Transcription of VR-005 04-21
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VR-005 04-21
APPLICATION FOR certificate OF TITLEVR-005 ( 04-21 )READ INSTRUCTIONS ON REVERSE SIDEAPPLICANT S FIRST NAME MIDDLE LAST CO-APPLICANT S FIRST NAME MIDDLE LASTAPPLICANT S SOUNDEX/MARYLAND DRIVER S LICENSE NO. DATE OF BIRTH CO-APPLICANT S SOUNDEX/MARYLAND DRIVER S LICENSE NO. DATE OF BIRTHMONTH DAY YEAR MONTH DAY YEARAPPLICANT S STREET ADDRESS CITY OR TOWN CO-APPLICANT S STREET ADDRESS CITY OR TOWNCOUNTY STATE ZIP CODE EMAIL ADDRESS COUNTY STATE ZIP CODE EMAIL ADDRESSIS THE VEHICLE TO BE TITLED AS JOINT TENANTS OR TENANTS BY ENTIRETIES? JOINT TENANTS TENANTS BY ENTIRETIES NEW VEHICLE USED VEHICLEMODEL YEARMAKE OF VEHICLEMODEL IDENTIFICATION NUMBERMODEL YEARMAKE OF VEHICLETYPE OF FUEL# OF CYLINDERSMOTOR CARRIER #UNIT # TWO STAGE VEHICLECOMPLETE MAKE & YEAR FOR EACH VEHICLE TRUCK TRUCK AXLES BUSSEATS MOTORCYCLEENGINE NO. ENGINE SIZE ( ) TRAILER (SPECIFY LENGTH) TYPE OF TRAILERIf this vehicle is subject to any liens or encumbrances, complete the following section(s).
A Manufacturer’s Certificate of Origin and; 2. Maryland dealers complete the Maryland Dealer’s Certification located on the front of this application or submit the original Dealer’s Bill of Sale. Note: Customers purchasing new and used vehicles from licensed dealers need
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