Transcription of RD-108 Application for Michigan Title & Registration
1 1. Purchase Price of vehicle (Including Freight & Accessories) ..2. Other Taxable Charges (Documentary, Service, Temp. Reg. Fees, etc.)2a. Optional Electronic $24 Filing Trade-in Sales Tax Credit ..4. Total Taxable Price (Line 1 + Line 2 + Line 2a - Line 3) ..5. Sales Tax + Plate Fee + Title Fee (From Total Above) ..6. Non-Taxable Charges (Labor, Service contract , etc.) ..7. Total Delivered Price (Line 1 + Line 2 + Line 2a + Line 5 + Line 6) 8. Cash on Deposit ..9. Cash Due on Trade-In .. Minus Lien .. Total Down Payment .. Unpaid Balance To Be Financed.
2 Insurance/Additional Product Charge*.. Total Amount Of Finance contract (Line 13 + Line 14) Purchaser Warning: Do Not Sign a Blank FormI am purchasing or leasing this vehicle and am applying for a Michigan certificate of Title and Registration or, if the lessee, applying for a Registration . I certify that my driver s license is not suspended, revoked, or denied as a repeat offender and I am eligible to purchase or register this vehicle . I further certify that if a tax exemption is shown above it is NOTE: IF vehicle Title IS NOT RECEIVED WITHIN 30 DAYS CONTACT THE DEPARTMENT OF STATE INFO CENTER AT 888-767-6424.
3 Authority granted by 300 of 1949, as amended. Form must be typed only. See Dealer Manual for permitted handwritten corrections. RD-108 (Rev. 12/3/20) Michigan Department of State Application for Title and Registration Statement of vehicle SalePurchase DateDelivery DateCounty:State:ZIP Code: vehicle Sold:NewTrade-InTrade-In YearVehicle Identification Number (VIN) vehicle Registration to Transfer PlateExpires 15 Days After Delivery DateMakePlate Transferred From: vehicle Identification Number (VIN):Plate Number: vehicle History and Title Brand DisclosurePolice VehicleMunicipal VehicleTaxiVehicle Has Been Flood DamagedSalvage Title Was Previously IssuedOdometer Mileage DisclosureThe odometer mileage reading must match the mileage reading disclosed to the purchaser on the Title or mileage MileageNot Actual MileageExemptDealer License NumberSales Tax License NumberPhone NumberMITrade-In MakeYearNo TenthsRecreation Passport?
4 Remarks:I certify this vehicle was delivered to the named purchaser or lessee on the delivery date indicated above, all information on this form is accurate and the vehicle is subject only to the secured interest listed on this form. I certify the dealership will apply for Title and Registration in the purchaser s name within 15 days of the delivery date, and that I have provided paper or electronic copies of all signed documents to the of Dealer s AgentTitlePlate Expiration Date:Dealer:Street Address:City:MonthDayYearNew PlateRenewalMonthsYearMakeBody StyleVehicle Identification Number Base MSRP or Empty WeightCounty of ResidenceLicense Plate FeeTitle FeePlate Transfer FeeComplete Names and Address of All Owners or LessorComplete Names and Address of All LesseesTitle Late Fee.
5 $15 ($100 for % dealer floor planned vehicles)Sales TaxTotal - Transfer to Line 5 Full Rights to SurvivorYe sNoMichigan No-Fault Insurance CompanyPolicy or Binder NumberLien Filing Date:Secured Interest:Street Address:City, State, ZIP:*Warning: This Insurance is not PL/PD No-Fault Insurance required by Michigan Life InsuranceGap or WaiverHealth & Accident Insurance15-Day Temporary Registration Number (this number may be handwritten)Printed Name of Salesperson $$Stock NumberPlate NumberPrinted Name of Dealer s License, PID, or FEIN Number of All Owners or Lessees 1) 2)3)Purchaser or Lessor s SignatureDateDateXCo-Purchaser s SignatureXLessee s SignatureXCo-Lessee s SignatureXCo-Lessee s SignatureDateDateDateDateXXTransferI have selected and agree to pay the OPTIONAL $24 Lien Code ID.
6 YesNoPurchaser or Lessee s Initials:UsedDemoYesNoCo-Purchaser s Signature Title Onlyelectronic filing fee Customer InitialsCustomer InitialsUsed vehicle Dealers OnlyFloor Planned Inventory Lender: c
