Information reported to the hotline in the past has helped to eliminate certain fraudulent activities and protect State resources. W 0 0 Td applies to your situation. %PDF-1.5 Public Information Act | Committee: Transportation, Infrastructure and Public Safety. must secure title in the purchasers name. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. /ZaDb 4.9575 Tf Please let us know how we can improve this page. So, your first step should be to cancel your certificate on MCCS. Do I need a third party to help me apply? H4 You may apply in person at any of the MVA's full service branch offices, by mail to the MVA's Repossession/Resale Unit, or through an MVA licensed tag and title service. Now you need Operating Authority. The vehicle is registered in ajurisdiction whose laws do not require titling; or. To get started in the trucking or moving business, go to the USDOT first through its Federal Motor Carrier Safety Administration (FMCSA) office to get a USDOT Number. There is an available reassignment on any attached Dealer Reassignment form. How to transfer ownership. Your | Idioma English Espaol Sorted for Form Number (Forms marked at an* may be filled away online and then printed.) The AR car title transfer is a mandatory procedure that is completed when the original owner passes possession of the vehicle to a new legal entity for purposes of ownership reassignment. endstream endobj startxref Some page levels are currently hidden. Settings, Start voice application for dealer assignment . Title Certification: Minnesota Titles & Transfers This document presents key information for deputy registrars and dealers about examining and transferring Minnesota titles. The list is not intended to describe all applicable laws or regulations. $110 for a financed vehicle with two liens. q 0 0 Td Licensed motor vehicle dealers must purchase temporary permit stock from the authorized producer for $1.22 per permit. PDF. Lightweight camp, utility, and boat trailers are usually sold by the original manufacturer with the Vehicle Identification Number (VIN) displayed by the mylar decal or sticker-type label required under the federal motor vehicle safety standards. It should be properly completed by a licensed Massachusetts dealer only when all other dealer re-assignment spaces on the Certificate of Title form are complete. hb``b`` @Q5;40` {K)EC33|e8PLa8PLd8 If you purchased your vehicle from a dealership in New Mexico, you need to take these documents to your local NM MVD office: . Not only the model series Audi A4, Audi A5, Audi A6 . A lienholder that is a dealer cannot, in this case, use a, On repossessions from a security agreement (lien not recorded on title), the lienholder, (dealers included), in all cases, must file application and receive title in the, lienholders name before proceeding to transfer. Please call the Motor Carrier Division at 800-299-1700 (options 3-4-3) for application assistance. Reassignments completed on a secure reassignment form can be accepted even though there are open reassignments on the title certificate. - Complete the back side as an assignment for duplicate certificate of title. For a global search use the " Search: " field which will allow you to search on any match . Section 59 - Licensing Authority of City/Town (Licenses; Term; Fees, etc. This page is located more than 3 levels deep within a topic. Any boat dealer or motor vehicle dealer licensed pursuant to chapter 32-6B transferring a large boat requiring titling under 32-3A-20 to 32-3A-32, inclusive, shall assign the title to the new owner within forty-five days of the date of sale, or if a new large boat, the boat dealer . The towing-vehicle must be properly registered (not a passenger registration). Use this button to show and access all levels. If youre having trouble, you can call the Motor Carrier Division for help at 800-299-1700 (options 3-4-3). If a Texas Certificate of Title is issued in the name of a licensed dealer, the dealer must use, the assignment on the back of the title to transfer ownership. DealerTraining (4) Tj 6.025 New Vehicle Turnover by adenine California Dealer; 6.030 New Vehicles Distributed via a Non-Dealer; 6.035 New Vehicle Sales by a Nonfranchised either Used Vehicle Local; 6.040 New Vehicle Sold for Exclusive Use on Private Eigentumsrecht; 6.045 New Drive Sold for Export to Another Country; 6.050 Park Pendants; 6.055 Unpaid Vehicles And be careful out there - you'll get solicitations from businesses pretending they're government agencies, charging you to file things that you can file on your own . You can calculate your tax rate here (in German). Course Hero is not sponsored or endorsed by any college or university. endobj Not under state law. Titles Title Forms Print and complete the form you need, then return it to the address noted on the form. Do I need a U.S. Department of Transportation (USDOT) Number? 