70% of fair market value.

Hail Damaged: A vehicle less than 7 years old damaged

solely by hail to the extent that the estimated or actual

cost, whichever is greater, to repair the vehicle exceeds

70% of its fair market value, and repaired without

replacing any exterior parts, s.340.01 Wis. Stats.

Loan Information: If you borrowed money for this vehicle,

contact the lender for the correct information. Please show

complete mailing address. Loan ling fee is $10.00. July 30, 2012,

Wisconsin became a title to lien holder (lender) state. Any title with

a lien (loan) listed on or after July 30, 2012, will be sent to the lien

holder. Vehicle owners will receive a Conrmation of Ownership

and will receive the actual title when all liens are paid o.

Fees

Title Fee: Applying for a title only (without plates)

does not allow you to legally operate your vehicle on

a Wisconsin roadway. To legally operate your vehicle,

you must also apply for Wisconsin license plates.

License Plate Fee: Two-year registration only. Plates expire

at the end of April in even-numbered years. Use chart below to

determine license plate fee due based on your date of operation.

State Sales Tax: Pay 5% sales tax unless one of the reasons

below applies. List the code number and information requested:

CODEREASON

1. Motor vehicle previously titled in Wisconsin and purchased

from spouse, parent, child, spouse’s parent, child’s

spouse, stepparent or stepchild. List appropriate one.

2. Purchaser is Common or Contract Carrier using the

vehicle exclusively as such. Show Authority Number.

3. Lessor reporting gross receipts from rental or lease.

Show Seller’s Permit or Use Tax Number.

4. Purchaser is State of WI or other Federal

or WI government unit or agency.

5. Tax paid to another state. List state and submit proof.

6. Purchaser is not a resident of WI and will not use motor vehicle

in WI except to remove it from WI. Show residence state.

8. Religious, charitable, educational or other nonprot

organization. List appropriate one and CES#.

9. Other: List reason.

Release of Nonexempt Information

Under the Wisconsin open records law, the Wisconsin Department of Transportation must provide information from its records to requesters.

If you do not want your name and address included in requests we receive for ten or more records, you may ask the department to withhold

your name and address from those lists by checking the boxes at the bottom of the application

LICENSE PLATE FEES

YEAR JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Even 3.83* 2.88* 1.92* 0.96* 23.00 22.04 21.08 20.13 19.17 18.21 17.25 16.29

Odd 15.33 14.33 13.42 12.46 11.50 10.54 9.58 8.63 7.67 6.71 5.75 4.79*

* When applying for new registration, send this amount PLUS $23.00 for the entire next two-year registration period.

LOCAL SALES TAX —

Determine which county the vehicle will be kept in and multiply the amount subject to tax by the tax rate (if any) for that

county. For county tax rate information, visit https://www.revenue.wi.gov/Pages/Apps/strb.aspx.

For all tax questions, call the Wisconsin Department of Revenue at (608) 266-2776.

Go to Application

Print Instructions

Title No. – New License Plate No.

Amount Received – Document No.

Check Cash

DO NOT WRITE ABOVE THIS LINE. Complete form using BLUE or BLACK INK.

Processor ID No. Received – Date – Opened

WISCONSIN DEALER LOW SPEED VEHICLE

TITLE & LICENSE PLATE APPLICATION

MV15 10/2019 Wis Stats. 340.01(27h)

Section A – Vehicle Owner Information

Owner Legal Name (Last, First, Middle Initial OR Business Name) Birth Date Owner Social Security # or Driver License # or FEIN – Required

Co-Owner Name (if any) (Last, First, Middle Initial)

(check one)



AND

Birth Date Co-Owner Social Security # or Driver License # or FEIN – Required

Street Address (include PO Box if applicable) City State ZIP Code Owner Daytime (Area Code) Telephone Number

If this is a leased vehicle, list Lessee Name (Last, First, Middle Initial) Lessee Social Security # or Driver License # or FEIN – Required

Lessee Street Address City State ZIP Code Lessee Daytime (Area Code) Telephone Number

All parties certify with their signature that to the best of their knowledge the

information and statements on this application are true and correct. The prior

owner’s odometer statement has been shown to the applicant and a copy

of this completed application has been furnished the applicant. Odometer

information must be completed on title or manufacturer’s certicate of origin.

Vehicle Owner Certication

(Owner Signature) (Date)

(Co-Owner Signature) (Date)

Original Title Fee – $157 $

Purchase Price $

(WARNING: It is a crime to understate the purchase price)

Less trade-in allowance $

Amount subject to tax $

State Sales Tax (amount subject to tax

0.05) $

Local Sales Tax $

Loan Filing Fee – $10 (pay fee for each loan in Section C) $

License Plate Fee – $23 $

ENTER FEE TOTAL $

Date Vehicle Purchased

 Used  New

Date Vehicle Delivered

Trade-in

Vehicle

Year Make Vehicle Identication Number

If tax exempt, enter code and reason (see instructions)

LICENSED DEALER’S STATEMENT OF SALE AND WARRANTY

For value received I hereby sell, assign or trade the vehicle described on this

document to the purchaser(s) named in Section A and I certify that all liens shown

on the Certificate of Title are paid. Wisconsin Dealer signature also serves as

evidence of application for title/registation and payment of fees.

Dealer Name Dealer Number (Area Code) Telephone Number

Name of Selling Dealer’s Authorized Agent

(Signature of Selling Dealer’s Authorized Agent) (Date)

Wisconsin Dealers: Submit state, county and local tax with form ST-12

to WI Department of Revenue

MAIL the original vehicle title (not a copy), application and check to:

WI Dept. of Transportation

PO Box 8070, Madison WI 53707-8070

Make Check Payable To:

Registration Fee Trust

Section D - Fees Tax Statement

Vehicle Identication Number Year Make Type (Car, Truck, Van, etc.) Color Fleet No. (Optional)

Wisconsin License Plate to Transfer or Temporary Plate Plate Type





Check box if plates transferred between spouses/same-sex domestic part-

ners. License plates cannot be transferred between other family members.

Date You First Drove This Vehicle in Wisconsin Check any that apply (see instructions)



Title Only



Salvage



Police



Taxi



Flood Damaged



Hail Damaged

Vehicle is kept in C

ounty City Village Town (check one)

OF:

  

OF:





Low Speed Vehicle manufactured for roadway use and displays required Federal Certication Label as a low speed vehicle.

Note: If this box is not checked and you do not include a clear photograph of the Federal Certication Label the entire application will be returned.

Section B - Vehicle Information

Section C - Loan Information

Use this section if you are adding a new lien. Any title with a lien listed after July 30, 2012, will be sent to the lien holder rather than the owner.

LIEN HOLDER #1 LIEN HOLDER #2

Name of Lending Agency(s) or Person(s) Name of Lending Agency(s) or Person(s)

Street Address (include PO Box if applicable) Street Address (include PO Box if applicable)

City State ZIP Code City State ZIP Code

Secured Party Number(s) (Area Code) Telephone Number Secured Party Number(s) (Area Code) Telephone Number

Consent to Purchase

UNDER 18

YEARS OLD

I certify that I have legal custody of the person named as owner

and consent to the purchase by such person and registration of

the vehicle described in the applicant’s name.

Date Signed Signature (legal custodian, parent or guardian)

NOTARY

PUBLIC

County Date my commission expires Date subscribed and sworn to before me Notary Signature

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Wisconsin Dealer Low Speed Vehicle Title & License (Wisconsin)

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