Alaska Form 812 – Fill Out and Use This PDF

The Alaska 812 form, provided by the State of Alaska Division of Motor Vehicles (DMV), serves as a comprehensive vehicle transaction application. It covers a range of transactions, including title registrations, changes of ownership, requests for replacements or corrections, and applications for various exemptions. If you're looking to handle any vehicle-related transactions in Alaska, the 812 form is your starting point. Click the button below to get started on filling out your form.

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Alaska Form 812 PDF Details

Navigating vehicle transactions in Alaska demands familiarity with the Alaska 812 form, a comprehensive document provided by the State of Alaska Division of Motor Vehicles (DMV). This essential form caters to a wide range of vehicle-related applications, including but not limited to title registrations, changes of ownership, and requests for lost tabs or plates. It even accommodates applications for exemption under specific conditions like senior citizens (65+), military personnel, individuals with disabilities, or vehicles used for charitable or government purposes. Additionally, it serves those living in areas eligible for permanent registration. The form requires detailed vehicle information such as the serial number (VIN), make, model, and odometer reading, along with owner information, including legal name, driver’s license number, residency status, and contact details. It further explores co-owner data, leasing company or trust details if applicable, and insurance liability acknowledgment, ensuring all bases are covered for a legitimate transaction. Alaska residents must navigate this form to correctly process their vehicle transactions, whether it's for personal, commercial, or leased vehicles, demonstrating its pivotal role in maintaining accurate and legal vehicle records in the state.

Question	Answer
Form Name	Alaska Form 812
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	alaska dmv forms, ak title, ak dmv form 812, alaska form 812

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812	STATE OF ALASKA
	STATE OF ALASKA
	DIVISION OF MOTOR VEHICLES
	VEHICLE TRANSACTION APPLICATION

APPLICATION	TYPE


VEHICLE	INFORMATION


OWNER	INFORMATION

TITLE

REGISTRATION

 CHANGE OF OWNERSHIP

 REGISTRATION  LOST TAB

 LOST PLATE

 OTHER _______________

 REPLACEMENT TITLE

I AM ALSO APPLYING FOR AN EXEMPTION:

 CORRECTION / ADD OR REMOVE LIENHOLDER

 SENIOR (65+)

 MILITARY  GUARD

 DISABILITY

 CHARITABLE/GOVERNMENT

 PERMANENT REGISTRATION (I LIVE IN AN ELIGIBLE AREA)  OTHER ________________

SERIAL NUMBER (VIN)

SECONDARY SERIAL NUMBER (VIN)

YEAR

MAKE

MODEL

BODY STYLE

COLOR

ODOMETER (MILES)

WEIGHT

 ACTUAL

IS VEHICLE USED

 YES

AK LICENSE PLATE #

 NEW PLATES

 ESTIMATED

COMMERCIALLY

 NO

REQUESTED

FULL FIRST NAME

FULL MIDDLE NAME

FULL LAST NAME

SUFFIX

DRIVER LICENSE #

STATE

DATE OF BIRTH

ORGAN DONOR

SOCIAL SECURITY NO.

 YES  NO

฀YES

COMPANY OR TRUST NAME (If applicable)

TAXPAYER ID NO.

Are you an Alaska

Resident?

฀NO

	CONJUNCTION TYPE
“AND”	requires the signatures of ALL owners to sell / transfer
“OR”	requires the signature of a single owner to sell / transfer

CO-OWNER INFORMATION

FULL FIRST NAME	FULL MIDDLE NAME			FULL LAST NAME				SUFFIX

DRIVER LICENSE #		STATE	DATE OF BIRTH		ORGAN DONOR	SOCIAL SECURITY NO.
					 YES  NO

LEASING COMPANY, COMPANY, OR TRUST (If applicable)					TAXPAYER ID NUMBER		Are you an Alaska		฀YES
							Resident?		฀NO

CONTACT

INFORMATION

OWNER MAILING ADDRESS	CITY	STATE	ZIP

OWNER RESIDENCE ADDRESS	CITY	STATE	ZIP

EMAIL ADDRESS	PHONE #	I WANT TO RECEIVE NOTIFICATIONS BY:
		฀ REGULAR MAIL ฀ E-MAIL

LEASING COMPANY MAILING ADDRESS	CITY	STATE	ZIP

COMMERCIAL VEHICLES, LEASED VEHICLES, VEHICLES OWNED BY A COMPANY, OR VEHICLES WEIGHING MORE THAN 10,000 POUNDS

	DURATION OF REGISTRATION		Heavy Vehicle Use Tax Declaration		DOT NO.		NO. OF AXLES
COMMERCIAL	 ANNUAL  BIENNIAL		 IRS 2290 ATTACHED  EXEMPT

	IS THE CARRIER RESPONSIBLE FOR SAFE OPERATION			 YES	TAX ID ASSOC. WITH DOT NO.	 DUAL REGIST. REQUESTED
					TAX ID ASSOC. WITH DOT NO.

	EXPECTED TO CHANGE DURING THE REGISTRATION PERIOD?			 NO		CURR REG. IN ______________
	PRISM  SUBJECT TO	 EXEMPT Must Certify below*
	* I certify under penalty of perjury that I am the owner of the vehicle listed above; AND the vehicle does not require a USDOT number.

	Owner’s/Agent’s Printed Name			Owner’s/Agent’s Signature			Date

OTHER INFORMATION

LIENHOLDER NAME (If vehicle is paid in full – write “NONE”)

LIENHOLDER ADDRESS: (PO Box or Street Address)

CITY / STATE / ZIP CODE

DO YOU WISH TO DONATE $1 OR MORE TO SUPPORT THE

 YES  NO

Personalized Plate Transfer

 I would like to transfer my personalized plate to this vehicle

ORGAN AND TISSUE DONATION PROGRAM?

Plate #:

AMOUNT $ ____________

AFFIDAVIT

I certify under penalty of law there is a liability insurance policy for this vehicle if required by AS 28.22.011 and this policy will be				DMV USE ONLY
				DOCUMENTS ACCEPTED
maintained during the entire registration period. The address shown is my true legal address and the vehicle will be operated on				DOCUMENTS ACCEPTED
Alaska roadways. If this is a commercial vehicle, I am familiar with and have knowledge of the Federal Motor Carrier Safety
Regulations 49 CFR, Hazardous Materials Regulations and applicable Federal/state CMV safety laws and regulations. I certify				CLASS CODE: _________________
under penalty of perjury that all information is true and correct. False statements are punishable under AS 11.56.210.
X		/	/	BATCH NO: ___________________
X		/	/
SIGNATURE OF OWNER / AGENT (INCLUDE TITLE)	DATE			DATE: _______________________
				DATE: _______________________
X	/		/	LOGIN ID: _______________________
SIGNATURE OF OWNER / AGENT (INCLUDE TITLE)		DATE		LOGIN ID: _______________________
SIGNATURE OF OWNER / AGENT (INCLUDE TITLE)		DATE

FORM 812 (REV. 01/2018)

www.alaska.gov/dmv

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EMAIL ADDRESS, N O T A M R O F N, and OWNER RESIDENCE ADDRESS of alaska title application

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Alaska Form 812 – Fill Out and Use This PDF

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