VSA 14 (02/25/2021)
VEHICLE REGISTRATION APPLICATION
Purpose: Use this form to apply for registration of your vehicle.
Note: You must obtain a Virginia vehicle safety inspection sticker and pay any required local vehicle registration fees to your city or county. For the City of Virginia Beach only, DMV collects local vehicle registration fees.
Instructions: Refer to the Registration Information Sheet (VSA 14I) for general registration information. All owners must sign the Certification section. Mail
completed form with a check or money order (made payable to DMV) to the Special Registration Work Center at the above address, or present to any DMV Customer Service Center (CSC) or DMV Select.
Note: A $10.00 late fee will be charged if registration is renewed after the expiration date.
REGISTRATION INFORMATION
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Registration Type: (check one) |
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Original |
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Reissue (Plates & Decals) |
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Renewal |
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Transfer License Plate Number: |
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Check if applicable: |
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ENTER PLATE NUM |
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For Hire (complete "For Hire Information" section) |
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Rental Vehicle |
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Private |
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Other: |
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See Reissue Plates below under |
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SPECIFY |
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Plate Information. |
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Registration Period: (check one) |
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One Year |
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Two Years ($2 discount applies) |
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Three Years ($3 discount applies) |
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(not available for vehicles subject to emissions testing) |
OWNER INFORMATION
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OWNER'S FULL LEGAL NAME (last, first, mi, suffix) OR BUSINESS NAME (if business owned) |
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TELEPHONE NUMBER |
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DMV CUSTOMER NUMBER / FEIN / SSN |
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CO-OWNER'S FULL LEGAL NAME (last, first, mi, suffix) |
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TELEPHONE NUMBER |
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DMV CUSTOMER NUMBER / FEIN / SSN |
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NOTE: Owners (and Lessees if applicable) MUST provide their residence/home/business address where requested, this address |
RESIDENCE/BUSINESS JURISDICTION |
can not be a P.O. Box. You must complete form ISD-01 if you would like your address(es) updated. |
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OWNER'S RESIDENCE/HOME/BUSINESS ADDRESS (Apt # if applicable) |
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CITY |
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STATE |
ZIP CODE |
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CO-OWNER'S RESIDENCE/HOME/BUSINESS ADDRESS (Apt # if applicable) |
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CITY |
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STATE |
ZIP CODE |
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OWNER EMAIL ADDRESS |
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CO-OWNER EMAIL ADDRESS |
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LOCATION WHERE VEHICLE IS PRINCIPALLY GARAGED |
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IF NEW LOCATION ENTER DATE CHANGED |
Are any of the owners/lessees on active |
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CITY |
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COUNTY |
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TOWN OF |
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military duty or service? |
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YES |
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NO |
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IF YOU WOULD LIKE YOUR REGISTRATION RENEWALS SENT TO AN ADDRESS OTHER THAN YOUR RESIDENCE/BUSINESS ADDRESS, ENTER IT BELOW. |
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REGISTRATION MAILING ADDRESS - OPTIONAL |
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CITY |
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LEASE INFORMATION (if applicable) |
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LESSEE'S FULL LEGAL NAME (last, first, mi, suffix) |
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TELEPHONE NUMBER |
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DMV CUSTOMER NUMBER / FEIN / SSN |
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( |
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LESSEE'S RESIDENCE/BUSINESS ADDRESS |
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CITY |
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STATE |
ZIP CODE |
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VEHICLE INFORMATION |
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YEAR |
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MAKE |
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MODEL |
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BODY TYPE |
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VEHICLE IDENTIFICATION NUMBER (VIN) |
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TITLE NUMBER |
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CURRENT PLATE NUMBER |
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NUMBER OF AXLES |
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EMPTY WEIGHT |
GVWR WEIGHT SINGLE VEHICLE (manufacturer) |
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GROSS WEIGHT (truck & attached trailer) |
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GCWR COMBINED WEIGHT (truck & attached trailer) |
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FUEL |
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GAS |
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DIESEL |
OTHER FUEL TYPE |
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VEHICLE |
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PRIMARY |
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IS THIS A LOW |
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YES |
IS THIS A |
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YES |
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LOGGING |
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TYPE |
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ELECTRIC |
OTHER |
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COLOR |
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SPEED VEHICLE? |
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NO |
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NO |
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VEHICLE? |
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IS VEHICLE STATE OR |
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YES - enter agency code |
AGENCY CODE |
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DIVISION CODE |
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STATE |
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LOCALITY-OWNED? |
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NO |
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PERSONAL PROPERTY TAX RELIEF ELIGIBILITY |
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1. Answer the questions below to determine if your vehicle qualifies for car tax relief. |
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YES |
NO |
a. Is more than 50% of the vehicle's annual mileage used as a business expense for federal income tax purposes OR reimbursed by an employer?
b. Is more than 50% of the depreciation associated with the vehicle deducted as a business expense for federal income tax purposes? c. Is the cost of the vehicle expensed pursuant to Section 179 of the Internal Revenue Service Code?
d. If the vehicle is leased by an individual, does the leasing company pay the tax without reimbursement from the individual?
2. |
If you answered YES to ANY of the above questions, check Business Use. Your vehicle is considered by State law to have a business use and does |
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NOT qualify for Personal Property Tax Relief. |
BUSINESS USE |
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3. |
If you answered NO to ALL of the above questions, check Personal Use and answer the question below. |
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PERSONAL USE -- Is this vehicle held in a private trust for non-business purposes by an individual beneficiary? |
YES NO |
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