Vehicle Registration Application Form PDF Details

Securing a vehicle registration in the State of Arkansas necessitates navigating through a comprehensive form designed by the Revenue Division of the Department of Finance & Administration. This Vehicle Registration Application form, a critical document, encapsulates various transactions ranging from license renewals to title transfers. Detailed sections require inputs on the vehicle including its identification number, year, make, model, and finer details such as body type, color, and weight, reflecting its comprehensive scope. Not only limited to vehicle specifics, the form ventures into the ownership details, demanding information on the owner’s name, address, and even lienholder data if applicable. Furthermore, it covers financial aspects including fees for registration, title changes, and penalties. Additional elements such as codes for transactions, usage types, and special fees for particular license validations are also integrated, accommodating different vehicle and owner scenarios. This form stands as a gateway to lawful vehicle ownership and use within Arkansas, embodying the procedural and financial responsibilities required by the state.

QuestionAnswer
Form NameVehicle Registration Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesarkansas vehicle registration application, arkansas duplicate title application, arkansas title application, arkansas title application pdf

Form Preview Example

VEHICLE REGISTRATION APPLICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE OF ARKANSAS

REVENUE

 

 

 

 

 

DIVISION

 

TRANSACTION TYPE

 

Department of Finance & Administration

 

 

 

 

 

 

 

 

 

 

 

 

P.O. Box 1272

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Little Rock, AR 72203

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LICENSE NO.

 

INV. TYPE

USE CODE

 

DECAL NO.

EXPIRATION DATE

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

 

 

MAKE

 

MODEL

 

BODY

 

CYL

 

COLOR

 

FUEL

UNLADEN WT

 

GROSS WT

 

DSP

 

AXLES

 

PREVIOUS TITLE NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TITLE

 

PUR.

 

 

PUR. DATE

DEALER

 

OD

 

 

OD

 

 

 

 

 

 

CHECK IF APPLICABLE

 

 

 

 

CODE

 

TYPE

 

 

 

 

 

 

 

 

 

 

CODE

 

READING

DAMAGE

 

PREV. DAMAGE

 

LEASE

 

PRORATE

 

PENALTY

MAIL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE ONLY IF CONVERTING CLASS TWO (2) THROUGH EIGHT (8) TRUCK LICENSE

 

 

VALIDATION PERIOD FOR DRIVE OUT OR INTRANSIT

OLD LIC. NO.

 

 

OLD WT.

 

OLD FEE

 

IF INVOLUNTARY, SHOW AMT. OVERLOAD AND

 

 

 

Beginning Date and

 

 

Ending Date and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUMMONS NUMBER

 

 

 

 

 

Time

 

 

 

 

 

 

 

Time

 

 

 

 

 

 

 

 

 

 

 

 

 

OVERLOAD

 

 

 

 

 

SUMMONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEIGHT

 

 

 

 

 

NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPANY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARKANSAS ADDRESS

 

 

CTY CODE

 

 

 

 

 

 

TITLE MAILING ADDRESS

 

 

 

 

CTY CODE

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

AR

Zip code

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RENEWAL MAILING ADDRESS

 

 

CTY CODE

 

 

 

 

REGISTRATION FEE

 

 

 

REPLACEMENT FEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CREDIT

 

 

 

 

 

 

TRANSFER FEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST LIENHOLDER

 

CONTRACT DATE

 

 

 

 

 

 

ADDITIONAL FEE

 

 

 

TITLE FEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRORATED FEE

 

 

 

LIEN FEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECOND LIENHOLDER

CONTRACT DATE

 

 

 

 

 

 

SPECIAL FEE (1)

 

 

 

PENALTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIAL FEE (2)

 

 

 

POSTAGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIAL FEE (3)

 

 

 

TOTAL REG. FEES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REVENUE OFFICE CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

SALES TAX RECEIPT NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARKANSAS REVENUE AGENT

 

 

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

CTY CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF LIENHOLDER (if applicable)

SIGNATURE OF OWNERS(S)

10-381 / 12-30-2019

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Writing section 1 in 10 381

2. After performing the last part, head on to the subsequent stage and fill out the necessary details in these fields - OWNER NAME LAST LAST COMPANY, Zip code, TITLE MAILING ADDRESS Name Address, CTY CODE, REGISTRATION FEE, REPLACEMENT FEE, CREDIT, TRANSFER FEE, CONTRACT DATE, ADDITIONAL FEE, TITLE FEE, PRORATED FEE, LIEN FEE, CONTRACT DATE, and SPECIAL FEE.

OWNER NAME LAST LAST COMPANY, ADDITIONAL FEE, and TITLE MAILING ADDRESS Name Address in 10 381

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