Dmv Form Vsa 17B – Fill Out and Use This PDF

Dmv Form Vsa 17B PDF Details

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Dmv Form Vsa 17B – Fill Out and Use This PDF

The DMV VSA 17B form is designated for individuals aiming to obtain a certificate of title for a manufactured home. It outlines the necessary information and documentation required for the title application, which does not extend to self-propelled vehicles or travel trailers. To ensure a smooth process, applicants are instructed to complete the form and provide it, along with any requested proof, to a DMV customer service center.

For those ready to secure the title for their manufactured home, initiating the application process can be efficiently done by clicking the button below.

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Dmv Form Vsa 17B PDF Details

Understanding the intricacies of the DMV VSA 17B form is essential for anyone looking to title a manufactured home. This specialized form, updated last in July 2013, serves a specific purpose: it facilitates the process of titling manufactured homes, distinguishing itself from other vehicles and travel trailers. Applicants are required to supply comprehensive information, including but not limited to owner details, acquisition type, and lien information. Moreover, it caters to a variety of acquisition scenarios—be it through seizure, repossession, or were left abandoned, highlighting the form's versatile application. Potential users need to complete the form with accurate information and may need to provide proof for the details offered. The form also inquires whether the home will be jointly owned and if the owners want the title to transfer to the surviving owner upon death, adding a layer of foresight into the ownership process. It’s also designed to accommodate owners on active military duty, and addresses changes in the owner's residence, underlining the comprehensive approach to titling manufactured homes. Notably, the form incorporates lien details, reflecting the legal complexities that can accompany home ownership. Understanding the VSA 17B form's requirements and accurately completing it is the first step in legally titling a manufactured home, emphasizing the form's critical role in property ownership.

Question	Answer
Form Name	Dmv Form Vsa 17B
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	vsa17b how to complete a vsa17b form

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APPLICATION FOR CERTIFICATE OF TITLE - MANUFACTURED HOME

VSA 17B (07/01/2013)

Purpose: Use this form to title a manufactured home. Do not use for self-propelled vehicles or travel trailers.

Instructions: Complete this form and return to any DMV customer service center. DMV may request proof of any information provided.

		ACQUISITION TYPE
		ACQUISITION TYPE		LOG
Check if applicable:				LOG
Check if applicable:
	Seizure	Replacement VIN	Abandoned Vehicle (Complete form VSA 40)	NUMBER
	Seizure	Replacement VIN	Abandoned Vehicle (Complete form VSA 40)
	Leased	(No paper attached)	Repossession (Vehicle must be in your possession)
	Leased	Court Order	Repossession (Vehicle must be in your possession)
	Mechanic's Lien/Storage Lien (Complete form VSA 41)	Original Title is Electronic	Beneficiary Information (Complete form VSA 18)
	Mechanic's Lien/Storage Lien (Complete form VSA 41)	Original Title is Electronic	Beneficiary Information (Complete form VSA 18)

OWNER INFORMATION

If this application is for joint ownership, do you wish clear rights of ownership to be transferred to the surviving owner in the event of the death of either

the owner or co-owner?

Yes

Electronic Title - Check this box if you do not want a paper title issued to you. An electronic Certificate of Title will remain on file for this vehicle at DMV.

If you change your residence/home address or mailing address to a non-Virginia address, your driver's license and/or photo identification (ID) card may be canceled.

RESIDENCE/HOME ADDRESS (Apt. # if applicable)

CITY

STATE

ZIP CODE

MAILING ADDRESS (if different from above)

CITY

STATE

ZIP CODE

CO-OWNER RESIDENCE ADDRESS (if different from above)

CITY

STATE

ZIP CODE

RESIDENCE JURISDICTION

LOCATION WHERE VEHICLE IS PRINCIPALLY GARAGED (check one)

CITY

COUNTY

TOWN of

LIEN INFORMATION

Is there a lien on this vehicle?		Yes	No	If yes, you must complete this section.

FIRST LIEN DATE (mm/dd/yyyy)	LIENHOLDER NAME					LIENHOLDER CODE

LIENHOLDER MAILING ADDRESS					CITY/TOWN		STATE	ZIP CODE

SECOND LIEN DATE (mm/dd/yyyy)	LIENHOLDER NAME					LIENHOLDER CODE

LIENHOLDER MAILING ADDRESS					CITY/TOWN		STATE	ZIP CODE

SOURCE OF OWNERSHIP INFORMATION

VA DEALER LICENSE NUMBER

HOW WAS THIS VEHICLE SOLD TO YOU?

