Vehicle Registration - Home | Department of Motor Vehicles

DEPARTMENT OF MOTOR VEHICLES Agency of Transportation

Name of Primary Registrant (Last, First, Middle, or Business Name)

Vermont Registration Tax & Title Application

802.828.2000 dmv.

Former Name

SECTION 1

License Number or FEIN

Date of Birth

Gender

Email

Mailing Address

Physical Address

Name of Co-Owner or Lessor (if lessor skip to address line)

City City See instructions for additional owners

Phone

State

ZIP

State

ZIP

VT

Former Name

Mobile Home Work

Country

Country

USA

4 3 SECTION 2

License Number or FEIN

Date of Birth

Gender

Email

Phone

Mobile Home Work

Mailing Address

City

State

ZIP

Country

Serial Number (VIN)

Body Style

Fuel Type

Cylinders

Color 1

Color 2

Axles (truck) Empty Weight (truck, trailer & jitney) Loaded Weight (truck & trailer) Length (trailers) Feet & Inches

New Used Year Rebuilt

Brake Type (truck)

HYD Air Other

Width (trailers) Feet & Inches

Make

Model

Number of Passengers (jitney) Wheels (MTC & ATV)

Power (MTC & ATV)

cc's #_______ kWh #_______

Relationship of owner & co-owner

Spouses

Joint Tenants

Odometer reading (no tenths) Lienholder Name (if none, write NONE)

Tenants in Common

Business Partners Transfer on Death (requires form VT-007)

Reflects the actual mileage. Reflects the mileage in excess of the odometer's mechanical limits. Is not the actual mileage

Date of Loan

5

Lienholder Address Name of person or company vehicle purchased from

Date Purchased

VT Dealer Number Temporary Plate #

6

Address of seller

Seller Signature

7

New Registration Replacement Reg IRP Tax & Title Current Plate #

Renew

Title Only

Weight Change

Transfer

Other

Purchase Price

Purchaser of old vehicle

Credit for Trade

City

State

Date of Sale

JD Power Value Adjustments

Year

Make

Plate #

$

VIN

Registration/Plate Type

Car

Truck

Trailer Motorcycle

________________

Registration Term

1 Year 2 Years 5 Years (trailers & municipal)

Registration/Transfer

Tax

Title

Warranty

SECTION 9

SECTION 8

Taxable Amount

Fuel User

I hereby affirm, under penalty of perjury of the laws of the State of Vermont, that the information on this form is true and correct. This declaration made under penalties of 23 V.S.A. ? 202 & ? 4110.The owner certifies that this vehicle 1) is properly equipped and in good mechanical condition; 2) was placed into use on or before the date this application was signed; 3) currently has liability insurance in effect as required by 23 V.S.A. ?800 (a). If transfer of plates, the owner and/or this vehicle are not under suspension pursuant to 23 V,S,A, ?3009(b). As the applicant for registration of a commercial motor vehicle, I hereby declare that I have knowledge of the Federal Motor Carrier Safety Regulations, Title 49 of the Code of Federal Regulations, as adopted by the State of Vermont.

Signature of Owner

Date Signed

Signature of Co-Owner/Lessor

Other Total

X

Date Signed

VD-119 07/2024 MTC

If submitting by mail, send to Vermont DMV, 120 State Street, Montpelier, VT 05603. For more detailed instructions, see DMV form# VD119i.

Section 1

Enter all names and contact information. A physical address is required if the mailing address is a PO Box or Private Mailbox (i.e., UPS Store). To add additional owners (more than two owners or owned or more than one for leased), complete and include them from VT-012.

Section 2

VIN Verification is required (using DMV form VT-010) for ? Vehicles with Salvage Documentation from any state, including

Vermont. ? Vehicles being titled under bond. ? Vehicles with registrations from any foreign country, including

Canada.

Trucks (including pick-up trucks) must include ? Number of Axles ? Brake Type ? Empty Weight (curb) ? Loaded Weight (GVW)

Trailers must include ? Empty Weight ? Length (in feet & inches) ? Width (in feet & inches)

Motorcycles & ATVs must include ? Cylinders ? Number of Wheels ? Power ? Power Type

Section 3

? Tenants by the Entirety/Spouses (TEN ENT) - Married couples (including Civil Unions), where property ownership is treated as though the couple was 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.

? Tenants in Common (TEN COM) - No right of survivorship; if one owner dies, interest in the property will be part of their estate. ? Business Partners (PTNERS) - No right of survivorship; if one owner dies, interest in the property will be part of their estate. ? Transfer on Death (TOD) ? One owner only, DMV form VT-007 required.

Section 4

Enter the current odometer reading. A separate odometer disclosure statement is required if the vehicle is model year 2011 or newer.

Section 5

If the vehicle is financed, enter the lienholder information. If there is no loan, write "None."

Section 6

Enter the seller details. The seller's signature is only required if no other bill of sale exists.

Section 7

Indicate the transaction type. If there is a current Vermont registration, enter the plate number. For new registrations, enter the desired plate type. Available plate types include (additional form may be required for some)

? Agriculture (Farm Use) ? Air Medal ? Amateur Radio ? American Legion ? Antique ? ATV ? Bronze Star ? Building Bright Futures ? Conservation ? Disabled ? EMS ? Exhibition

? Firefighter ? Freemasons ? Gold Star Family ? Jitney/Rental ? Lions Club ? Motor Bus ? Motor Driven Cycle

(moped) ? Motor Home ? Municipal ? National Guard ? Off-Highway Tractor

? Pearl Harbor ? POW ? Purple Heart ? Rotary ? School Bus ? Sheriff ? Special Purpose Truck I ? Special Purpose Truck II ? State ? Street Rod ? Transporter ? Veteran

? Veteran, Afghanistan ? Veteran, Disabled ? Veteran, Gulf War ? Veteran, Iraq ? Veteran, Korea ? Veteran, Motorcycle ? Veteran, Vietnam ? Veteran, World War II ? VFW ? Volunteer ? VVA

Section 8

? Purchase Price - Amount paid for the vehicle. ? Credit for Trade - Amount the previous vehicle was sold for, to include trade value at dealer or private sale. ? JD Power Value ? Unless sold by a Vermont Dealer or Licensed Out-of-State Dealer, tax is due on JD Power value. Visit mydmv. to

obtain the current JD Power value. ? Purchaser Information ? if claiming trade credit, include details on the sale of the previous vehicle. ? ATV - If an ATV is purchased from a Dealer or Vermont-registered business, you must submit proof of tax paid. No tax is due if an ATV is purchased

in a casual sale (person to person).

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