464 0 obj <>stream Q 0 0 10.045 9.602 re Please enable JavaScript in your browser. The feedback will only be used for improving the website. BT 32-3A-23. 0.749023 g If you want to contact a specific department and get a response, please go to the About Us page. Content Accuracy Statement | There is no excise tax charged in the following situations: The vehicle is registered in a jurisdiction whose laws do not require titling; or. Under certain circumstances, additional information and/or forms may be required: The dealer resale title will be mailed to you unless the dealership is acting as a lien holderandthe vehicle was repossessed. A repairer displaying "commercial plates" on the towing-vehicle can tow a vehicle on a two-wheel tow-dolly but the towed-vehicle must be properly registered or have the "Repair" plate displayed on the towed-vehicle. endstream endobj 322 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 714 0 obj <>/Metadata 22 0 R/Pages 711 0 R/StructTreeRoot 69 0 R/Type/Catalog>> endobj 715 0 obj <>/MediaBox[0 0 612 792]/Parent 711 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 716 0 obj <>stream % hXn8>"- 4MMw ?XM!P"!5T ,)X0iQ(fV%x{x:=KB%aJ{ BJJAE3j %Pg-Sc9L : 30>8JZMf>0&L9*YKP]`$$'e6I!%)+M^x on titles for all vehicles that are not exempt from the odometer disclosure requirements. Only a licensed franchised dealer may reassign an MCO. The business will be given a number with a "Z" to identify it. 764 0 obj <>stream endstream endobj 324 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H(88v80(X$f|\1o=O. A, to reassign a motor vehicle when available dealer reassignments, or "Open" reassignments, remain on the certificate of title or a prior secure dealer reassignment form. We're available on the following channels. Customize the blanks with exclusive fillable fields. Add the date and place your e-signature. r VX W Contact your local DHSMV HSMV 82042 Vehicle Identification Number and Odometer Verification sFf. %PDF-1.6 % When you receive the title, attach the original DRT-1 to it. Reassignment of Ownership by Registered Dealer (Form 2447) or provide a . 304 0 obj <>/Filter/FlateDecode/ID[<16492EA7F8D2C744A46BC998F5BA8C2C>]/Index[265 77]/Info 264 0 R/Length 151/Prev 234459/Root 266 0 R/Size 342/Type/XRef/W[1 3 1]>>stream Having the operating authority to do one doesnt give you permission to do the other. If you change insurers, you need to make sure your new insurer files a new Form E before your previous one expires. Generally there are 3 types of transfer of ownership that takes place, individual to individual, individual to dealer or dealer to individual. -DMV Online Services and Moveable App transactions will be unavailable during a system update, from 8 pm on Sunday, April 30 until 5:45 americium on Monday, May 1. Dealer either has the owner sign the Duplicate Title transferring the vehicle to the dealer or has the owner sign the Massachusetts Registry of Motor Vehicles Application for Dealer Reassignment (DRT-1) Form. FORM HSMV 82994, MOTOR VEHICLE TITLE REASSIGNMENT SUPPLEMENT, MUST BE USED: with conforming Florida Certificate(s) of Title to make additional dealerreassignments and odometer disclosures when all reassignment and odometerdisclosure spaces on the reverse side of the Certificate of Title have been used: OR Dealer Reassignment forms can only be purchased from the following authorized dealer associations: Independent (Used) Automobile Dealers Association Georgia Independent Automobile Dealers Association (GIADA) 6903-A Oak Ridge Commerce Way Austell, Georgia 30168 Phone: 770-745-9650 Toll Free: 800-472-8101 Fax: 770-745-9100 Email: info@giada.com Like the "repair"-plated tow-vehicle described above, a "ramp truck" displaying the valid compliance decal can tow an unregistered vehicle without a plate if the repairer