6601 Ritchie Highway, N.E.
Glen Burnie, Maryland 21062

VR-005 (7-24)

Application for Certificate of Title
Applicant’s First NameMiddle

Last

Applicant’s SOUNDEX/Maryland Driver’s License No./ID No.
Applicant’s Street AddressCountyStateZip Code

Email Address

Co-Applicant’s First Name
Date of BirthMiddle

Last

Co-Applicant’s SOUNDEX/Maryland Driver’s License No./ID No.

City or Town

Co-Applicant’s Street Address

Phone Number

CountyMDID Needed:

Email Address

IS THE VEHICLE TO BE TITLED AS JOINT TENANTS OR TENANTS BY ENTIRETIES?

Date of BirthCity or Town

StateZip CodePhone Number
MDID Needed:

JOINT TENANTS

TENANTS BY ENTIRETIES

If the name entered above is a business or trust, enter the FEIN here ___________________________________. Check the type of business entity below:
Trust

Professional Association

Sole Proprietorship

Corporation

Limited Liability Company

Partnership

Joint Venture

Other (specify) _______________

Please attach a copy of the BUSINESS LICENSE or see reverse of this application for proof acceptable to this Administration.

VEHICLE DESCRIPTIONNew Vehicle
Used Vehicle

Model YearTwo stage vehicle complete
make & year for each vehicle
Truck

G.V.W.

Vehicle Make
Model Year

Truck Tractor

Construction

G.C.W.

Axles

Model NoVehicle Make

BusSeats

Body StyleVehicle Identification Number

Type of Fuel

Motorcycle
Engine NO.

# of Cylinders

Motor Carrier #Unit #Trailer (Specify Length)
G.V.W.
Type of Trailer

Engine Size (C.C.)

If this vehicle is subject to any liens or encumbrances, complete the following section(s). Attach form VR-217 for additional Lien Filings. LIEN FILING FEE $20.00 for each
Lien filed. IF NOT SUBJECT TO A LIEN, WRITE THE WORD “NONE” BELOW.
Name of Secured Party

Street Address of Secured Party

CityState

Type of Lien

Zip CodeLien CodeDate of LienAmount of Lien

PURCHASE INFORMATION FOR TAX PURPOSES - SEE INFORMATION ON REVERSE SIDEIF VEHICLE RECENTLY PURCHASEDMARYLAND DEALER’S CERTIFICATION

MD. EXCISETAX OF 6% OF: $____________________
FULL PURCHASE PRICE

I hereby certify, under penalty of perjury, that the purchase pricerepresents the full amount paid for this vehicle.

ATTACH A NOTARIZED BILL OF SALE SIGNED BY
SELLER(S) AND PURCHASER(S)

Dealer Number ____________________________________________

DEALERS ONLY
Base Price (Plug-in Electric)
Certified Selling Price

Date of Delivery: ________________________________________________
SIGNATURE OF DEALER

Trade-In Allowance
Taxable Price____________________DATE

Gross Tax Collected

VIN OF TRADE-IN ____________________________________________________ STATE:___________________Coll. Fee .6% of Gross or $12 Max. Fee Allow.

Complete this section in its entirety if you qualify for an Excise Tax Credit in this State. I/we have been resident(s) inMaryland for approximately _________________. I/we last registered this vehicle in ___________ and paid ________% tax(if no tax paid, write “NONE”)
Check here if you are returning or active-duty military. See instructions on reverse page - not all military qualify.

Net Tax Remitted

Federal and State Law requires that you state the mileage in connection with this vehicle. Failure to complete or providing a false statement may result in fines and/orimprisonment. I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked:
1. The mileage stated is in excess of its mechanical limits
ODOMETER READING _____________ (no tenths)
2. The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY

PURCHASE INFORMATION FOR TAX PURPOSES - SEE INFORMATION ON REVERSE SIDEI/we do hereby make application for:

New Tags

Is this vehicle to be operated for short term rental?

Transfer of Tags
YesNo30 Day Inspection PlateTitle Only

Class of Tags desired: __________________________

If transferring plates, complete below:

TAG NO. ________________________________ STICKER NO. _________________________________Name of Insurance Co. _________________________ Policy or Binder No. __________________________ Agent or Broker _______________________________________
I/we certify that I/we have compared the manufacturer’s vehicle identification number on this application with the number on the vehicle and they agree, and that this vehicle is subject to the liens
or encumbrances indicated herein and none other. For vehicles registered over 10,000 lbs. by signing this application, I/we certify knowledge of the Federal and State Motor Carrier Safety Laws andcertify this vehicle is maintained in compliance with the Maryland Preventative Maintenance Program. If making application for new plates or transfer of registration plates I/we certify under Penalty ofLaw that the vehicle is covered by at least the minimum amounts of insurance required by the Maryland Motor Vehicles Laws, and further certify that this vehicle will be continuously insured throughout its registration period. If registering as a construction use type vehicle, I/we certify the vehicle will be used for construction activities as defined in Section 13-917 (4) “Construction Use.” I/wefurther certify under Penalty of Perjury that the statements made herein are true and correct to the best of my knowledge, information and belief.

