Dmv Ct Registration Form 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?No
Fillable fields0
Avg. time to fill out30 sec
Other namesct dmv form h 13, ct title application, ct dmv form h13b, ct dmv forms

Form Preview Example

OFFICIAL REGISTRATION

OF A MOTOR VEHICLE AND APPLICATION FOR CERTIFICATE OF TITLE

H-13 REV. 8-2014

STATE OF CONNECTICUT

DEPARTMENT OF MOTOR VEHICLES

60 STATE STREET, WETHERSFIELD, CT 06161

INSTRUCTIONS:

VOID UNLESS

VALIDATED

HERE BY

CONNECTICUT

DMV

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

(2)If required, TITLE must accompany this application.

(3)If you are changing your address in addition to DMV, please contact your local post office to change your official mailing address.

 

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

 

OWNER'S SEX

 

 

OWNER'S BIRTHDATE

OWNER'S LICENSE NO. OR ID

STATE

 

 

 

 

 

 

 

 

M

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING ADDRESS

(Number and Street)

 

CT RESIDENT

 

RESIDENT ADDRESS (If Different from Mailing Address - PO Box is NOT

 

 

 

 

 

 

 

 

YES

NO

acceptable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

(City or Town)

 

(State)

(Zip Code)

IF CO-OWNERSHIP

 

COMMON/AND - Requires ALL

 

 

 

 

 

 

 

JOINT/OR - Requires ONLY ONE

 

OWNER

 

 

 

signature to transfer ownership

 

signatures to transfer ownership

 

CO-OWNER'S NAME (If any)

 

CO-OWNER'S SEX

 

CO-OWNER'S BIRTHDATE

CO-OWNER'S LICENSE NO. OR ID

STATE

 

 

 

 

 

 

 

 

M

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IS OWNER A BUSINESS

I certify the following: (1) I am the owner of five (5) or more vehicles that are registered in my name, either individually or

INITIALS

 

 

 

 

YES

 

NO

jointly with other named owners; (2) I do not have a license to sell, repair, recycle, lease or rent motor vehicles.

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CT TOWN & STREET ADDRESS WHERE VEHICLE IN THE NORMAL COURSE OF OPERATION MOST FREQUENTLY LEAVES FROM, RETURNS TO OR REMAINS (For property tax )

 

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

 

 

 

 

 

 

 

LESSEE OPERATOR LICENSE NO.

 

CONNECTICUT LEASING LICENSE NO.

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IF LEASED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

(Number and Street)

 

 

 

(City or Town)

 

 

 

 

(State)

 

 

 

 

 

(Zip Code)

 

VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

VEHICLE I.D. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

 

 

MAKE

 

 

 

 

 

MODEL NAME OR NO.

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REGISTRATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Please complete

FUEL TYPE (Gas, Diesel, etc.)

CYLINDERS

NO. OF WHEELS

COLOR (Maximum of Two)

 

 

 

ODOMETER READING (Mileage)

 

NEW OR USED

COMMERCIAL USE

in full)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEW

USED

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIGHT WEIGHT (Wt. empty)

NO. AXLES

COMPLETE FOR

 

 

 

 

SEAT CAPACITY

NO. STANDEES

CARRY SCHOOL CHILDREN?

 

COM. CARRIER-US DOT NO. (If assigned)

4.

 

 

 

 

 

APPLICABLE VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

IF OTHER

 

 

 

 

 

(Buses, Trucks)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PASSENGER

GROSS WEIGHT (Light wt. + max load)

GROSS VEHICLE WT. RATING

HAZARDOUS MATERIAL

INTERSTATE COMMERCE

 

TRAILERS - Rear lights required. Brakes required if

STYLE VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

NO

 

 

YES

NO

 

3,000 lbs. or more GVWR. Length of vehicle & trailer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

combined must be in accordance with CGS 14-262.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

LIEN-HOLDER FINANCING VEHICLE PURCHASE FOR CURRENT OWNER

DATE OF LIEN

 

 

SECOND LIEN-HOLDER (If Any)

 

 

 

 

 

 

 

 

 

DATE OF SECOND LIEN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIEN-HOLDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS OF LIEN-HOLDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS OF SECOND LIEN-HOLDER

 

 

 

 

 

 

 

purchase was

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

financed)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AUTO

INSURANCE COMPANY NAME (Not Agent)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AUTOMOBILE INSURANCE POLICY NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSURANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE VEHICLE PURCHASED

 

6.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SELLER(S)

SELLER'S ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PURCHASE PRICE (Bill of Sale required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

IF TAX

READ REVERSE SIDE OF THIS

 

CODE NO.

 

 

EXEMPTION INFORMATION (If leased vehicle lessor tax number if applicable)

 

 

 

 

EXEMPTION IS

FORM, SPECIFY CODE AND ANY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TAX EXEMPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLAIMED

ADDITIONAL INFORMATION.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IDENTIFICATION NUMBER OF TRADED-IN VEHICLE

 

 

 

 

YEAR

MAKE

 

 

 

 

CT DEALER LIC. NO.

CT SALES TAX PERMIT NO.

 

8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEALER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL SALES PRICE

TRADE-IN ALLOWANCE

NET SALES PRICE

 

 

STATE TAX COLLECTED DEALER SIGNATURE

 

 

 

 

 

 

 

 

DATE SIGNED

 

TRANSACTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

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 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

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

OWNER'S

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.

 

SIGNATURE

OWNER'S SIGNATURE

 

DATE SIGNED

CO-OWNER'S SIGNATURE

DATE SIGNED

 

 

 

X

 

 

X

 

 

 

DMV OFFICE USE ONLY

 

new issue

safety plate

 

CAA

title

no

title

 

temp. cert.

lien

 

transfer

admin fee

 

sub. reg.

emissions

 

 

 

 

info. change

ghg

 

 

 

 

 

 

sales tax

TOTAL

 

FEE $

 

C.C.

S.C.

TYPE OF REGISTRATION

MARKER PLATE NO.

 

 

 

 

 

 

 

PRIOR TITLE STATE

 

PRIOR TITLE NUMBER

 

 

 

 

 

 

 

 

 

EXPIRATION DATE

 

 

 

TAX TOWN

 

RESTRICTION CODE

 

 

 

 

 

 

 

TAXABLE PRICE

 

 

HIGHEST FEE PAID

 

 

 

 

 

 

 

 

 

 

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 fromOther 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, Clearance and Adjustments Unit, 25 Sigourney Street, Hartford, CT 06106.

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 1 labeled IF TAX EXEMPTION IS CLAIMED. 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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