has insurance coverage that protects the towing vehicle and the vehicle being towed. Repossession titles will be printed and issued the same day. 0.749023 g Technical support contact information and answers to common technical questions are available here. Plenty of businesses will offer to help, but we're here to help, too. endstream endobj startxref The vehicle is involuntarily transferred to a licensed dealer and the certificate of title is not available (i.e., repossession, court order, etc. Section 59A - Licensing of Motor Vehicle Junkyards, Section 62 - Record Keeping (Used Car Dealer Record Book), Section 66 - Certain Authorities May Enter Licensed Premises; Examination, Section 67 - Penalty for Refusal to Allow Entry or Examination, Section 67A - Removal of Registration Number Plates & VIN Plates from Vehicles to be Junked, Consumer Protection Regulations of the Attorney General Pertaining to Sales of Motor Vehicles, Application for Dealer Reassignment of Title (DRT-1), Application for Duplicate Certificate of Title, Application for Inspection of a Salvaged Motor Vehicle. The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. order, regardless of whether they are executed on the back of the title or on a separate, VTR-41-A) to reassign a vehicle after the dealer has taken assignment of the vehicle on, the original or duplicate. input, Titles for Watercraft and Non-Traditional Vehicles, Affidavit of Missing Title Information - 56620, Affidavit Of Sale - Abandoned Watercraft - 50634, Affidavit Of Sale or Disposal - Abandoned Manufactured Home - 50635, Application For Certificate Of Title For A Vehicle - State Form 205, Certificate of Gross Retail or Use Tax Paid State Form 48842, Certificate of Gross Retail or Use Tax Exemption for the Purchase of a Motor Vehicle or Watercraft 48841, Certification of Sales of Manufactured Homes or Industrial Building Systems 35838, Motor Driven Cycle (MDC) Affidavit - Affirmation of Ownership and/or Cubic Centimeters (CC) - State Form 55714, Odometer Disclosure Statement - State Form 43230, Mechanics Lien Bill of Sale - State Form 23104, Trailer Ownership Affidavit - State Form 43753, Affidavit For Certificate Of Title Correction - State Form 55582, Certificate of Repossession - State Form 39738, Convenience Fee Disclosure State Form 56075, Reassignment of a Vehicle by a Registered Dealer - State Form 20070, Application For Special Identification Number - Vehicle or Watercraft - State Form 12907, Application For Dealer Off-Road Vehicle / Snowmobile Registration State Form 52828, Affidavit for Certificate Of Title Correction - State Form 55582, Application for Certificate of Authority - Disposal of a Vehicle -55018, Affidavit for Surrender of Vehicle or Watercraft Title - State Form56062, Affidavit of Sale or Disposal - Abandoned Manufactured Home -50635, One and The Same Person Affidavit - State Form 13637, Limited Power of Attorney - State Form 1940, Affidavit of Ownership For A Vehicle - State Form 23037, Affidavit for Transfer Of Certificate Of Title ForA Vehicle/Watercraft Without Administration- State Form 18733, Affidavit to Transfer to Real Estate - (ATRE) State Form 51408, Application for Special Identification Number Vehicle or Watercraft - State Form 12907, Application to Remove Erroneous Junk Brand - State Form 55281, Report of Vehicle Body Change - State Form 39771, Indiana Electronic Lien and Title Participating Lender Application, Statement Of Existing Lease Agreement - State Form 12787, Request for Certified Records State Form 53789, Collection of Payment Form (BMV)State Form 56163, Motor Carrier Services Credit Card Authorization Form State Form 51694, Application for Refund of Certain Fees - State Form 56165, Certificate Of Repossession - State Form 39738, ST-108 Certificate of Gross Retail or Use Tax Paid State Form 48842, ST-108E Certificate of Gross Retail or Use Tax Exemption State Form 48841, ST-108A Certificate of Sales Tax Paid or Exemption for Auctions State Form 53560, ST-108NR Certificate of Gross Retail or Use Tax Paid on the Purchase of a Motor Vehicle for a Nonresident State Form 52873, ST-108MH Certification of Sales of Manufactured Homes or Industrial Buildings State Form 35838, Affidavit For Restoration ForA Salvage Motor Vehicle - State Form 44606, Salvage Title Affidavit - State Form 49891, Affidavit Physical