Vermont Registration Tax & Title Application
DEPARTMENT OF MOTOR VEHICLES
Agency of Transportation
802.828.2000
dmv.vermont.gov
SECTION 1
Name of Primary Registrant
(Last, First, Middle, or Business Name)
Former Name
License Number or FEIN
Date of Birth
Gender
Phone
Mobile
Home
Work
Mailing Address
City
State
ZIP
Country
Physical Address
City
State
ZIP
Country
Name of Co-Owner or Lessor (if lessor skip to address line)
See instructions for additional owners
Former Name
License Number or FEIN
Date of Birth
Gender
Phone
Mobile
Home
Work
Mailing Address
City
State
ZIP
Country
SECTION 2
Serial Number (VIN)
New
Used
Rebuilt
Year
Make
Model
Body Style Fuel Type Cylinders Color 1 Color 2 Brake Type (truck)
HYD Air Other
Number of Passengers (jitney) Wheels (MTC & ATV)
Axles (truck)
Empty Weight (truck, trailer & jitney)
Loaded Weight (truck & trailer)
Length (trailers) Feet & Inches
Width (trailers) Feet & Inches
Power (MTC & ATV)
cc’s #_______ kWh #_______
3
Relationship of
owner & co-owner
Spouses Joint Tenants Tenants in Common Business Partners Transfer on Death (requires form VT-007)
4
Odometer reading (no tenths)
Reflects the actual mileage.
Reflects the mileage in excess of the
odometer’s mechanical limits. Is not the actual mileage
5
Lienholder Name (if none, write NONE)
Date of Loan
Lienholder Address
6
Name of person or company vehicle purchased from
Date Purchased
VT Dealer Number
Temporary Plate #
Address of seller
Seller Signature
7
New Registration Replacement Reg IRP Tax & Title
Current Plate #
Registration/Plate Type
Car Truck
Trailer Motorcycle
________________
Registration Term
1 Year
2 Years
5 Years (trailers & municipal)
Renew Title Only Weight Change
Transfer Other
SECTION 8
Purchase Price
Purchaser of old vehicle
SECTION 9
Registration/Transfer
Credit for Trade
City
State
Date of Sale
Tax
JD Power Value
Year Make Plate #
$
Title
Adjustments
VIN
Warranty
Taxable Amount
Fuel User
I hereby affirm, under penalty of perjury of the laws of the State of Vermont, that the information on this form is true and correct. This declaration made
under penalties of 23 V.S.A. § 202 & § 4110.
The owner certifies that this vehicle 1) is properly equipped and in good mechanical condition; 2) was placed
into use on or before the date this application was signed; 3) currently has liability insurance in effect as required by 23 V.S.A. §800 (a). If transfer of plates,
the owner and/or this vehicle are not under suspension pursuant to 23 V,S,A, §3009(b). As the applicant for registration of a
commercial motor vehicle, I
hereby declare that I have knowledge of the F
ederal Motor Carrier Safety Regulations, Title 49 of the Code of Federal Regulations, as adopted by the
State of Vermont.
Other
Total
Signature of Owner Date Signed
Signature of Co-Owner/Lessor Date Signed
X
VD-119 07/2024 MTC
VT
USA
If submitting by mail, send to Vermont DMV, 120 State Street, Montpelier, VT 05603. For more detailed instructions, see DMV form# VD-
119i.
Section 1
Enter all names and contact information. A physical address is required if the mailing address is a PO Box or Private Mailbox (i.e., UPS Store). To add
additional owners (more than two owners or owned or more than one for leased), complete and include them from VT-012.
Section 2
VIN Verification is required (using DMV form VT-010) for
• Vehicles with Salvage Documentation from any state, including
Vermont.
• Vehicles being titled under bond.
• Vehicles with registrations from any foreign country, including
Canada.
Trucks (including pick-up trucks) must include
• Number of Axles
• Brake Type
• Empty Weight (curb)
• Loaded Weight (GVW)
Trailers must include
• Empty Weight
• Length (in feet & inches)
• Width (in feet & inches)
Motorcycles & ATVs must include
• Cylinders
• Number of Wheels
• Power
• Power Type
Section 3
• Tenants by the Entirety/Spouses (TEN ENT) - Married couples (including Civil Unions), where property ownership is treated as though the couple
was a single legal person. Owners have a right of survivorship; if one owner dies, interest in the property will pass to the surviving owner
avoiding probate.
• Joint Tenants (JTEN) - Co-owners have a right of survivorship; if one owner dies, interest in the property will pass to the surviving owner
avoiding probate.
• Tenants in Common (TEN COM) - No right of survivorship; if one owner dies, interest in the property will be part of their estate.
• Business Partners (PTNERS) - No right of survivorship; if one owner dies, interest in the property will be part of their estate.
• Transfer on Death (TOD) – One owner only, DMV form VT-007 required.
Section 4
Enter the current odometer reading. A separate odometer disclosure statement is required if the vehicle is model year 2011 or newer.
Section 5
If the vehicle is financed, enter the lienholder information. If there is no loan, write “None.”
Section 6
Enter the seller details. The seller's signature is only required if no other bill of sale exists.
Section 7
Indicate the transaction type. If there is a current Vermont registration, enter the plate number. For new registrations, enter the desired plate type. Available
plate types include (additional form may be required for some)
• Agriculture (Farm Use)
• Air Medal
• Amateur Radio
• American Legion
• Antique
• ATV
• Bronze Star
• Building Bright Futures
• Conservation
• Disabled
• EMS
• Exhibition
• Firefighter
• Freemasons
• Gold Star Family
• Jitney/Rental
• Lions Club
• Motor Bus
• Motor Driven Cycle
(moped)
• Motor Home
• Municipal
• National Guard
• Off-Highway Tractor
• Pearl Harbor
• POW
• Purple Heart
• Rotary
• School Bus
• Sheriff
• Special Purpose Truck I
• Special Purpose Truck II
• State
• Street Rod
• Transporter
• Veteran
• Veteran, Afghanistan
• Veteran, Disabled
• Veteran, Gulf War
• Veteran, Iraq
• Veteran, Korea
• Veteran, Motorcycle
• Veteran, Vietnam
• Veteran, World War II
• VFW
• Volunteer
• VVA
Section 8
• Purchase Price - Amount paid for the vehicle.
• Credit for Trade - Amount the previous vehicle was sold for, to include trade value at dealer or private sale.
• JD Power Value – Unless sold by a Vermont Dealer or Licensed Out-of-State Dealer, tax is due on JD Power value. Visit mydmv.vermont.gov to
obtain the current JD Power value.
• Purchaser Information – if claiming trade credit, include details on the sale of the previous vehicle.
• ATV - If an ATV is purchased from a Dealer or Vermont-registered business, you must submit proof of tax paid. No tax is due if an ATV is purchased
in a casual sale (person to person).