STATE OF DELAWARE
Division of Motor Vehicles
Form No. 212
www.dmv.de.gov

Is the vehicle a lease: Yes

Application for Title
No

If yes, leasing company name:

C/O

NAME:
DELAWARE
ADDRESS:DE

MAILINGADDRESS:StreetCityStreet

City

State

ZIP CodeStateZIP Code

HOME PHONE:

EMAIL ADDRESS:CELL PHONE:

DESCRIPTION OF VEHICLE

Title Brand:

Odometer Reading:
Year:

Make:

Exempt/Not Required
Exceeds Mechanical Limits

ActualNot Actual

Model:

Registration Weight:

Federal DOT#:MGVWR:

Color(s):Body Style:
Vehicle Identification Number

Brakes: Yes

Tare Weight:
Examined By:

Type of Fuel:No

Number of Axles:(Trailers only)
Tag Number:Motor Vehicle Associate / Self-Inspect Technician

Yearly Fee:
Combination Vehicle: Yes

Date

Retained Tag:

Number of Passengers (buses only)
Passenger Van Seats (8+)

No

Yes

No

Special Plate No.:

Liens or Encumbrances

Tag Background:

SECURED PARTY NAMED (Lienholder Name and Address) If none, enter 'none' and initial

No. of Months:
Expiration Date:
NAIC Code:

I/We certify, under penalty of perjury, that all liens have been accurately stated and that the statements made herein are true andcorrect to the best of my/our knowledge, information and belief.
Signature of Applicant and/or Officer

Driver License No.
and State (if not DE)

Officer Title

Signature of Co-Applicant

Driver License No.
and State (if not DE)

DOB

DOB

Parent or Guardian's consent if under 18 years of age

DOCUMENT FEE RECORDING FORM
Total Vehicle Price
Less Trade-In Value(Credit shall be given for only one motor vehicle ortrailer per application)

Net Cost

TRADE-IN INFORMATION FOR DELAWARE REGISTERED VEHICLES ONLY
Credit shall be given for only one motor vehicle or trailer per application

Describe Vehicle
Trade-In

Dealer Number

Registration Fee

Address

Vanity Fee

By

TITLE, TAG & REGISTRATION NUMBER

STATEPrint Name

Sign Name

Official Title

The selling dealer can verify a VIN for new vehicles which have an MSO/CO by completing the above section ofthe application if an approved MOU is on file with the Division (dealer name and number, address, printed/signedname, title). If this is not completed, new vehicles require VIN verification at a Delaware DMV inspection lane.

