TI-006 - SCDMV
|Section A: Owner and Vehicle Information |
|LAST NAME |FIRST NAME |MI |SUFFIX |DATE OF BIRTH |
| | | | | |
|STREET ADDRESS |CITY |STATE |ZIP CODE |
| | | | |
|EMAIL ADDRESS |PHONE NUMBER |
| |( ) |
|VEHICLE IDENTIFICATION NUMBER |MAKE |YEAR |
| | | |
| I am a permanent resident of the State or U.S. Territory of ______________ |
|My Driver’s License/ID # from that state is _____________________ |
|I am a resident of the country of ________________________ |
|I am providing the following photo identification: Foreign Passport Country and number________________________ |
|U.S. issued Employment Authorization Document Number _____________ |
|U.S. issued Permanent Resident Card Number __________________ |
|The applicant must select one of the statuses in section B and sign the statement in Section C. Please provide any additional documents required for the selected |
|status. If mailing in application, please submit copies of the requirements and completed application to: |
|SC Department of Motor Vehicles, Titles and Registration, PO Box 1498, Blythewood, SC 29016-0024 |
|Section B: SELECT OPERATION STATUS |
| |
|Active Duty Military (see pg. 2 for additional requirements) |
|I am on active military duty stationed in South Carolina. |
|I am providing the following documents: Military Orders Military ID Number Leave Earnings Statement |
| School Enrollment (see pg. 2 for additional requirements) |
|I am currently enrolled in a school in South Carolina. |
|I am providing the following: School ID & School ID #____________ Copy of Enrollment Form(s) |
| Vehicle Principally Garaged in South Carolina (see pg. 2 for additional requirements) |
|Vehicle listed above is principally garaged in the State of South Carolina and is located at (full address) |
|___________________________________________________________________________________ |
|I am providing the following proof of address: deed, mortgage, utility bill ( ................
................
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