Signature of Applicant ______________________________________________________ Printed Name of Applicant ___________________________________________________
Signature of Co-Applicant ___________________________________________________ Printed Name of Co-Applicant ________________________________________________Witness my/our Hand(s) and Seal(s) this ___________ day of ____________ year __________
Signature of Co-Signer ______________________________________________________ Relationship ________________________________________________________________
Co-Signer/Maryland Driver’s License/ID No. ___________________________________ Date of Birth ________________________________________________________________For more information, please call: 410-768-7000 (to speak with a customer agent).
TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov

DOCUMENTS REQUIRED FOR OBTAINING A MARYLAND CERTIFICATE OF TITLE
NEW VEHICLESUSED VEHICLESNEW VEHICLES PURCHASED OUT-OF-STATE• A manufacturer’s Certificate of Origin or other ownership document(s)required by law and;• Original Dealer’s Bill of SaleNEW VEHICLES PURCHASED IN MARYLAND• A Manufacturer’s Certificate of Origin and;• Maryland dealers complete the Maryland Dealer’s Certification located on thefront of this application or submit the original Dealer’s Bill of Sale.
Note: Customers purchasing new and used vehicles from licensed dealers need tosubmit the original bill of sale to ensure proper deduction for trade-in-allowance,
unless Maryland Dealer Tax Certification is completed providing trade-in information.

USED VEHICLES FROM A TITLE STATE• An out of state Certificate of Title in the applicant’s name or;• A properly assigned title is required. If the vehicle is less than 7 years
old, a notarized bill of sale signed by all buyers and sellers should
accompany the title.
USED VEHICLES FROM A NON-TITLE STATE OR FOREIGN COUNTRY• The registration from the non-title state is required. If the registration is notavailable, a verification of the registration from the non-title state is acceptable
if the owner shown is the seller or applicant.
• A bill of sale needs to accompany this application. If the vehicle is less than 7years old, the bill of sale should be notarized.

BUSINESS ENTITY PROOF OF LEGAL EXISTENCE
Articles of incorporation for Stock, Non-Stock, Closed, Religious, or Tax-Exempt Non-Stock Corporation; Partnership Agreement or Certificate of Limited Liability
Partnership; Sole Proprietorship -Copy of Business License, Registration, and/or Trade Name Application from SDAT, or Application for Sole Proprietorship and/orGeneral Partnership filed with the Business Personal Property Unit; Articles of Organization for Limited Liability Company; Articles of Merger or Reorganization; TrustAgreement (Only the part naming the trust and identifying the trustees need to be submitted along with the signature and seal)ODOMETER MILEAGE STATEMENT
Federal and State law requires that you indicate the mileage inconnection with the transfer of ownership. Failure to complete orproviding false statement may result in fines and/or imprisonment.

INSURANCE REQUIREMENTS
All motor vehicles registered in Maryland must be insured by a company licensed in Marylandand must have personal injury and property damage liability insurance at least in the minimum
amounts required by Maryland law. Van pool vehicles must have 5 times this amount.

MOTOR VEHICLE SAFETY INSPECTION REQUIREMENTS
Used vehicles titled as CLASS A passenger, CLASS B for hire, CLASS D motorcycle, CLASS E truck, CLASS EFT farm truck, CLASS F tractor, CLASS FF farm tractor,CLASS G trailer, CLASS GF farm trailer, CLASS J van pool, and CLASS M multi-purpose passenger vehicles being titled and registered in Maryland must be inspected
at an authorized Maryland Safety Inspection Station. The certificate of inspection must accompany this application unless a Temporary Inspection Plate is requested.
CLASS J van pool and CLASS M multi-purpose passenger buses must be Maryland safety inspected each year before the registration may be renewed.
The Motor Carrier Safety Act requires the owner of every vehicle with a registered or operating gross vehicle weight greater than 10,000 pounds to have each vehicle
inspected, maintained, and repaired at least every 25,000 miles or 12 months, whichever occurs first, and to provide written certification that the vehicle(s) is/are maintained
under a preventative maintenance program approved by the Motor Vehicle Administration and the Maryland State Police Automotive Safety Enforcement Division.
SECURITY INTEREST FILING FEE

TITLE FEE

$20.00 For Each Lien RecordedTitle Fee $100, qualifying gifted trailers 3000 lbs. or less $50; short term rentals $50,mopeds and motor scooters $20 and off-road vehicles $35.