Inspection of a Vehicle or Watercraft State Form 39530, Application for Certificate of Watercraft Title - State Form 38529, Report If you get an Enforcement letter about your insurance filings, your first step should be to log onto MCCS to see what your insurance filings are. Thats an important email that can save you heartache and money, so make sure its, Once you have your certificate, you can log onto your registration in. Nebraska Department of Motor Vehicles 301 Centennial Mall South PO Box 94877 Lincoln, NE 68509-4877 Phone: 402-471-3985 The purchaser, as shown on a Sheriff's, Constable's, or U. S. Marshal's Bill of Sale, Mechanic's or Storage Lien Bill of Sale, or Auction Sales Receipt for an abandoned, vehicle, must secure title in their name. If you need assistance with completing any of the forms below, visit the Division of Motor Vehicle Licensing homepage for contact information. PDF. Supplement - Form 82994. How much coverage you need depends on what you do. /ZaDb 5.7781 Tf Glen Burnie, MD 21062 For Telephone Questions: MVA Customer Service Center: 1-410-768-7000 MV15 Wisconsin Dealer Low Speed Vehicle Title and License Plate Application. We will use this information to improve this page. AE}+d3v6B@St,apMZ.P*sQ+Oz; 373 0 obj <>/Filter/FlateDecode/ID[<0E2AD251C3E33A408E814EED19064E7A><5E536B0CD7DCBC47B96F66A46FB4022A>]/Index[318 147]/Info 317 0 R/Length 187/Prev 245163/Root 319 0 R/Size 465/Type/XRef/W[1 3 1]>>stream The government provide 10 of the vehicles to the contractor 15 days after contract, which of the is true regarding placing orders under indefinite- delivery contracts? hbbd```b`` l70{5 "V#@Hc09D2=0tuU`RDr=?} RDHY.0 6Y6&$z2lf,bGd6aEg`` C dealer reassignment documentation texas title template vehicle reassignment form If you believe that this page should be taken down, please follow our DMCA take down process here. An "Owner-Contractor" plate may be attached to the towed-vehicle if that vehicle is owned by the Owner-Contractor to whom the plate was issued and the vehicle qualifies to display an Owner-Contractor plate. A dealer may use, Dealers Reassignment of Title for a Motor, (Form VTR-41-A) even if all reassignments on the title are not complete. VeriSign secured #1 Internet-trusted security seal. So here it is again - make sure its your email address on your registration! original dealer title: . Completing the transfer of car title is an important step since it protects both the buyer and the seller of the motor vehicle. F-1301201. A tow- truck displaying a "commercial" registration plate cannot tow an unregistered vehicle if any of the towed vehicles wheels are in contact with the road. Prs7:&.8Zcd/2'k(l{40%Y)aH"u9ZqM)kS-fsf'|EF]9~7c+_-o,="I.W?~}vt;;:E`R2et.tUC0g;O$ 1,>Y{SV=wAJH f Theres a ton to learn, and we teach it! Im going to lease on to another company. (3) Each certificate of title issued by the department must contain on its reverse side as many forms as space allows for reassignment of title by a licensed dealer as permitted by s. 319.21(3), which form or forms shall contain an odometer disclosure statement in the form required by 49 C.F.R. Thank you for your website feedback! 9.4 Dealer Assignments Dealer's Reassignment of Title for a Motor Vehicle (Form VTR-41-A) has been designed exclusively for use by licensed Texas dealers. Journal Page: Title: SCS HB 415. The form is available only to certain classes of licensed Minnesota dealers: new, used, lessors, . 363 0 obj <>/Filter/FlateDecode/ID[<247375F46CA3A346B79789C05F6AC029><6BC65BCBCD3B6846B987A84963CA7F9B>]/Index[331 60]/Info 330 0 R/Length 140/Prev 317747/Root 332 0 R/Size 391/Type/XRef/W[1 3 1]>>stream prior to having it notarized. 03. If you cancel your certificate, you can re-register it later. It should not include a pole dolly or pole dickey, nora pair of wheels commonly used as an implement for other purposes than transportation. H4 (Refer to. The last registration card that the seller has for the vehicle showing that the vehicle was registered and owned by the seller. But if the insurer files my coverage, isnt this their problem? ET A .mass.gov website belongs to an official government organization in Massachusetts. Employment | A Transporter can tow a vehicle on a two-wheeled tow-dolly if the vehicle being towed displays the "Transporter" plate. With its small-series and large-scale