Official Registration Form PDF Details

The official registration form for businesses and organizations can now be found on the City of Rochester website. This new form is designed to make it easier for businesses and organizations to register with the City of Rochester. The form can be filled out and submitted electronically, making the process faster and more convenient. For more information on how to submit the form, please visit the City of Rochester website.

If you want to first determine how much time you need to fill out the official registration form and the number of pages it has, here is some general data that will be useful.

QuestionAnswer
Form NameOfficial Registration Form
Form Length2 pages
Fillable?Yes
Fillable fields75
Avg. time to fill out15 min 34 sec
Other namesh13b form ct, dmv ct registration form, ct dmv for h13b, ct title application

Form Preview Example

CONNECTICUT REGISTRATION AND

TITLE APPLICATION

STATE OF CONNECTICUT

DEPARTMENT OF MOTOR VEHICLES

H-13B REV. 3-2021

60 STATE STREET, WETHERSFIELD, CT 06161

INSTRUCTIONS:

http://www.ct.gov/dmv

(1)Please print using a black or blue pen.

(2)Fill out the applicable sections of this form.

(3)Use the DMV website to check for all documents required to complete your transaction and for any outstanding compliance issues.

DMV USE ONLY - TEMPORARY PLATE NUMBER

DMV USE ONLY - PERMANENT PLATE NUMBER

OWNER SECTION

1(APPLICANT)

IF CO-OWNERSHIP (Check one)

JOINT/OR - Requires ONE signature to transfer ownership

COMMON/AND - Requires ALL signatures to transfer ownership

OWNER'S (APPLICANT'S) NAME (Last, First, Middle Initial)

OWNER'S LICENSE OR ID NUMBER

 

ISSUING STATE

 

 

 

CO-OWNER'S (CO-APPLICANT'S) NAME (Last, First, Middle Initial)

CO-OWNER'S LICENSE OR ID NUMBER

 

ISSUING STATE

 

 

 

 

SEC OF STATE/BUSINESS ID NO. (If Applicable)

SEC OF STATE/BUSINESS ID NO. (If Applicable)

OWNER'S BIRTHDATE

PHONE NUMBER (Optional)

CO-OWNER'S BIRTHDATE

PHONE NUMBER (Optional)

OWNER'S MAILING ADDRESS

(Number and Street, and Apartment No. if applicable)

(City or Town)

(State)

(Zip Code)

CT RESIDENT?

YES

NO

RESIDENT ADDRESS (If Different from Mailing Address - PO Box is NOT acceptable. Please include Apartment No. if applicable)

CHECK BOX IF RESIDENT ADDRESS IS WHERE IF DIFFERENT FROM RESIDENT ADDRESS, INDICATE HERE (Number and Street, Apartment No.) (City or Town)

(State) (Zip Code)

VEHICLE MOST FREQUENTLY LEAVES FROM,

 

 

 

 

 

RETURNS TO, OR REMAINS (For Property Tax)

 

 

 

2 INFORMATIONVEHICLE

VEHICLE I.D. NUMBER

 

YEAR

MAKE

MODEL NAME OR NO.

BODY STYLE (4-Dr. Sedan, etc.)

FUEL TYPE (Gas, Diesel, etc.)

CYLINDERS or CC's NO. OF WHEELS COLOR(S) (Maximum of Two)

ODOMETER READING (Mileage)

NEW OR USED?

