Replacement Title Application - Vermont DMV
Department of Motor Vehicles Agency of Transportation dmv.
Replacement Title Application
120 State Street Montpelier, Vermont 05603-0001
802.828.2000
Owner/Lessee
Vehicle is Owned or Leased
Name (Owner/Lessee) Address where you get Mail City:
Email or phone
State
ZIP:
Address where you live City:
License #
State
ZIP
Co-Owner/Lessor
If name has changed, list previous name(s): Name (Co-Owner/Lessor) Address where you get Mail City
State
ZIP
Address where you live City
Date of birth License #
State
ZIP
If name has changed, list previous name(s):
Date of birth
* Spouses Joint Tenants Tenants In Common Partners (business) TOD (Transfer on Death) Must Indicate Rights Of Survivorship
Plate/Registration # Serial Number (VIN)
Plate/Registration Expiration Model Year
Make
Vessel Length (if boat) ft.
Body/Hull Type (if boat) in.
Vehicle / Vessel
Mileage (No Tenths) Name
Miles Km Hours
Reflects the actual mileage,
I certify that the odometer reading:
Reflects the amount of mileage in excess of its mechanical limits or Is NOT the actual mileage - WARNING ODOMETER DISCREPANCY
Lienholder
Address
Date of Lien
City:
State
ZIP:
License # (if individual)
Date of birth (if individual)
Replacement title will be mailed to lienholder; if no lienholder exists replacement title will be mailed to the owner/lessor. If you wish to have the new title sent to an address other than what is listed on the title, complete the following section.
Name
Address
Declaration Mail to
I HEREBY CERTIFY that the original Certificate of Title to the motor vehicle/vessel/ATV/snowmobile described above is:
LOST
STOLEN
DESTROYED
MUTILATED
ILLEGIBLE
Is this a salvaged, totaled or rebuilt vehicle? YES NO If yes, check the appropriate box: SALVAGED TOTALED REBUILT
ALL owners are required to sign for a replacement title. THE UNDERSIGNED HEREBY applies for a replacement Certificate of Title and certifies that the information contained herein is true and correct. These declarations are made under penalties of 23 VSA ?202, ?203, ?2082 & ?3829.
Signatures
Signature of Current Titled Owner
Signature of Current Titled Co-Owner
Date
Signature of Lienholder (If lien still in effect) NOTE: This does not constitute a lien release!
VT-004 05/2024 MTC
Date
Any mutilated or illegible certificate MUST accompany this form. If your Title Certificate has any erasures or alterations, a Title Alteration Statement (form VN-020) explaining why the erasures/alterations were made is required. If you wish to have the new title sent to an address other than what is listed on the current title, please enclose a self-addressed envelope.
Instructions
1. Complete ALL of the areas that apply. Should any required information be omitted, the application will be returned to you.
2. If any liens were shown on the original title, please do one of the following:
a. For each lien on the original title, submit a lien release on the lien holder's letterhead, including make, model, year, vessel length (Boat/Vessel), Vehicle/Vessel identification number, owner's name and signature of lien holder, or submit form VT-008 (Lien Release).
b. If liens are still in effect, only the lien holder may apply for a replacement and MUST sign this application.
3. ALL owners are required to sign for a replacement title. If there are more than two owners, additional applications must be completed.
4. Type of Ownership is required information if the vehicle is titled in more than one name.
? Tenants by the Entirety/Spouses (TEN ENT) Married couples (including Civil Unions), where property ownership is treated as though the couple were a single legal person. Owners have a right of survivorship; if one owner dies, interest in the property will pass to the surviving owner, avoiding probate.
? Joint Tenants (JTEN) - Co-owners have a right of survivorship; if one owner dies, interest in the property will pass to the surviving owner, avoiding probate.
5. Fees
? Tenants in Common (TEN COM) - No right of survivorship; if one owner dies, interest in the property will be part of his or her estate.
? Business Partners (PTNERS) - Owners have a right of survivorship, if one owner dies, interest in the property will pass to the surviving owner avoiding probate.
? Transfer on Death (TOD) ? One owner only, form TA-VT-07 required.
? Vessel, ATV and Snowmobile Titles = $27.00 ? All other Titles = $42.00 ? Lien = $14.00 each
Exceptions No Vermont certificate of title will be issued for the following:
? Motorcycles powered by electricity with less than 20 kilowatts of engine power. ? Motorcycles with an engine size smaller than 300 ccs. ? Motor-driven cycles. ? Track Vehicles (Title optional). ? Tractors with a loaded weight of 6,099 lbs. or less. ? Trailers with an empty weight of 1,500 lbs. or less. ? Vehicles or vessels regularly engaged in the interstate transportation of persons or property for which a
current Certificate of Title has been issued in another state. ? Vehicles, Vessels, ATVs, or Snowmobiles owned by a manufacturer or dealer and held for sale. ? Vehicles, Vessels, ATVs, or Snowmobiles owned by the United States Government unless registered in
Vermont. ? Vessels less than 16 feet in length. ? Vessels such as a canoe, kayak, or similar watercraft designed to be manually propelled or equipped
with a motor not exceeding ten horsepower.
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