production expertise and the wide range of derivatives, the plant boasts the greatest product diversity at the Volkswagen Group. Transferring a Vehicle Title When Purchasing a Vehicle From a Dealer. At least 60 days prior to the opening of a sale at a temporary site, a new motor vehicle dealer must make application to the department for a temporary site permit. Motor Vehicle Title Reassignment Supplement - Form 82994 Form 82994 is used: When the title is electronic When the odometer is to be carried over the title is non-conforming When all the dealer reassignments have been used on the title. The dealer resale title transaction istax-exemptin the following situations: In all other situations, the dealer must pay excise tax! 2 Required if vehicle is less than 10 years old. Mon to Fri, 8AM-5PM (Central Time). 4 0 obj The vehicles owner(s) must sign, print name, date, and disclose the mileage on the form. Different categories include in-transit dealer licenses, auction licenses, franchise dealer licenses, and independent dealer licenses. failure to deliver title allowed if the dealer is unable to deliver the title to the customer within 30 days, then the dealer may provide a loaner vehicle with a dealer plate until the title arrives. document.write( new Date().getUTCFullYear() );Texas Department of Motor Vehicles. The Maryland General Assemblys Office of Legislative Audits operates a toll-free fraud hotline to receive allegations of fraud and/or abuse of State government resources. Agricultural Use Affidavit. You will need all of the items (10 total) listed in the previous section, plus the following: You will need all of the items listed in the first section (10 total), plus the following: You will need all of the item listed in the first section (10 total), plus the following: Entity Identification Attach a copy of the DRT-1 form to the duplicate title application and bring it to the RMV or mail to the address on the application. Dealers Reassignment of Title for a Motor Vehicle. Press Releases | endobj @E}+c3]g3m0HgHRnRUZc+VDF_o>ol>!I.I,?P1;Ec. Y 0 0 No! A purchase order if there is no New Jersey Dealer Tax Stamp on the assigned title. 390 0 obj <>stream The vehicle is acquired for resale and the dealer reassignment sections contained on the certificate of title have been used. endstream endobj 332 0 obj <>/Metadata 32 0 R/OCProperties<>/OCGs[364 0 R]>>/Outlines 45 0 R/PageLayout/SinglePage/Pages 329 0 R/StructTreeRoot 54 0 R/Type/Catalog>> endobj 333 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 334 0 obj <>stream F-1310501. 2.5784 2.8451 Td Neckarsulm, Germany AUDI AG, Audi Sport GmbH. What next? Fees: All title transfer fees must be collected and submitted to the department. Share sensitive information only on official, secure websites. endstream endobj 329 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream When you receive the duplicate title, attach the original DRT-1 to the title. 0 0 9.251 8.808 re A lock icon ( And be careful out there youll get solicitations from businesses pretending theyre government agencies, charging you to file things that you can file on your own, for free! Find the Texas Dealer Reassignment Form you require. hb```c``d`e`X' ,@9kN f`u*)r@g/ L@H6 if`)8X ,b|Bf )FkGY8+d~|H8`*4P l;Vc Dealer reassignment documentation,if applicable. hbbd```b``)0)&I".A`q#X1L*`2 L#0#D@#B22d*f&wHI`R,&lE` 2lNK$X,>EAjr@ & L/f20$ Form MV-27 should remain attached to the assigned Pennsylvania Certificate of Title, and must accompany application for transfer of title to the purchaser (or fourth dealer) when submitted to PennDOT. A trailer is defined as: "Any vehicle or object on wheels and having no motive power of its own, but which is drawn by, or used in combination with, a motor vehicle. Effective Date: August 28, 2023. West Virginia dealers can certify the price by using the certification on the bottom of the Application for Certificate of Title for a Motor Vehicle (DMV-1-TR), if this is not completed, a dealer invoice is required. Affidavit of Affixation for Manufactured or Mobile Home. If you need assistance with calculating the tax, please call the New Jersey Division of Taxation at 609-984-6206. The following sections contain instructions on how to title a pre-owned (used) vehicle; registration information is also included for your convenience. Please read all information