SNOWMOBILE/ATV APPLICATION FOR REGISTRATION AND …

1 For Department Use Only DCNR SNOWMOBILE/ATV REGISTRATION Section PO Box 8553 Harrisburg, PA 17105-8553 DCNR-43 (8-21) VEHICLE INFORMATIONMake of Vehicle Serial Number/VINYear Name and Number Machine Color Date of PurchaseMake and model including VIN of vehicle traded inEst. Yearly Fuel Usage PURCHASERLast Name (or Full Business Name) First NameMiddle InitialCo-Owner Last Name First NameMiddle InitialStreet AddressCountyPO Box No. (If Applicable) CityStateZip Code SECURITY - When a second lien is required, attach that lien holder's information to the no security Interest, Check (3) here Secured PartyStreet AddressCityState Zip CodeTEMPORARY REGISTRATION - Valid for 45 days from date issued.

2 DEALER USE REGISTRATION NumberDate IssuedDealer NumberREGISTRATIONIs there a DCNR REGISTRATION plate/decal displayed on your vehicle?.. r Yes r NoIf yes, list REGISTRATION number: _____SELF-CERTIFICATIONI/We certify that I/we have examined this form after its completion; and that, if an exemption from the payment of tax is claimed, I am/we are authorized to claim this exemption. I/We further certify that all statements herein are TRUE and CORRECT under penalty of of Owner or Authorized SignerTelephone NumberDateSignature of Co-Owner or Title of Authorized SignerTelephone NumberDateSNOWMOBILE/ATV APPLICATION FOR REGISTRATION AND TITLE Attach Proof of Ownership and Proof of for: r All-Terrain Vehicle (ATV) r Snowmobile r Duplicate G.

3 FEES1. Purchase Trade In3. Taxable Amount4. Sales TaxX 6% (.06), X 7% (.07) or X 8% (.08) (See Note on Reverse.)5. Less Tax Credit6. Sales Tax Due7. Applicant s SalesTax License Number8. Exemption Code9. Security Interest Fee10. REGISTRATION Fee11. Transfer Fee12. Title Fee orDuplicate Fee13. TOTAL PAID(Add 6-12)Send One Check In This Amount(Complete Block A)(See Reverse)ATV Plate/Snowmobile Decal Numberr ATV Class I Max width 50 , max dry wt. 1200 lbs. r ATV Class 2 Width over 50 , dry wt. over 1200 lbs. r Regular REGISTRATION r Limited REGISTRATION r Snowmobile APPLICATION INSTRUCTIONSSALES TAX EXEMPTION CODESNAMEEXPLANATION1 Acquired for ResaleFor use by DCNR-registered dealer is rented (not leased) to a third to Spouse orSurviving SposeTitle is being transferred between living spouses or an owner is deceased and title is being transferred to surviving of Will/TrusteeVehicle is transferred by an executor, administrator or trustee under a will or trust agreement.

4 5 Establish PA ResidenceVehicle purchased while residing outside PA, now a PA resident. Requires proof of out-of-state residency and sales tax payment. REGISTRATION required within 15 days of establishing PA residency. 6 GiftReceived vehicle as a gift; Form DCNR-47, Affidavit of Gift, must accompany UseVehicle will be predominately used by the applicant in their farming operation/business. Form REV-1220, "Pennsylvania Exemption Certificate, must accompany APPLICATION . (Exemption not permitted if applicant obtains REGISTRATION for vehicle.) 8 TouristOwner is non-PA resident, vehicle used for recreation purposes only.

5 Proof of residency entity using vehicle for business purposes Paid by DealerDealer collects and remits sales tax on behalf of TransferVehicle titled by PennDOT in error; now titling with Paid Out of StateVehicle purchased outside PA. Proof of residency and payment of sales tax out of state must accompany TradeVehicle was exchanged for property of equal value. Property value must be indicated in Box 1 of title is used for business purposes repossessed by lienholder. Repossession documentation must accompany entity uses vehicle exclusively for non-profit institution uses vehicle for business purposes CommissionPUC-regulated utility uses vehicle for business purposes Co-opElectricity co-op uses vehicle for business purposes VehicleAbandoned vehicle title transferred to new owner; court order or law enforcement documentation must accompany APPLICATION .

6 SECTION A: Vehicle Information (Serial number, make, model year, purchasedate). Trade-In Information if appropriate. SECTION B: Purchaser s name and address. SECTION C: Security interest - list the lending institution s name and addressif a loan was secured for this machine. SECTION D: Completed by dealership ONLY. SECTION E: Type of machine. Check Class I or II for an ATV or Type of Regular REGISTRATION : SNOWMOBILE/ATV ridden off of your personal property($ fee required).- Limited REGISTRATION : SNOWMOBILE/ATV never leaves your own personalproperty (No fee required). SECTION F: Signature, phone number and date.

7 SECTION G: Price: Cost of the In: Value of the trade-in (trade-in info must be written in Block A). Amount: Purchase price minus any applicable trade-in Tax: 6% (Exception of - Allegheny County 7% and PhiladelphiaCounty 8%). Tax Credit: Any portion of tax paid to another Tax Due: Sales tax minus any appropriate tax License Number: Business license number exempting them fromsales Code: Code explaining exemption from sales tax (see chartbelow). Fee: Adding a lien to an existing title for security Fee: Regular REGISTRATION - $20; Limited REGISTRATION - NO Fee/Duplicate Title Fee: $ required for new title or duplicate title(lost title).

8 Total: Total of boxes 6, 9, 10, 11, and 12 to be included in one checkpayable to completed APPLICATION and check to: Department of Conservation and Natural Resources SNOWMOBILE/ATV REGISTRATION Section PO Box 8553 Harrisburg, PA 17105-8553 Visit us at or call us at 866-545-2476.