Application for Michigan Vehicle Title
Application for Michigan Vehicle Title
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TRANSACTION TYPE
PLATE
EXPIRATION
TITLE BRAND
REG. FEE
YEAR
MAKE
MODEL
VEHICLE IDENTIFICATION NUMBER REC. PASSPORT FEE
BODY STYLE
BASE MSRP
EMPTY WEIGHT
ODOMETER
ODOMETER BRAND
FIRST DRIVER'S LICENSE NO./ FEIN
SECOND DRIVER'S LICENSE NO./ FEIN
UNIQUE IDENTIFIER
TITLE FEE
$ 15.00
TITLE LATE FEE
NAME(S) AS IT WILL APPEAR ON CERTIFICATE OF TITLE AND REGISTRATION
EXPEDITIOUS FEE
ADDRESS
MAILING ADDRESS
FULL RIGHTS TO SURVIVOR
TAX
$0.00
REG. TRANSFER FEE
FIRST SECURED PARTY
FILING DATE
SECOND SECURED PARTY
TOTAL
$15.00
FILING DATE
LIEN CODE ID
LIEN CODE ID
APPLICANT IDENTIFICATION
Owner
Other Name: _________________________
ID presented: ___________________________________________
CLAIM FOR TAX EXEMPTION
USE TAX RETURN
REASON:
I certify the tax exemption show above is valid. Initial box:
I certify I own this vehicle and all information on this application is correct to the best of my knowledge.
1. Purchase price or retail value, whichever is greater.
2. 6-percent tax
3. Credit for tax paid to a reciprocal state (proof attached)
4. Tax being paid
New owner/applicant's signature
PURCHASE DATE:
TYPE OF DOCUMENT
COUNTY
$0.00
COURT
$0.00
SELLER'S NAME:
STATE FILE/ DOCKET #
X
If you do not receive your new title within 60 days, please call the Department of State Information Center at 888-SOS-MICH (888-767-6424).
X
This form or your title must be presented to purchase or transfer plates.
Final determination of the correct tax liability will be made by the Michigan Department of Treasury. You may be required to document your tax return or prove you are entitled to the exemption claimed. If you cannot support your claim, minimum penalties can be imposed including criminal prosecution or assessing up to 175 percent of the tax due.
Exemption - Transfer Between Relatives: An exemption from use tax is allowed when the new owner is the spouse, father, mother, brother, sister, child, stepparent, stepchild, stepbrother, stepsister, half-brother, half-sister, grandparent, grandchild, father-in-law, mother-in-law, brother-in-law, sister-in-law, son-in-law, daughter-in-law, grandparent-in-law, legal ward, or legally-appointed guardian of the previous owner. Documentation proving the relationship may be requested by the Michigan Department of Treasury.
VALIDATION:
JOCELYN BENSON, Secretary of State Authority granted under Public Act 300 of 1949 as amended.
TR-11L (03/21)
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