Title FeeDMV USE ONLY

Lien FeeOther Fee
Total Amount Due

Make

Selling
Dealer's Name

Document Fee

Retention FeeYear0Business License Verified

Yes

NoN/A

NMVTIS Checked

Division of Corp. Verified

Yes

No

N/A

Associate Initials

Yes

No

Date09/2022

Form 212 is required to apply for a Delaware Title. Submit this completed application, proper identification and all supporting documents.
Application must be completed in blue or black ink ONLY. No alterations, corrective tape, or erasable ink permitted.
•Original Documents: These are required when a release of lien or when a Power of Attorney is used, and all title-related documents.
•Originals or Certified Copies: These are required for court documents, such as divorce decrees and court orders.
•Photocopies, Faxes, or Scans: These are acceptable when photo identification (ID) is required.
Initial Delaware Title
Form MV212 must be completed and submitted when applying for a Delaware title with an out-of-state (non-Delaware) title, Certificate ofOrigin/MSO or a Delaware title reassigned out of state. In-state title transfers do not require form MV212 to be submitted with the Delaware title.
If mailing an application, fees must be paid in the form of a personal check, cashier’s check, or money order payable to Delaware DMV. Do not mailcash or credit card information.
Vehicle Information
The information provided must match the signed and executed documentation or the current Delaware record.
Include all requested information: VIN, make, model, year of vehicle, body style, color, fuel type and odometer information.
•Federal Law requires the current mileage must be provided upon transfer of ownership. Failure to complete this statement, or providing false
information, may result in fines and/or imprisonment. When writing in the odometer reading, you are certifying the number reflects the actual
mileage of the vehicle unless one of the following is checked: Not actual mileage or Mileage has exceeded mechanical limitations.
•Tare Weight - The weight of the unit empty. (Shipping weight, curb weight, unladen weight are also acceptable)•MGVWR - The weight assigned by the vehicle manufacturer or fabricator and represents the maximum weight the vehicle can carry when
loaded in accordance with Section 45 of Title 21 of the Delaware Code.
•Registration Weight - Weight not to exceed MGVWR nor lower than Tare weight.
•Axles – The number of axles on the vehicle, including the drive axle.
•Combination Vehicle - If selecting combination vehicle, validation of ownership of a power unit or trailer registered in the applicant’s name isrequired in accordance with 21 Del. C. § 2104.
Federal DOT # - A Federal DOT number will be required for all Delaware registered vehicles with registration weight of 10,001 to 80,000 pounds
traveling interstate and operating while transporting passengers, cargo or hazardous materials for compensation. A Federal DOT number will berequired for all Delaware registered vehicles with registration weight of 10,001 to 80,000 pounds traveling intrastate and operating whiletransporting more than 8 passengers or hazardous materials. Register at www.fmcsa.dot.gov or contact the Eastern Service Center at 443-703-3523.
**If applicant has a Federal DOT # the name must be an exact match on all documents.
Trade-In Credit shall be given for only one motor vehicle or trailer per application. Vehicle information must be entered on MV212 and vehicle mustbe Delaware titled in applicants name for consideration in accordance with 30 Del. C. § 3001 and 30 Del. C. § 3002.
Applicant(s)All applicant(s) listed on the MSO/title must sign the form 212. If an individual, provide the full legal name, driver license number, date of birth,
residential address, official mailing address (if applicable), email address, and phone number. If a business entity, an officer from the company mustsign as applicant and enter their official title. The residential address to title/register any vehicle must be a Delaware address. A PO Box or out ofstate address is only allowed for a mailing address. **If Power of Attorney is used, the applicant signature should read ‘applicant’s name, byauthorized POA name, POA’.
If the applicant is a business; the business must be registered with Delaware Division of Corporations, be in good standing, and have a current
Delaware Business License in accordance with 21 Del. C. §2119.
LeasesIf the vehicle is leased, the title/registration will read: ‘Leasing Company c/o individual/entity name’. The individual entity must be entered on the‘Name’ line of this form. The residential address to title/register any vehicle must be a Delaware address. A PO Box or out of state address is only
allowed for a mailing address. Applicant signature should be completed by the leasing company. If POA is used, applicant signature should read‘leasing company name, by authorized POA name, POA’.
Lienholder Information – The lienholder name and address entered on the MV212 and the MSO/Title must be exactly the same.
Signature of Individual other than the owner(s)Signatures on the MSO/Title & MV212 signed by a representative must obtain and present an original, signed, and notarized Power of Attorney.
Using Power(s) of Attorney: If a Power of Attorney (POA) is used, the above requirements apply for both the individual or the entity granting thePOA and the individual or the entity being granted POA. For an individual, whether granting or being granted POA, a copy of photo ID is required.
For an entity, whether granting or being granted POA, both a copy of the representative’s photo ID and a notarized letter of signature authority oncompany letterhead, connecting the signing representative to the entity, are required. The Power of Attorney must be either all typed or all
handwritten and include all vehicle information. (POA available on DMV.DE.Gov under ‘Forms & Manuals’)**Individuals given a power of attorney directly or who are authorized to sign on behalf of a dealership must sign and print the names on the documents asfollows:

John Smith by Shannon L. McDonald POA
John Smith by Shannon L. McDonald POA