Dmv Form Reg 256 – Fill Out and Use

A Public Service Agency

STATEMENT OF FACTS

Complete the appropriate section(s) in full (including vehicle description) and sign Section H.

A. STATEMENT FOr uSE TAx ExEMpTiON

This transfer is exempt from use tax because it is a:

Family transfer sold between a parent, child, grandparent, grandchild, spouse, domestic partner, or siblings (if both are minors related by blood or adoption).

Addition or deletion of family member (spouse, domestic partner, parent[s], son/daughter, grandparents, grandchildren). Gift (does not include vehicles traded between individuals, transfer of contracts or other valuable consideration).

NOTE: The use Tax Exemption cannot be claimed if the vehicle/vessel being transferred was purchased from an otherwise qualifying relative who is engaged in the business of selling the same type of vehicle/vessel.

The current market value is: $________________ .

B. STATEMENT FOr SMOg ExEMpTiON

The vehicle does not require a smog certiication for transfer of ownership because:

The last smog certiication was obtained within the last 90 days.

It is located outside the State of California. (Exception: Nevada and Mexico) It is being transferred from/between:

The parent, grandparent, child, grandchild, brother, sister, spouse, or domestic partner (as deined in Family Code §297) of the transferee.*

A sole proprietorship to the proprietor as owner.*

Companies whose principal business is leasing vehicles. There is no change in lessee or operator.* Lessor and lessee of vehicle, and no change in the lessee or operator of the vehicle.*

Lessor and person who has been lessee’s operator of the vehicle for at least one year.* Individual(s) being added as registered owner(s).*

*Does not require smog certiication unless Biennial Smog is required.

C. STATEMENT FOr TrANSFEr ONlY Or TiTlE ONlY

This vehicle has not been used or parked on a street or highway or off-highway. i am applying for a:

The vehicle is not currently registered. It has not been driven, moved, towed, or left standing on any California public highway to cause registration fees to become due. It was not transported over any California public highway or operated within California to cause off-highway fees to become due. Appropriate registration will be obtained before the vehicle is operated.

D. wiNDOw DECAl FOr wHEElCHAir liFT Or wHEElCHAir CArriEr

Enter your Disabled Person License Plate, or Disabled Veteran License Plate, or Permanent Disabled Person Parking Placard number below:

The vehicle to which my Window Decal will be affixed is:

Mail to:

NAME

ADDRESS

REG 256 (REV. 8/2008) WWW

STATEMENT OF FACTS

Complete the appropriate section(s) in full (including vehicle description) and sign Section H.

E. STATEMENT FOr vEHiClE BODY CHANgE (OwNErSHip CErTiFiCATE rEQuirED)

The current market value of the vehicle or vessel is: $________________ .

Changes were made at a cost of $________________ on this date ________________ .

This is what i changed: Check all that apply:

Unladen Weight changed because __________________ (Public Weighmaster Certiicate is required. Exception:Trailers)

Motive Power changed from ________________ to ________________ .

Body Type changed from ________________ to ________________ .

Number of Axles changed from ________________ to________________ .

F. NAME STATEMENT (OwNErSHip CErTiFiCATE rEQuirED)

Please print

I, _______________________________ and _______________________________ are one and the same person.

My name is misspelled. Please correct it to: _________________________________________________________

I am changing my name from _____________________________ to ___________________________________

g. STATEMENT OF FACTS

I, the undersigned, state:

H. AppliCANT’S SigNATurE

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

x

REG 256 (REV. 8/2008) WWW