Applicant’s First Name Middle Last Co-Applicant’s First Name Middle Last

Applicant’s SOUNDEX/Maryland Driver’s License No./ID No. Date of Birth Co-Applicant’s SOUNDEX/Maryland Driver’s License No./ID No. Date of Birth

Applicant’s Street Address City or Town Co-Applicant’s Street Address City or Town

County State Zip Code Phone Number County State Zip Code Phone Number

Email Address

MDID Needed:

Email Address

MDID Needed:

IS THE VEHICLE TO BE TITLED AS JOINT TENANTS OR TENANTS BY ENTIRETIES? JOINT TENANTS TENANTS BY ENTIRETIES

If the name entered above is a business or trust, enter the FEIN here ___________________________________. Check the type of business entity below:

Trust Professional Association Sole Proprietorship Corporation Limited Liability Company Partnership Joint Venture Other (specify) _______________

Truck Truck Tractor Construction

G.V.W. G.C.W. Axles

G.V.W. Type of Trailer

If this vehicle is subject to any liens or encumbrances, complete the following section(s). Attach form VR-217 for additional Lien Filings. LIEN FILING FEE $20.00 for each

Lien led. IF NOT SUBJECT TO A LIEN, WRITE THE WORD “NONE” BELOW.

Name of Secured Party Street Address of Secured Party Type of Lien Lien Code Date of Lien

City State Zip Code Amount of Lien

PURCHASE INFORMATION FOR TAX PURPOSES - SEE INFORMATION ON REVERSE SIDE

IF VEHICLE RECENTLY PURCHASED MARYLAND DEALER’S CERTIFICATION DEALERS ONLY

MD. EXCISE

TAX OF 6% OF: $____________________

I hereby certify, under penalty of perjury, that the purchase price

represents the full amount paid for this vehicle.

SIGNATURE OF DEALER DATE

Base Price (Plug-in Electric)

Certied Selling Price

Trade-In Allowance

Taxable Price

Gross Tax Collected

VIN OF TRADE-IN ____________________________________________________ STATE:___________________ Coll. Fee .6% of Gross or $12 Max. Fee Allow.

Complete this section in its entirety if you qualify for an Excise Tax Credit in this State. I/we have been resident(s) in

Maryland for approximately _________________. I/we last registered this vehicle in ___________ and paid ________% tax

(if no tax paid, write “NONE”)

Check here if you are returning or active-duty military. See instructions on reverse page - not all military qualify.

I/we do hereby make application for: New Tags Transfer of Tags 30 Day Inspection Plate Title Only Class of Tags desired: __________________________

Is this vehicle to be operated for short term rental? Yes No If transferring plates, complete below:

TAG NO. ________________________________ STICKER NO. _________________________________

Name of Insurance Co. _________________________ Policy or Binder No. __________________________ Agent or Broker _______________________________________

I/we certify that I/we have compared the manufacturer’s vehicle identication number on this application with the number on the vehicle and they agree, and that this vehicle is subject to the liens

or encumbrances indicated herein and none other. For vehicles registered over 10,000 lbs. by signing this application, I/we certify knowledge of the Federal and State Motor Carrier Safety Laws and

certify this vehicle is maintained in compliance with the Maryland Preventative Maintenance Program. If making application for new plates or transfer of registration plates I/we certify under Penalty of

Law that the vehicle is covered by at least the minimum amounts of insurance required by the Maryland Motor Vehicles Laws, and further certify that this vehicle will be continuously insured through-

out its registration period. If registering as a construction use type vehicle, I/we certify the vehicle will be used for construction activities as dened in Section 13-917 (4) “Construction Use.” I/we

further certify under Penalty of Perjury that the statements made herein are true and correct to the best of my knowledge, information and belief.

TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov

6601 Ritchie Highway, N.E.

Glen Burnie, Maryland 21062

NEW VEHICLES PURCHASED OUT-OF-STATE

• A manufacturer’s Certicate of Origin or other ownership document(s)

Note: Customers purchasing new and used vehicles from licensed dealers need to

submit the original bill of sale to ensure proper deduction for trade-in-allowance,

unless Maryland Dealer Tax Certication is completed providing trade-in information.

USED VEHICLES FROM A TITLE STATE

if the owner shown is the seller or applicant.

years old, the bill of sale should be notarized.