NEW

USED

If Commercial use,

Combination use or Pick-Up Truck Complete Section 8

3SELLER'SINFORMATION

NAME OF SELLER(S) (If 2 owners, include both names)

DATE VEHICLE SOLD (Purchased)

SELLING PRICE

SELLER'S ADDRESS (Number and Street)

(City or Town)

(State)

(Zip Code)

SECURITY INTEREST - NAME OF LIEN-HOLDER

4Loan or Lien Information

DATE OF LIEN

ADDRESS OF LIEN-HOLDER (Number and Street)

(City or Town)

 

(State)

(Zip Code)

 

 

 

 

 

NAME AND ADDRESS OF SECOND LIEN-HOLDER (Number and Street)

(City or Town)

(State)

(Zip Code)

DATE OF SECOND LIEN

 

 

 

 

 

5

TAX

IF TAX EXEMPTION IS CLAIMED READ THE REVERSE SIDE OF THIS FORM AND SPECIFY THE CODE ASSOCIATED WITH THE TAX

EXEMPTION

EXEMPTION AND ANY ADDITIONAL INFORMATION THAT YOU CAN PROVIDE.

 

CODE NO. FROM BACK OF FORM EXEMPTION INFORMATION (If leased vehicle lessor tax number if applicable)

IF CODE #3, LIST TOTAL SALES TAX PAID TO OTHER

 

 

 

JURISDICTION

 

 

 

$

 

 

The undersigned certifies that there are no liens on this vehicle except those specified above. The insurance required by Connecticut law is in effect and will be maintained during this registration

6

OWNER

period. All property taxes due any CT Taxing Authority for any vehicle previously registered in my/our name(s) have been paid. If other than Passenger registration this vehicle is registered in

accordance with Manufacturer's Maximum Gross Vehicle Weight Rating. The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned, under penalty

SIGNATURE(S)

of false statement, in accordance with the provisions of Section 14-110 and 53a-157b of the Connecticut General Statutes. I understand that if I make a statement which I do not believe to be true, with

the intent to mislead the Commissioner, I will be subject to prosecution under the above-cited laws.

OWNER'S SIGNATURE

X

DATE SIGNED

CO-OWNER'S SIGNATURE

X

DATE SIGNED

ADDENDUM - If Additional Information is needed for your transaction, please complete the applicable sections below

LEASED VEHICLE NAME OF LESSEE (Person to whom or company to which vehicle is leased)

7INFORMATION

OPERATOR LIC. NO. AND STATE OF LESSEE

ADDRESS OF LESSEE (P.O. Box is Not Acceptable)

(Number and Street)

(City or Town)

(State)

(Zip Code)

NAME OF CO-LESSEE (Person to whom or company to which vehicle is leased)

OPERATOR LIC. NO. AND STATE OF CO-LESSEE

8

OTHER THAN PASSENGER

LIGHT WEIGHT (Wt. empty)

GROSS WEIGHT (Declared Wt.) (Lt. wt.+max load)

 

MFTR. GVWR

GROSS WEIGHT

 

STYLE MOTOR VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

DECLARED REQUIRES

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

CT DOT OS/OW PERMIT

COMPLETE FOR APPLICABLE

NO. AXLES

SEAT CAPACITY

NO. STANDEES

CARRY SCHOOL CHILDREN?

 

US DOT NO. (If assigned)

IF DOT #, HAS THE

 

 

 

 

 

 

YES

NO

 

 

 

 

 

VEHICLE BEEN

YES

VEHICLES (Buses, Trucks)

 

 

 

 

 

 

 

 

 

 

INSPECTED?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ref 49 CFR 396.17

 

INTERSTATE COMMERCE?

HAZARDOUS MATERIAL?

USED FOR THE

 

 

 

 

TRAILERS - Rear lights required. Brakes required if 3,000 lbs. or more GVWR.

YES

NO

YES

 

NO

TRANSPORTATION

YES

NO

 

OF A VESSEL (BOAT)?

Length of vehicle & trailer combined must be in accordance with CGS 14-262.

9

TRANSACTIONDEALER

VEHICLE I.D. NUMBER OF TRADED-IN VEHICLE

 

 

YEAR

MAKE

 

 

MODEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONNECTICUT SALES TAX PERMIT NO.

