Tennessee Application Form PDF Details

The Tennessee Department of Revenue Vehicle Services Division's Multi-Purpose Application is a comprehensive document, crucial for various vehicle-related transactions in the state of Tennessee. Accessible online with instructions at the department’s official website, or available through a toll-free call, this form facilitates new registrations, title transfers, and updates to personal information, among other functions. The form requires detailed input about the vehicle owner, including legal status, name, address, and contact information, alongside specific vehicle details like make, model, VIN, and odometer reading. It also provides sections for lien information, plate information, and, importantly, vehicle cost/tax information which is essential for title and registration transactions. This form serves as an attestation by the owner that all information provided is accurate, under the penalties of perjury, reflecting the state’s commitment to maintaining up-to-date and precise vehicle records. Furthermore, the form captures details about any lien on the vehicle, the option for organ donor designation, and various fees associated with the transaction, illustrating its role as an all-encompassing tool for vehicle owners and the Tennessee Vehicle Services Division to manage vehicle documentation and related services efficiently.

QuestionAnswer
Form NameTennessee Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestennessee revenue vehicle application, tennessee title application, multi purpose application, tennessee title application form pdf

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TENNESSEEDEPARTMENTOFREVENUE

VEHICLE SERVICES DIVISION

MULTI-PURPOSE APPLICATION

Form instructions are available at http://www.tn.gov/revenue/forms/titlereg/f1315201inst.pdf or call toll-free at 1 (888) 871-3171, Monday -Friday, 8:00 - 4:30, CST.

NEW OR CURRENT TITLE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANSACTION

REGISTRATION ONLY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CODE*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER INFORMATION *LEGAL STATUS: 1 (AND) 2 (OR)

 

ENTER NAME CODE IN BOX 1 (SAME) 2 (DIFFERENT) 3 (MULTIPLE LAST NAMES) 4 (COMPANY) 5 (OVER 25 CHARACTERS)

 

MAO

ILU

 

LAST NAME

 

 

FIRST NAME

 

 

 

 

 

 

 

MIDDLE INITIAL

 

LAST NAME

 

 

 

FIRST NAME

 

 

 

 

 

MIDDLE INITIAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS 1 (MAILING)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS 2 (PHYSICAL)

CITY

 

STATE

 

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

STATE

 

 

 

ZIP CODE

 

ADDITIONAL OWNER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CNTY OF RESIDENCE/PRINCIPAL BUS OR INCORP LOCATION

PURCHASE DATE

*LEASED

*SERVICE OPTIONS

TELEPHONE #

PLACARD/HEARING IMPAIRED CLS/YR

*INSURANCE POLICY #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VIN

 

 

 

 

MAKE

 

MODEL

 

 

YEAR

 

BODY

 

TITLE BRAND - translation

 

CODE

 

TYPE OF FUEL - translation

 

CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SURRENDERED TITLE #

 

 

 

STATE

PREVIOUS STATES TITLED

 

 

VEHICLE USE

VEHICLE TYPE

 

CURRENT MILEAGE

ODOMETER

ACTUAL (0) NOT ACTUAL (3)

 

CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INDICATOR

OVER 10 YRS/16,000 LBS. (1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(List one)

IN EXCESS OF MECHANICAL LIMITS (9)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLOR CODE (enter appropriate code)*

MOBILE HOME

 

WDTH

 

# AXLES

 

GROSS VEHICLE WEIGHT

*VEHICLE TRADE-IN DESCRIPTION

 

 

COMPANY VEHICLE #

 

UPPER

LOWER

LGTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLATE INFORMATION *(required for Title and Registration and Registration Only Transactions)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLATE #(1)

CLASSCODE/ISSUE YR(1)(3)

 

VALIDATION #(1)

 

COUNTY STICKER #(1)

 

CITY STICKER #(1)(2)

*PLATE # (TRADE IN) (2)

CLASS CODE/ISSUE YR (2)

EXPIRATION DATE (1) (2) (3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TDS STICKER # (4)

 

TEMP OPERATOR PERMIT # (3)

# OF SEATS (5)

ZONE COUNTY NAME (6)

USDOT/REGISTRANT #(7)

 

MOTOR CARRIER #(8)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIEN INFORMATION (if lien present)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST LIENHOLDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIEN DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECOND LIENHOLDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIEN DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LESSEE/REGISTRANT INFORMATION (OWNER OF PLATE)

 

LEGAL STATUS

 

 

NAME CODE

 

 

 

MAO

 

ILU

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE COST/TAX INFORMATION *(required for Title and Registation Transactions)

SALE PRICE

TRADE IN ALLOWANCE

TAXABLE AMOUNT

SALES TAX PAID

*TAX EXEMPTION REASON/SALES TAX#

DEALER NAME

DEALER ADDRESS

DEALER #

*Required for Duplicate Title - T.C.A. 55-3-115 (submit illegible or altered Certificate of Title)

LOST

STOLEN

MUTILATED

RETURNED DUE TO NON DELIVERY

ALTERED

ILLEGIBLE

Under penalties of perjury, I hereby certify all information provided is true and correct to the best of my knowledge, and acknowledge that it is not the responsibility of the Vehicle Services Division or its assignees to determine the accuracy of the information provided by me or on my behalf.

SIGNATURE OF CERTIFIER/OWNER

X

POWER OF ATTORNEY/AUTHORIZED SIGNATURE (IF APPLICABLE)

DATE

INVOICE NUMBER

COUNTY NAME

 

 

CO NUMBER

DATE OF APPLICATION

 

BY AUTHORITY OF REGISTRAR OF MOTOR VEHICLES (COUNTY CLERK)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICE USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REGISTRATION FEE

CREDIT

LEASE FEE

 

TRANSACTION FEE

ISSUANCE FEE

TITLE FEE

TOTAL TAX COLLECTED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPUTATION OF

 

 

SALES OR USE TAX

 

LOCAL RATE

ADDITIONAL TAX

 

COLLECTED IN STATE OF

COUNTY WHEEL TAX

CITY WHEEL TAX

SALES TAX

USE TAX

 

 

 

 

 

 

 

 

 

 

 

 

 

*SERVICE OPT FEE

 

 

ORGAN DONOR

 

POSTAGE

 

VER

 

ID/RESIDENCY VERIFICATION

 

*TOTAL FEES COLLECTED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RV-F1315201 (Rev. 8-14)

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