PS2000A: Minnesota Application to Title and Register a Vehicle

In section A, enter the Contact phone number for customer and the Vehicle identification number.

Enter the Model year, Make, Model, Body style, Vehicle color and Weight rating.

Enter the Vehicle type, Vehicle class, Vehicle use type, # Pass. and Fuel type, and check New or Used.

Enter the Date of acquisition.

Enter the Auto insurance company, Policy number and Expiration date.

Enter the Empty weight and Axles.

In the Odometer disclosure statement, the seller certifies the odometer now reads the miles written (no tenths); the seller signs at All seller's signatures.

To the best of the seller's knowledge, check one for the odometer mileage: Actual mileage, In excess of odometer's mechanical limits, or Not actual mileage, Warning Odometer Discrepancy.

Was this vehicle sold on private party consignment? Check Yes or No.

In the Damage disclosure statement, to the best of the seller's knowledge, check one: this vehicle Has sustained damage in excess of 80 percent actual cash value, or Has Not sustained damage in excess of 80 percent actual cash value.

Assignment: the seller certifies that this vehicle is free from all security interest, and warrants title and the registration tax and vehicle to the person named in section D.

Enter the Seller's printed name, Acquisition date, Seller's address and Dealer license number.

All sellers sign at All seller's signatures.

Is this vehicle subject to security agreements? Check Yes or No. If yes, complete section C.

Enter the First secured party (print name) and the Date of loan. For additional secured parties, attach completed form PS2017.

Enter the Street address, City, Zip code and State.

In section D, enter the First, middle, last name, Driver's license number or dealer number and Date of birth.

For Additional purchasers or owners, enter the first, middle, last name, Driver's license number and Date of birth.

If more than two owners, complete a separate attachment with the additional owner's information (must provide all info as in section D).

Enter the Residence street address, City, State and Zip code, and the Mailing address.

You can elect to receive your registration renewals by email. To elect this service please provide an email address for notices to be emailed to. If you select this option, paper renewal notices will not be mailed.

Were you a Minnesota resident at the time of purchase? Check Yes or No.

Enter: If no, when did you become a Minnesota resident? If yes, when was the vehicle first operated on a Minnesota road or highway?

A vehicle acquired by a Minnesota resident is subject to tax as soon as the vehicle is operated on a Minnesota street or highway.

In section H, enter the Base value/MSRP or gross weight, the Registration period From and Through, the USDOT Number, and the MN County or state vehicle is kept and Registration Quantity.

Trailers and trucks registered on a gross weight basis must be registered at a minimum of 1.25 times the empty weight. For trucks registered at 78,000 or higher, you must declare the number of axles on the front of this application.

For classic, collector, street rod and pioneer, please indicate desired number of plates: One Plate or Two Plates.

Enter the Regular license plate number of the other vehicle owned or leased by you.

Enter 1. Full purchase price, 2. Less trade-in allowance (complete item #6), 3. Net purchase price, 4. 6.875% of line 3, 5. Less tax paid to another state, and Net sales tax due.

6. Trade-in was: enter the Model yr., Make, Plate # and VIN.

Enter the tax exemption: "I declare this tax exemption."

Fees listed: Admin or registration tax, Plate fee, Contribution fee, Wheelage tax, Tech surcharge fee, PS vehicle fee, Transfer tax, Additional fees: Electric vehicle surcharge, Title fee, Expedited title fee, Lien fee, MV sales tax, Farm quarterly fee lease, Extension fee, Late transfer penalty, Reinstatement fee salvage, Local office surcharge, State or deputy filing fee, Inspection fee special, Plate transfer fee, and Total due (Sales tax due when registered).

If you check the box, you say: You may disclose my personal information for bulk distribution for surveys, marketing or solicitations.

If you check the box, you say: You may disclose my information for any use in response to requests for my individual driver or motor vehicle record.

All purchasers/owners must sign; all sellers sign at All seller's signatures. Enter the DATE.

Do not sign until form is completed in entirety.

By your signature, you certify that you are of legal age, have purchased this vehicle subject to liens shown and no other. This vehicle is and will continue to be insured while operating upon the public streets and highways. The vehicle will be operated in compliance with the laws that apply to its class of registration. You have received a copy of this application and all of your declarations are true and correct.

Form PS2000A, the Application to title and register a vehicle, is used to apply for a certificate of title pursuant to Minn. Stat. § 168A.02(1). DVS may disclose personal information when it relates to the operation or use of a vehicle or to public safety.

You must provide the information requested within ten days of the date of sale in order to obtain a certificate of title.