 

TOTAL SALES PRICE

 

 

TRADE-IN ALLOWANCE

 

 

 

NET SALES PRICE

 

STATE TAX COLLECTED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned, under penalty of false statement, in accordance with provisions of Section 14-110 & 53a-157b of the Connecticut General Statutes.

CONNECTICUT DEALER LICENSE NUMBER

DEALER SIGNATURE (Authorized Representative)

DATE SIGNED

 

X

 

SALES TAX INSTRUCTIONS

A)SALES OR USE TAX COMPUTATION - The sales or use tax is based on the invoiced purchase price for vehicles purchased from a licensed dealer. If the vehicle is purchased from a private individual, not from a licensed dealer, the sales or use tax is based on the current month's issue of the N.A.D.A. Official Used Car Guide, Eastern Edition or the Bill of Sale, whichever is greater.

B)SALES TAX PAID IN ANOTHER STATE - In order to obtain credit for sales/use tax paid to another jurisdiction, you must present proof of payment in the form of an official receipt or dealer's invoice.

C)BARTER, TRADE, SWAP - When two individuals trade vehicles, each must pay sales/use tax on the value of the vehicle received based on the current month's issue of the N.A.D.A. Official Used Car Guide, Eastern Edition.

D)CHECKS - Please make your check payable to "DMV". The total for all DMV fees also will include the sales tax.

E)REFUNDS - Claims for sales or use tax refunds must be submitted to the Department of Revenue Services. Use CERT-106, Claim for Refund of Use Tax Paid on Motor Vehicle Purchased from Other Than a Motor Vehicle Dealer, to claim a refund of use tax paid on a motor vehicle purchased from other than a motor vehicle dealer. A CERT-106 form is available at all DMV branches. All other claims for refund, with supporting documents, must be directed to the Department of Revenue Services, Refunds-RCA Audit Group, 450 Columbus Boulevard, Suite 1, Hartford, CT 06103-1837.

SPECIAL INSTRUCTIONS FOR THOSE CLAIMING EXEMPTION FROM CONNECTICUT SALES OR USE TAX

Specify the applicable code (1, 2, 3, 4, or 5) as described below in the space on the front in SECTION 5 labeled TAX EXEMPTION. Include additional information as required below for the applicable code in the area labeled EXEMPTION INFORMATION.

Code 1:

Code 2:

Code 3:

Code 4:

Code 5:

Transfer between immediate family members (Only MOTHER, FATHER, SPOUSE (wife, husband, civil union), DAUGHTER, SON, SISTER or BROTHER qualify as "immediate family members"). Specify code "1" and in the area labeled EXEMPTION INFORMATION, write which of the above-listed relationships describes the person from whom you obtained the vehicle. Specify the state in which this immediate family member previously registered the vehicle. In order to qualify for this exemption, the vehicle must have been registered in this immediate family member's name for at least 60 days.

Sale to a Connecticut exempt organization or to a governmental agency. Specify code "2" and write the Connecticut Tax Exemption Number beginning with "E" in the area labeled EXEMPTION INFORMATION or attach a copy of the organization's Internal Revenue Code Section 501(c)(3) or 501(c)(13) exemption letter issued by the IRS.

Sales or Use Tax was paid to another jurisdiction. An official receipt or dealer's invoice must be presented identifying the amount of sales tax paid. Specify code "3" and, in the area labeled EXEMPTION INFORMATION, write the amount of tax paid and the jurisdiction to which this tax was paid.

Vehicles purchased while residing outside of Connecticut. Out-of-state registration or photocopy is required. Vehicles should have been registered out-of-state at least 30 days prior to application for Connecticut registration. Specify code "4" and, in the area labeled EXEMPTION INFORMATION, write in order (1) the state in which you were residing when you purchased vehicle, (2) the date the vehicle was purchased, (3) the date the vehicle was registered in that state, and (4) the date the vehicle was first moved to Connecticut.

Other reasons. Specify code "5" and write the applicable letter from the list below in the area labeled EXEMPTION INFORMATION.

