Transcription of New Vehicle Title App (7/06)
1 Application for Certificate of Ownership for a New VehicleInstructions:1) This form must be completed for passenger use vehicles that are being titled from an ) This form is not required with MCOs for the following vehicles: Motorcycle, RV, ATV, Boat, School Bus, Dump Truck, Tractor, Trailer, Municipal, County,State or Federal Government Vehicles, Construction Vehicles, Commuter Van, Farm Use, Farm Truck, Omnibus/Taxi, or Limousine for commercial A: Dealership InformationNew Vehicle Dealership (Licensed Business Name):Address: Motor Vehicle Dealer Identification Number: Section B: Vehicle InformationVehicle Make: Model: Vehicle Identification Number (17 digits):List the average EPA miles/gallon (Add both city and highway ratings and divide by 2 OR designate as Not Rated and skip to Section E)Section C: Questions1.
2 Is the average EPA MPG rating (designated in Section B) over 40, AND is the gross sales/leaseprice of the Vehicle equal to or greater than $45, (Add both city and highway ratings and divide by 2) ..2. Is the new Vehicle certified as a zero emission Vehicle by the Commissioner ofEnvironmental Protection? ..3. Will the new Vehicle be registered as a commercial Vehicle ? ..4. Will the Vehicle be titled and registered outside of New jersey ? ..If you answered YES to any of the above questions, then skip to Section D: NEW Luxury or Fuel Inefficient Vehicle Surcharge CalculationThe surcharge applies to passenger vehicles, light trucks, SUVs, and vans that will not be registered for commercial the average EPA MPG rating less than 40 with a gross sales/lease price equal to or greater than $45, ..Is the average EPA MPG rating less than 19 with a gross sales/lease price of less than $45.
3 If you answered YES to either of these questions, then the surcharge is the Vehicle gross sales/lease price ..Amount of surcharge assessed. Calculate of the gross sales/lease price ..Section E: Dealer s SignatureDealership Authorized Signature: Date:FOR MVC USE ONLYA gency Full Transaction IDOS/SS-14 (7/06)$$YES NOYES NO