RENTOR NUMBER

PURCHASE DATE (mm/dd/yyyy)

DEALERS

(check one)

USED

NEW

ONLY

MANUFACTURER REBATE/INCENTIVE

SALES PRICE

PROCESSING FEE

SALES AND USE TAX

VEHICLE PURCHASED FROM

STREET ADDRESS

CITY

STATE

ZIP CODE

TITLE NUMBER

VSA 17B (07/01/2013) page 2

MANUFACTURED HOME INFORMATION

MANUFACTURER

TYPE

MODEL

YEAR

PREVIOUS TITLE NUMBER

STATE

SERIAL NUMBER

HOME DIMENSIONS

LENGTH

FT. x WIDTH

FT.

HOME ADDRESS

CITY

STATE

ZIP CODE

IS VEHICLE STATE OR

YES - enter agency code

AGENCY CODE

NAME OF UNIT HAVING OPERATIONAL CONTROL

LOCALITY-OWNED?

CERTIFICATION

I certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.

APPLICANT SIGNATURE

DATE (mm/dd/yyyy)

CO-APPLICANT SIGNATURE

DATE (mm/dd/yyyy)

PRIVACY ACT NOTICE

The information, including Social Security Number, is requested in accordance with Virginia Code §46.2-623. Any person who refuses to supply the required information will be denied a Certificate of Title. Title records may be disseminated in accordance with §§ 46.2-208 through 46.2-214, to business, law enforcement or authorized government entities.

					DMV USE ONLY
WITH LIEN?			PROOF OF ADDRESS (specify)
Yes	No

IF HELD, REASON								CLERK STAMP

SALE PRICE		$	TITLE FEE	$		DEALER SURCHARGE	$

PROCESSING FEE		$	UMV FEE	$		DHCD* (30.00)	$

TAX		$	TRANSFER FEE	$
			TRANSFER FEE
SUBTOTAL		$	SUBTOTAL	$		SUBTOTAL	$	TOTAL	$

*Department of Housing and Community Development fee collected from Manufactured Home Dealer when manufactured home is titled.

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This PDF doc needs some specific information; to guarantee accuracy and reliability, make sure you adhere to the recommendations just below:

1. You will want to complete the Dmv Form Vsa 17B accurately, thus be careful when filling out the sections that contain all these blank fields:

Best ways to fill out Dmv Form Vsa 17B part 1

2. Once your current task is complete, take the next step – fill out all of these fields - LIEN INFORMATION, Is there a lien on this vehicle If, Yes, FIRST LIEN DATE mmddyyyy, LIENHOLDER NAME, LIENHOLDER CODE, LIENHOLDER MAILING ADDRESS, CITYTOWN, STATE, ZIP CODE, SECOND LIEN DATE mmddyyyy, LIENHOLDER NAME, LIENHOLDER CODE, LIENHOLDER MAILING ADDRESS, and CITYTOWN with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Step no. 2 in completing Dmv Form Vsa 17B

3. The following section should also be relatively straightforward, MANUFACTURER, TYPE, MODEL, YEAR, MANUFACTURED HOME INFORMATION, PREVIOUS TITLE NUMBER, STATE, SERIAL NUMBER, HOME DIMENSIONS LENGTH, FT x WIDTH, HOME ADDRESS, CITY, STATE, ZIP CODE, and IS VEHICLE STATE OR LOCALITYOWNED - every one of these blanks needs to be filled in here.

4. Filling in WITH LIEN, Yes, IF HELD REASON, SALE PRICE, PROCESSING FEE, TAX, SUBTOTAL, PROOF OF ADDRESS specify, TITLE FEE, UMV FEE, TRANSFER FEE, SUBTOTAL, DEALER SURCHARGE, DHCD, and SUBTOTAL is crucial in the next part - make sure to spend some time and fill out every field!

PROCESSING FEE, SUBTOTAL, and SUBTOTAL in Dmv Form Vsa 17B

As to PROCESSING FEE and SUBTOTAL, be sure you take another look in this current part. These are viewed as the most significant ones in the document.

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OWNER FULL LEGAL NAME

(last, first, middle, suffix)

SOCIAL SECURITY NUMBER/FEIN

OWNER FULL LEGAL NAME

(last, first, middle, suffix)

SOCIAL SECURITY NUMBER/FEIN

Are any of the vehicle owners on active military duty or service?