Transcription of VR-005 04-21
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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.
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 county or local tax). The excise tax shall apply, but at a rate measured by the difference in Maryland’s tax rate and the other state’s tax rate.
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