Form MV-6A PDF Details

The Form MV-6A represents a crucial document for businesses operating within the motor vehicle industry in Georgia, specifically designed to manage the roster of individuals authorized to handle dealer, manufacturer, transporter, and distributor license plates. This form plays a key role in ensuring that all transactions related to the issuance and management of these plates are conducted by individuals who have the express permission of the company they represent. As mandated by § 40-2-38 of the Official Code of Georgia Annotated (OCGA), it facilitates the addition or removal of authorized agents or representatives, ensuring compliance with state law and safeguarding against unauthorized access or actions. The form requires detailed information, including the legal name of the company, contact information, an MVD-issued permanent identification number, and specific details about the agents being added or deleted, including their full legal names and positions. Moreover, the completion and signing of this form are taken seriously, with a declaration affirming the truthfulness of the information provided and a warning about the criminal penalties for fraudulent submissions. This document, therefore, becomes not just a procedural requirement but a declaration of accountability and compliance with Georgia's legal standards for motor vehicle businesses.

QuestionAnswer
Form Name Form MV-6A
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 15 sec
Other names mv6a com, dealer registration mv 6a forms, 6a, mv6a form

Form Preview Example

Form MV-6A (Rev. 07-2005)

www.dor.ga.gov

Add/Delete Authorized Agents/Representatives

Motor Vehicle Dealer, Manufacturer, Transporter & Distributor License Plates

Your Company’s Twelve-Digit (12) MVD Issued Permanent ID #

In accordance with § 40-2-38 OCGA, I am adding or deleting authorized agents for the license plate(s) issued for motor vehicles manufactured, distributed, sold, transported or leased.

Legal Name of Company, Business or Firm

County Where Company Is Located

 

 

Business Phone # Including Area Code

 

 

 

 

 

 

 

 

 

 

Current Master Tag Number

 

 

Year of Issue

 

 

 

 

 

 

D/B/A (Name of Company, Business or Firm under which you do business)

Street Address

City

State

Zip Code

 

 

 

 

 

 

 

 

Mailing Address (if different from street address)

City

State

Zip Code

 

 

 

 

ADD Agents/Representatives

Enter agents’ full legal names as shown on their valid Georgia driver’s license or Georgia identification card and their position with the company. Each authorized agent/representative must sign.

Printed Name of Agent to Add

 

Signature

 

Date

 

Position

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Printed Name of Agent to Add

Signature

Date

Position

Printed Name of Agent to Add

Signature

Date

Position

Printed Name of Agent to Add

Signature

Date

Position

Printed Name of Agent to Add

Signature

Date

Position

Printed Name of Person Authorized to Complete Form

Signature of Person Authorized to Complete Form

Date

DELETE Agents/Representatives

Agents/Representatives no longer authorized to act as an agent or representative of the Company/Business/Firm

Printed Name of Agent to Delete

Printed Name of Agent to Delete

Printed Name of Agent to Delete

Printed Name of Agent to Delete

Printed Name of Agent to Delete

Date Deleted

Date Deleted

Date Deleted

Date Deleted

Date Deleted

Signature of Agent Authorizing Change

Signature of Agent Authorizing Change

Signature of Agent Authorizing Change

Signature of Agent Authorizing Change

Signature of Agent Authorizing Change

By signing this form to add or delete authorized agents of the company/business/firm recorded above, I swear, affirm or certify under criminal penalty of a felony for fraudulent use of a false or fictitious name or address or making a material false statement punishable by a fine of up to $5,000 or by imprisonment of up to five-years (5), or both, that statements contained on documents submitted by me or authorized agents/representatives are true and accurate. I also swear, affirm or certify that I am an authorized agent of the company listed above and all requirements of this state’s laws have been met (i.e. Sales Tax, Motor Vehicle, Fire Marshal’s Office, Secretary of State, etc.).

Mailing Address

ATTN: Special Tags Unit

Dept. of Revenue/Motor Vehicle Division

PO Box 740381

ATLANTA, GA 30374-0381

If you need additional information or forms, please call (404) 675-4947 or access our web site at: www.dor.ga.gov. From our web site, most tag and/or title forms can be completed electronically completed and printed for signing and submission.

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Filling in part 1 of georgia mv6a form

2. Once your current task is complete, take the next step – fill out all of these fields - AgentsRepresentatives no longer, Printed Name of Agent to Delete, Printed Name of Agent to Delete, Printed Name of Agent to Delete, Printed Name of Agent to Delete, Printed Name of Agent to Delete, Date Deleted, Signature of Agent Authorizing, Date Deleted, Signature of Agent Authorizing, Date Deleted, Signature of Agent Authorizing, Date Deleted, Signature of Agent Authorizing, and Date Deleted with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Filling in section 2 in georgia mv6a form

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