5A) GIFT - If vehicle was received as a gift, provide a copy of form AU-463, "Motor Vehicle and Vessel Gift Declaration". These forms are available at all DMV offices.

5B) VEHICLE PURCHASED BY A LESSOR EXCLUSIVELY FOR LEASE OR RENTAL - Provide the Connecticut Tax Registration Number of the lessor/purchaser.

5C) SALE BY A FEDERAL AGENCY, FEDERAL CREDIT UNION OR AMERICAN RED CROSS - Vehicle must have been obtained from a Federal Agency, a Federal Credit Union or the American Red Cross.

5D) CORPORATE ORGANIZATION, REORGANIZATION OR LIQUIDATION - Acquiring a vehicle in connection with the organization, reorganization or liquidation of an incorporated business provided (a) the last taxable sale, transfer or use of the motor vehicle was subjected to Connecticut sales or use tax, (b) the transferee is the incorporated business or a stockholder thereof.

5E) PARTNERSHIP OR LLC ORGANIZATION OR TERMINATION - Acquiring a vehicle in connection with the organization or termination of a partnership or LLC provided (a) the last taxable sale, transfer or use of the motor vehicle was subjected to Connecticut sales or use tax, and (b) the purchaser is the partnership or limited liability company, as the case may be, or a partner or member, thereof, as the case may be.

5F) HIGH MPG PASSENGER MOTOR VEHICLES - Section 12-412(110) exempts the sale on and after January 1, 2008, and prior to July 1, 2010, of any passenger motor vehicle, as defined in section 14-1, that has a U.S. EPA estimated city or highway gasoline mileage rating of at least 40 miles per gallon.

5G) COMMERCIAL TRUCKS, TRUCK TRACTORS, TRACTORS AND SEMITRAILERS AND VEHICLES USED IN COMBINATION THEREWITH - Section 12-412(70)(A)(i) exempts commercial trucks, truck tractors, tractors and semitrailers and vehicles used in combination therewith which have a gross vehicle weight rating in excess of 26,000 pounds.

Section 12-412(70)(A)(ii) exempts commercial trucks, truck tractors, tractors and semitrailers and vehicles used in combination therewith operated actively and exclusively during the period commencing upon its purchase and ending one year after the date of purchase for the carriage of interstate freight pursuant to a certificate or permit issued by the Interstate Commerce Commission (ICC) or its successor agency. Purchaser - please attach a copy of your certificate or permit that was issued by the ICC or its successor agency, and a copy of a properly completed Dept. of Revenue Services CERT-105, Commercial Motor Vehicle Purchased Within Connecticut for Use in the Carriage of Freight in Interstate Commerce.

For further information about sales and use taxes, see the DRS website (www.ct.gov/drs) or call DRS during business hours, Monday through Friday:

1-800-382-9463 (Connecticut calls outside the Greater Hartford calling area only); or

860-297-5962 (from anywhere).

TTY, TDD, and Text Telephone users only may transmit inquiries anytime by calling 860-297-4911.

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example of gaps in ct dmv fillable registration form

Type in the essential information in the field City, or, Town State, Zip, Code DATE, OF, SECOND, LIEN TAX, EXEMPTION OWNER, SIGNATURES, OWNERS, SIGNATURE, X DATE, SIGNED DATE, SIGNED COOWNERS, SIGNATURE, X OPERATOR, LI, C, NO, AND, STATE, OF, LESSEE LEASED, VEHICLE, INFORMATION ADDRESS, OF, LESSEE, PO, Box, is, Not, Acceptable and Number, and, Street

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Note down all particulars you are required in the space CONNECTICUT, SALES, TAX, PERMIT, NO TOTAL, SALES, PRICE TRADE, IN, ALLOWANCE NET, SALES, PRICE STATE, TAX, COLLECTED and DATE, SIGNED

stage 3 to finishing ct dmv fillable registration form

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