HCD 416 (PDF) — Application for Replacement Insignia AND STATE OF LESSEE) Tj ET 0 J 279 547.087 m 279 522.142 l S BT 488.404 699.199 Td (OWNER'S BIRTHDATE) Tj ET 0 J 486 683.150 m 486 660.472 l S BT 128.404 676.522 Td (OWNER'S LICENSE OR ID NUMBER) Tj ET 0 J 315 547.087 m 315 522.142 l S 0 J 396 547.087 m 396 522.142 l S 0 J 486 547.087 m 486 522.142 l S 0 J 108 522.142 m 108 497.339 l S BT 110.404 515.514 Td (CYLINDERS or CC's) Tj ET 0 J 225 522.142 m 225 496.964 l S BT 335.404 515.514 Td (ODOMETER READING ) Tj /F2 6 Tf (\(Mileage\)) Tj ET 0 J 432 522.142 m 432 497.197 l S 0 J 504 522.142 m 504 497.197 l S 0 J 234 177.449 m 234 152.504 l S BT /F1 6 Tf 101.727 120.932 Td (HAZARDOUS MATERIAL?) Tj ET 0 J 153 77.669 m 153 52.724 l S BT 155.052 71.042 Td (TOTAL SALES PRICE) Tj ET 0 J 288 77.669 m 288 52.724 l S BT 290.052 71.042 Td (TRADE-IN ALLOWANCE) Tj ET 0 J 387 77.669 m 387 52.724 l S BT 389.052 71.042 Td (NET SALES PRICE) Tj ET 0 J 495 77.669 m 495 52.724 l S BT 497.052 71.042 Td (STATE TAX COLLECTED) Tj /F2 6 Tf -305.649 492.605 Td (IF DIFFERENT FROM RESIDENT ADDRESS, INDICATE HERE) Tj ET 0 J 189 560.693 m 189 547.087 l S BT 477.998 563.136 Td (\(City or Town\)) Tj -45 45.354 Td (\(State\)) Tj 99 -45.354 Td (\(State\)) Tj 27 0 Td (\(Zip Code\)) Tj -189 0 Td (\(Number and Street, Apartment No.\)) Tj ET 0 J 450 762.520 m 594 762.520 l S BT /F1 6 Tf 452.404 755.892 Td (DMV USE ONLY - TEMPORARY PLATE NUMBER) Tj ET 0 J 306 290.835 m 306 265.890 l S 0 J 216 290.835 m 216 265.890 l S 1 w 0 J 18 615.118 m 594 615.118 l S .50 w [1] 0 d 0 J 126 637.795 m 594.283 637.948 l S [] 0 d 0 J 486 637.795 m 486 615.118 l S 0 J 486 705.827 m 486 683.150 l S 0 J 486 660.472 m 486 637.795 l S BT 488.404 676.522 Td (PHONE NUMBER ) Tj /F2 6 Tf (\(Optional\)) Tj /F1 6 Tf 0 -45.354 Td (PHONE NUMBER ) Tj /F2 6 Tf (\(Optional\)) Tj ET 0 J 279 683.150 m 279 660.472 l S 0 J 342 683.150 m 342 660.472 l S BT /F1 6 Tf 281.035 676.522 Td (ISSUING STATE) Tj 63 0 Td (SEC OF STATE/BUSINESS ID NO. ) Email Renewal Notices. Application for Registration and Title. These must be signed by a parent, guardian or legal custodian of the applicant under the age of 18. The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned, under penalty) Tj 0 -6.999 Td 0.043 Tw (of false statement, in accordance with the provisions of Section 14-110 and 53a-157b of the Connecticut General Statutes. ID Type. Apply for Registration and Title. 1379 0 obj <> endobj STANDEES) Tj -90 0 Td (NO. 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The current title and registration. Tj ET 0 J 477 497.197 m 477 472.252 l S BT /F1 6 Tf 18.998 343.168 Td (CODE NO. Box is Not Acceptable\)) Tj /F1 6 Tf 100.406 24.945 Td (NAME OF LESSEE) Tj /F2 6 Tf ( \(Person to whom or company to which vehicle is leased\)) Tj ET .50 w 0 J 18 202.394 m 594.003 202.394 l S BT /F1 6 Tf 137.404 440.680 Td (NAME OF LIEN-HOLDER) Tj 369 0 Td (DATE OF LIEN) Tj ET 0 J 18 472.252 m 594.326 472.252 l S BT /F2 6 Tf 198.998 220.711 Td (\(Number and Street\)) Tj 135 0 Td (\(City or Town\)) Tj 108 0 Td (\(State\)) Tj 81 0 Td (\(Zip Code\)) Tj /F1 6 Tf -504 63.496 Td (OWNER'S SIGNATURE) Tj 289.054 0 Td (CO-OWNER'S SIGNATURE) Tj /F1 5 Tf -190.054 35.807 