carefully to determine which set of instructions Customer Protection, MVA Branch Locations RTB #001-16 New Application for Texas Title and/or Registration (Form 130-U) RTB #011-15 Use of the Dealer Reassignment of Title for a Motor Vehicle, Form VTR-41-A, with "Open" Reassignments Posted on December 18, 2015 by Dealers and Manufacturers Please review and distribute as appropriate. Check out our Outreach and Training page for more information, including free live webinars where you can get your questions answered. Payment for the sales tax fee. hXmOI+T*$"#alaE*l[^}8zQV35:,P0z4)d0 Vehicle Description This reassignment is supplement to ("cVT_|E=@?yo7mg>C4qCB!~ QVcIc`u&x(qT9r^.#@.gem1$_aCokkKd?~' :X?oDv.X@/SqE~Z`J5 The USDOT Number is not an authority to get on the road. power of attorney to transfer ownership and attestation of mileage and identity for the transfer of ownership of a vehicle or watercraft to or from a motor vehicle or watercraft dealer licensed by chapters 4517/1547 pursuant to ohio revised code 4505.0323/1548.032 and application for certificate of title. To Title and Register a vehicle that was Pre-Owned in a state that issues titles You will need all of the items (10 total) listed in the previous section, plus the following: Dealer reassignment documentation, if applicable. Any dealer who uses this dealer assignment form (or the MSO) to assign ownership to another dealer, or the end consumer, must be enfranchised for the make of the vehicle shown on the front of the MSO. Both parties must sign the statement Share your form with others But you are still responsible for managing your own certificate if you have one! 2-Orders must be within the scope of the contract 3-Orders. 2.588 2.7144 Td Business Hours DETAILS Currently, a licensed Texas dealer must take assignment on the back of the certificate of title or on Part A of the Power of Attorney for Transfer of Ownership to . VIN reassignment overview. the motor vehicle sales tax area of the title application. However, the dealer stream An additional Power of Attorney (POA) issued to the auction-house from the dealer. 341 0 obj <>stream endstream endobj 325 0 obj <>/Subtype/Form/Type/XObject>>stream Do I need Intrastate Operating Authority, Interstate Authority, or both? (t"I=mOzkZ. 0 0 9.37 8.785 re A statement of fact must be secured for any alteration or erasure on the, Reassignment of Title for a Motor Vehicle. There are 10 new and used 1964 to 1969 BMWs listed for sale near you on ClassicCars.com with prices starting as low as $13,900. Does TxDMV issue Commercial Driver Licenses or conduct safety audits on motor carriers? Motor Vehicle Dealer Forms Seminar. Once you get a certificate, you can access it on the Motor Carrier Credentialing System (MCCS), also on our Motor Carriers page. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. B, lywsF'GyB$S3L&){(O;h9%7g7_>4{*uu\'*. If vehicle is non-titled, the last previously issued registration document. the Manufacturer's Certificate of Origin (MCO) the Manufacturer's Statement of Origin (MSO) and form MV-50 (Retail Certificate of Sale) The proof of ownership for a used vehicle is both. endstream endobj 326 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream (Formerly known as a TxDOT number because the Texas Department of Transportation used to issue them.). It should nota portable, collapsible or separate two-wheel tow dolly limited only to the purpose of transporting or towing a registered vehicle." My truck broke downor I just want a break from the business. Yes, unless the error on the title that is assigned to you was made by the MVA, you must pay excise tax when applying for a dealer resale title. Revised January 2019 445 Minnesota St. Saint Paul, MN 55101 dvs.training@state.mn.us CERTIFICATE OF TITLE FOR A MOTOR VEHICLE The owner or the authorized representative must sign, in ink, on the Title Application. You not only have to have it, we have to see it - online. NM Department of Motor Vehicles 4114 Sabana Grande Ave . Searching Forms and Publications is simple and fast! 82994: Application for Motor Agency Dealer Title Reassignment Supple (Sample only take not fill out) 82995: Application for Motor Drive Power to Attorney/Odometer Disclosure (Sample only do not fill out) 82996: Application for Car Vehicle Dealer/Auto Auction or Customer Counter Affidavit*