TRANSFER OF REGISTRATION PLATESJOINT TENANTS/TENANTS BY ENTIRETY

If the annual registration fee is the same or less than previously owned vehicle, thetransfer fee is $10. If the annual registration fee is more than that of the previously
owned vehicle, the transfer fee is $10 plus any difference in the two registration
fees. If you are transferring plates with less than 12 months before the registration
expiration, the registration will be renewed for an additional year. NOTE: Vehicle
class and ownership restrictions apply.

Joint tenants and tenants by entirety are forms of ownership with rights of survivorship.
Ownership by joint tenancy may be selected by any two or more persons. Only joint
ownership between spouses may select tenants by entireties. Upon transfer to thesurvivor, the application must be accompanied by a certified copy of the death certificate.
Please note: Transfer of a vehicle jointly titled to spouses, will be exempt from the title fee,
if one of the owner’s is deceased and the vehicle is transferred to the surviving spouse.

MARYLAND EXCISE TAX
If the vehicle is purchased from a licensed dealer, the excise tax is 6% of the full purchase, less trade-in allowance.
Transactions for vehicles less than 7 years old, purchased from someone other than a dealer, accompanied by a notarized bill of sale, the tax is 6% of the greater of thepurchase price on the notarized bill of sale or $640 ($320 for trailers). When a notarized bill of sale does not accompany the title, the tax is based on the greater of the purchaseprice or the clean retail value shown in the National Automobile Dealers Association Used Car Guide (NADA) adopted for use by the Administration. On passenger cars, multipurpose vehicles, 1/2 and 3/4-ton trucks, the value is computed by the addition or subtraction for high or low mileage.
Vehicles 7 years old or older, purchased from someone other than a dealer, if the purchase price is more than $640 ($320 for trailers), the excise tax will be 6% of thepurchase price; if the purchase price is $640 ($320 for trailers) or less the tax will be the minimum excise tax $38.40 ($19.20 for trailers).
New Residents: If the vehicle is titled or registered in the name of the applicant in another state at the time of making this application, Maryland Excise Tax is 6% of the “cleanretail value” of the vehicle as shown in the NADA Used Car Guide. Vehicles “7 years old and older” currently owned by the applicant in another state will be charged the minimum
excise tax of $38.40 ($19.20 for trailers). On passenger cars, multi-purpose vehicles, 1/2 and 3/4-ton trucks, the value is computed by the addition or subtraction for high or low
mileage. 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. The minimum excise tax imposed
shall be $100. New residents leasing vehicles need to provide a copy of the lease contract or a letter from the leasing company indicating taxes paid (if any) to the previous state
to ensure that an excise tax credit may be applied.
Active-Duty Military living in Maryland and stationed in Maryland, an adjoining state, or DC; and returning Maryland residents in the military, may be entitled to receive
an excise tax exemption. To qualify for excise tax exemption, the following must be presented: (1) An out of state title in the military person’s name (may be jointly titled); (2) The
DD-214 Discharge Order from the Military, showing the name of the military person on the out of state title, or (3) A copy of the Military Orders showing where the military person
is stationed. If the excise tax exemption is approved, a form VR-005 Application for Certificate of title needs to be completed and signed, a Maryland Safety Inspection will berequired. If there is a lien on the vehicle a $20.00 Lien Filing Fee will also be required. Title Fee, Registration Fees/Surcharge will also be applicable. Please note that out of state
military who are stationed in Maryland, have the option of titling and registering their vehicles in Maryland or in the state that is their home of record.
REGISTRATION PLATES AND FEES
Surcharge – To ensure stable funding for Maryland’s world-renowned emergency medical services (EMS) system, a “surcharge” of $40 per registration year, will be collected with the registration fee. The EMS system includes med-evac helicopters, ambulances, fire equipment, rescue squads, and trauma units. Surcharge does not applyfor Class L Historic, Class N Street Rod, Class G Trailers, Interchangeable and Gratis registrations.
Half-year rates are effective on or after the first day of the seventh month of the registration year. Quarterly rates are in effect for trucks 27,000 lbs or more.

FOR ASSISTANCE – PLEASE CALL 410-768-7000, TTY FOR THE HEARING IMPAIRED 1-800-492-4575
A Guide to Motor Vehicle fees in the State of Maryland can be found at on our website at: mva.maryland.gov
PAYMENT METHODS: Visa, Master Card, American Express, Mobile Wallet Pay, Cash, Check and Money Order payable to the MVA. By mail: Check and Money Order
only. Please Note: The check must include (1) imprinted name and address, (2) driver’s license number (Soundex number) and (3) home or work telephone number. Company checks must have the Federal Employer Identification Number (FEIN).
Apply to...

Apply to register to vote with your driver’s license transaction. For details ask your customer agent.
to Vote Now!