BUSINESS ENTITY PROOF OF LEGAL EXISTENCE

Articles of incorporation for Stock, Non-Stock, Closed, Religious, or Tax-Exempt Non-Stock Corporation; Partnership Agreement or Certicate of Limited Liability

Partnership; Sole Proprietorship -Copy of Business License, Registration, and/or Trade Name Application from SDAT, or Application for Sole Proprietorship and/or

General Partnership led with the Business Personal Property Unit; Articles of Organization for Limited Liability Company; Articles of Merger or Reorganization; Trust

Agreement (Only the part naming the trust and identifying the trustees need to be submitted along with the signature and seal)

ODOMETER MILEAGE STATEMENT INSURANCE REQUIREMENTS

Federal and State law requires that you indicate the mileage in

All motor vehicles registered in Maryland must be insured by a company licensed in Maryland

CLASS J van pool and CLASS M multi-purpose passenger buses must be Maryland safety inspected each year before the registration may be renewed.

The Motor Carrier Safety Act requires the owner of every vehicle with a registered or operating gross vehicle weight greater than 10,000 pounds to have each vehicle

inspected, maintained, and repaired at least every 25,000 miles or 12 months, whichever occurs rst, and to provide written certication that the vehicle(s) is/are maintained

under a preventative maintenance program approved by the Motor Vehicle Administration and the Maryland State Police Automotive Safety Enforcement Division.

SECURITY INTEREST FILING FEE TITLE FEE

$20.00 For Each Lien Recorded Title Fee $100, qualifying gifted trailers 3000 lbs. or less $50; short term rentals $50,

mopeds and motor scooters $20 and off-road vehicles $35.

TRANSFER OF REGISTRATION PLATES JOINT TENANTS/TENANTS BY ENTIRETY

If the annual registration fee is the same or less than previously owned vehicle, the

transfer fee is $10. If the annual registration fee is more than that of the previously

Joint tenants and tenants by entirety are forms of ownership with rights of survivorship.

Ownership by joint tenancy may be selected by any two or more persons. Only joint

Transactions for vehicles less than 7 years old, purchased from someone other than a dealer, accompanied by a notarized bill of sale, the tax is 6% of the greater of the

purchase price on the notarized bill of sale or $640 ($320 for trailers). When a notarized bill of sale does not accompany the title, the tax is based on the greater of the purchase

price or the clean retail value shown in the National Automobile Dealers Association Used Car Guide (NADA) adopted for use by the Administration. On passenger cars, multi-

purpose vehicles, 1/2 and 3/4-ton trucks, the value is computed by the addition or subtraction for high or low mileage.

Vehicles 7 years old or older, purchased from someone other than a dealer, if the purchase price is more than $640 ($320 for trailers), the excise tax will be 6% of the

purchase price; if the purchase price is $640 ($320 for trailers) or less the tax will be the minimum excise tax $38.40 ($19.20 for trailers).

New Residents: If the vehicle is titled or registered in the name of the applicant in another state at the time of making this application, Maryland Excise Tax is 6% of the “clean

retail value” of the vehicle as shown in the NADA Used Car Guide. Vehicles “7 years old and older” currently owned by the applicant in another state will be charged the minimum

excise tax of $38.40 ($19.20 for trailers). On passenger cars, multi-purpose vehicles, 1/2 and 3/4-ton trucks, the value is computed by the addition or subtraction for high or low

mileage. An excise tax credit is applied if the applicant has not been a Maryland resident for more than 60 days and has paid a state sales or excise tax in another state (excluding

is stationed. If the excise tax exemption is approved, a form VR-005 Application for Certicate of title needs to be completed and signed, a Maryland Safety Inspection will be

required. If there is a lien on the vehicle a $20.00 Lien Filing Fee will also be required. Title Fee, Registration Fees/Surcharge will also be applicable. Please note that out of state

military who are stationed in Maryland, have the option of titling and registering their vehicles in Maryland or in the state that is their home of record.

REGISTRATION PLATES AND FEES

Surcharge – To ensure stable funding for Maryland’s world-renowned emergency medical services (EMS) system, a “surcharge” of $40 per registration year, will be col-

lected with the registration fee. The EMS system includes med-evac helicopters, ambulances, re equipment, rescue squads, and trauma units. Surcharge does not apply

for Class L Historic, Class N Street Rod, Class G Trailers, Interchangeable and Gratis registrations.

Half-year rates are effective on or after the rst day of the seventh month of the registration year. Quarterly rates are in effect for trucks 27,000 lbs or more.

A Guide to Motor Vehicle fees in the State of Maryland can be found at on our website at: mva.maryland.gov