Td 0.337 Tw (The undersigned certifies that there are no liens on this vehicle except those specified above. FROM BACK OF FORM) Tj 100.054 0 Td (EXEMPTION INFORMATION) Tj /F0 6 Tf ( ) Tj /F2 6 Tf (\(If leased vehicle lessor tax number if applicable\)) Tj ET 2 w 0 J 18 102.614 m 594.283 102.614 l S BT /F1 6 Tf 119.404 490.569 Td (NAME OF SELLER\(S\) ) Tj /F2 6 Tf ( \(If 2 owners, include both names\)) Tj /F1 6 Tf -100.406 -269.858 Td (ADDRESS OF LESSEE ) Tj /F2 6 Tf (\(P.O. Multiple (Additional) Liens . 0 G endstream endobj 105 0 obj << /Type /Annot /Subtype /Widget /Rect [ 565 159 574 168 ] /FT /Btn /H /T /T (CheckBox5) /F 4 /AS /Off /DA (0 g /ZaDb 11 Tf) /AP << /N << /1 141 0 R /Off 142 0 R >> /D << /1 141 0 R /Off 142 0 R >> >> >> endobj 141 0 obj << /Resources << /ProcSet [/PDF /Text] /Font << /ZaDb 107 0 R >> >> /BBox [ 0 0 9 9 ] /MK << /CA (8) >> /Length 54 >> stream If you bought a vehicle from a person who holds the title for that vehicle (not a dealer or business), you will need all of the following to properly register it in South Carolina:. Proof of sales tax payment IF you paid tax in another state and will be claiming credit for it. Certificate of Origin with forms and fees described below. Proof of car insurance. 1 1 /1 5 rule 15c-21.001, fac. BT 0 g /ZaDb 11 Tf 1 0 0 1 0.774 0.697 Tm (8) Tj ET endstream endobj 109 0 obj << /Resources << /ProcSet [/PDF] >> /BBox [ 0 0 9 9 ] /Length 3 >> stream Secondary Salvage Brand(s): * * * Unless otherwise directed, completed applications and supporting documents may be sent to Mail Drop 555M, Title Production Unit, Motor Vehicle Division, PO Box 2100, Phoenix AZ 85001-2100. 0 G endstream endobj 39 0 obj << /Type /Annot /Subtype /Widget /Rect [ 19 554 28 563 ] /FT /Btn /H /T /T (CheckBox2) /F 4 /AS /Off /DA (0 g /ZaDb 11 Tf) /AP << /N << /1 132 0 R /Off 133 0 R >> /D << /1 132 0 R /Off 133 0 R >> >> >> endobj 132 0 obj << /Resources << /ProcSet [/PDF /Text] /Font << /ZaDb 107 0 R >> >> /BBox [ 0 0 9 9 ] /MK << /CA (8) >> /Length 54 >> stream Tj 109.406 464.882 Td (RESIDENT ADDRESS) Tj /F2 6 Tf ( \(If Different from Mailing Address - PO Box is NOT acceptable. Title: Title and Registration Manual Application TR-212a Author: Tosha McKnight [KDOR] Subject: Title and Registration Manual Application TR-212a Keywords: title, registration,application, manual, tr212, tr-212, transfer, death,tr-212a, tr212a Created Date: 8/16/2018 10:11:04 AM 31. Be sure to include your insurance information. Please include Apartment No. Tj ET 0 J 180 127.559 m 180 102.614 l S BT /F1 6 Tf 181.689 120.932 Td (USED FOR THE) Tj 0 -6.883 Td (TRANSPORTATION) Tj 0 -6.883 Td (OF A VESSEL ) Tj /F0 6 Tf (\(BOAT\)) Tj /F1 6 Tf (?) Tj /F1 7 Tf 18 -11.767 Td (YES) Tj 36 0 Td (NO) Tj ET 0 J 504 447.307 m 504 422.362 l S BT /F1 6 Tf 18.998 465.625 Td (SELLER'S ADDRESS ) Tj /F2 6 Tf (\(Number and Street\)) Tj /F1 6 Tf 343.406 24.945 Td (DATE VEHICLE SOLD ) Tj /F2 6 Tf (\(Purchased\)) Tj /F1 6 Tf 117 0 Td (SELLING PRICE) Tj /F2 6 Tf -190.406 117.921 Td (\(City or Town\)) Tj 234 0 Td (\(Zip Code\)) Tj ET 0 J 171 522.142 m 171 496.964 l S BT /F1 6 Tf 18.998 120.932 Td (INTERSTATE COMMERCE?) 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