DMV-1-TR
Rev. 11/2022

West Virginia Department of Transportation

Division of Motor Vehicles

FOR DMV USE ONLYCLASSFOR DMV USE ONLY

Application for Certificate of Title

EXP. DATE

DEPT. NUMBER ___ ___ ___ ___TYPE OR PRINT IN BLUE OR BLACK INK

PLATE NUMBER

UNIT NUMBER ___ ___ ___ ___MAKE CHECKS PAYABLE TO THE DIVISION OF MOTOR VEHICLES.
INSTRUCTIONS ARE ON THE REVERSE SIDE OF THIS FORM.

DL OR ID NUMBER

The buyer(s)/owner(s) of the following motor vehicle make application for this motor vehicles Certificate of Title and hereby state the following:
NAME(S)
MAILINGADDRESS

NumberStreetCity or Town

CountyStateZip Code

VEHICLE DESCRIPTION
MAKE

YEAR

V.I.N.

STYLE OF BODYWEIGHTODOMETER READING

Title Brands:(No Tenths)

PURCHASE PRICE $TRUCKS Requested (GVW)OTHER:NET COST $

6% SALES TAX(Credit allowed only on vehicles titled in West Virginia and the tax paid thereon by applicant)

TRADE-IN DESCRIPTION1)

Make2)TRADE IN$

Passenger Vehicle Only

RECONSTRUCTEDYear

MakeYear

VIN/Serial No.

West Virginia Title Number

VIN/Serial No.

West Virginia Title Number

REGISTRATION PLATE TRANSFERRED FROM (Send copy of registration card both sides)
Make of Vehicle

Weight

VIN/Serial NumberTitle Number

License Plate Number

LIENS AND ENCUMBRANCES

1 NAME
MAILINGADDRESSStreet

City

State

2 NAME
MAILINGADDRESSLENDER CODEAMOUNT

KIND OF LIEN

Zip Code

City

State

D/T

S/A

D/T

S/A

DATE

LENDER CODEAMOUNTStreet

C/S/C

KIND OF LIEN

Zip Code

C/S/C

DATE

I hereby state that there is a motor vehicle liability policy in effect on the described vehicle in accordance with the provisions of the West Virginia Motor Vehicle Laws and certify that thestatements made are true and correct to the best of my knowledge and belief under penalty of false swearing. West Virginia Motor Vehicle Law § 17A-9-1: Fraudulent Applications.

THIS TITLE APPLICATION MUST BE SIGNED BY THE PURCHASER(S)/OWNER(S)NAME OF INSURANCE COMPANY
NAME OF INSURANCE AGENTINSURANCE POLICY NUMBER
NATIONAL ASSOCIATION INSURANCE COMMISSIONERS (NAIC) NUMBER

If the title reads “AND” Both Signatures of Owners Must Appear(X)(X)** INSURANCE MUST BE IN EFFECT WHEN THIS APPLICATION IS RECEIVED
DEALER CERTIFICATIONThis is to certify that the above described vehicle was acquired fromonday
monthdayyearand sold to the above named purchaser on monthyear.
The undersigned dealer further certifies that the sale price, trade-in, and net cost are true and accurate and that the Federal Odometer Regulation has been satisfied.
Federal regulations require that you state the odometer mileage upon transfer of ownership.
I certify to the best of my knowledge that the odometer reading isand reflects the actual mileage of the vehicle unless one of the following
Mileage stated is in excess of its mechanical limits (or)The odometer reading is not the actual mileage - WARNING-ODOMETER DISCREPANCY
statements is checked:

DEALER NAME
ADDRESS
SIGNATURE (X)FOR DMV USE ONLY

DEALER
LICENSE NO.

TITLE NUMBER___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___Instructions• Type or complete this application in BLUE OR BLACK INK ONLY.
• DO NOT SEND CASH. SEND CHECK OR MONEY ORDER payable to the Division of Motor Vehicles. Any check that is nothonored for payment will result in a $10.00 SERVICE CHARGE.
• If the vehicle was previously titled in another state, the title must accompany this application.
• If there is a lien, make sure the complete address and zip code are included.
• If you wish to purchase a new plate, include the appropriate fees detailed below.
• A statement of insurance must be submitted with each application for motor vehicle registration.
• Credit on trade-in allowed only for vehicles titled in West Virginia and taxes paid thereon by applicant.

Table of Fees
Type of FeeFee Information$15.00

Title Fee (This fee is required)

Fee Totals$15.00

Lien Fee - If applicable ($10.00 Per Lien)
License Plate Transfer Fee - If applicable$10.506% Sales Tax

X .06 =(All sales under $500.00 must pay $30.00 instead of 6%)

Fee for Registration and License Plate - If applicable
Class A - Cars & Trucks up to 10,000 lbs.
Class B - Trucks 10,001 lbs. and up
Class G - Motorcycles
Class H - BusesClass J - Taxi Cabs

Class M - Mobile Equipment
Class R - Travel Trailers
Class T - Trailers
Class V - Antique Vehicle s

SEE THE “MOTOR VEHICLEREGISTRATION FEE”
BROCHURE FOR A FEESCHEDULE.
dmv.wv.gov/manuals

TOTAL PAYMENT REQUIRED (Send a check or money order ONLY if mailing this application) =Checklist
Is the application completed, including
signatures?
Did you enclose a check or money order
payable to DMV for the total fees andpayment due?
Do you have all required documents such as:• Proof of insurance (Certificate of InsuranceWV-1) or a completed statement of insurance• Copy of the registration card front and backif you are transferring a license plate• Out-of-State title if the vehicle was previously
titled in another state

MAIL ALL REQUIRED DOCUMENTS, FORMS, AND PAYMENT TO:
Division of Motor Vehicles
5707 MacCorkle Avenue, SE, PO Box 17710
Charleston, WV 25317
Toll Free Telephone (In-state only) 1-800-642-9066
Out of State (304) 558-3900