Fillable Form VR-005 - Maryland Vehicle Registration

What is the Maryland Vehicle Registration Form?

Form VR-005, Application for Certificate of Title, or also referred to as the Maryland Vehicle Registration Form, is used to apply for a title for your motor vehicle.

How to fill out the Maryland Vehicle Registration Form?

To fill out the Maryland Vehicle Registration Form, you must provide the following information:

Applicant Contact Information

The Maryland Department of Transportation may contact you by using the contact information you have provided.

Applicant’s Email Address

Enter your email address.

Applicant’s Phone Number

Enter your telephone number.

Applicant Information

Applicant’s First Name

Enter your legal first name.

Applicant’s Middle Name

Enter your legal middle name.

Applicant’s Last Name

Enter your legal last name.

Applicant’s Soundex or Maryland Driver’s License Number (DLN)

Enter your soundex or Maryland Driver’s License Number (DLN).

Applicant’s Date of Birth

Enter your date of birth using the format: Month-Day-Year.

Applicant’s Street Address

Enter your street address.

City or Town

Enter your city or town.

County

Enter your county.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Email Address

Enter your email address.

Co-Applicant’s First Name

Have the co-applicant enter his or her first name.

Co-Applicant’s Middle Name

Have the co-applicant enter his or her middle name.

Co-Applicant’s Last Name

Have the co-applicant enter his or her last name.

Co-Applicant’s Soundex or Maryland Driver’s License Number (DLN)

Have the co-applicant enter his or her soundex or Maryland Driver’s License Number (DLN).

Co-Applicant’s Date of Birth

Have the co-applicant enter his or her date of birth using the format: Month-Day-Year.

Co-Applicant’s Street Address

Have the co-applicant enter his or her street address.

City or Town

Have the co-applicant enter his or her city or town.

County

Have the co-applicant enter his or her county.

State

Have the co-applicant enter his or her state.

ZIP Code

Have the co-applicant enter his or her ZIP code.

Email Address

Have the co-applicant enter his or her email address.

Vehicle Title

Mark the appropriate box which corresponds to the type of vehicle title you would like to apply for. You may select:

• Joint Tenants
• Tenants by Entireties

Federal Employer Identification Number (FEIN)

Enter your Federal Employer Identification Number (FEIN) if you are applying on behalf of a business or trust.

Type of Business Entity

Mark the appropriate box which corresponds to your type of business entity. You may select:

• Trust
• Professional Association
• Sole Proprietorship
• Corporation
• Limited Liability Company
• Limited Liability Partnership
• Partnership
• Joint Venture
• Other - You must specify the type of business entity he or she has.

A copy of your business entity’s business license must be attached along with this Maryland Vehicle Registration Form.

Vehicle Description

Condition of Vehicle

Mark the appropriate box which corresponds to the condition of your motor vehicle. You may select:

• New vehicle
• Used vehicle

Model Year

Enter the model year or model cycle your motor vehicle is in.

Make of Vehicle

Enter the make of your motor vehicle.

Model Number

Enter the model number of your motor vehicle.

Body Style

Enter the body style of your motor vehicle.

Vehicle Identification Number (VIN)

Enter the Vehicle Identification Number (VIN) of your motor vehicle.

Two Stage Vehicle

Mark the box if your motor vehicle is a two stage vehicle. You must then enter the make and year for each of your motor vehicles.

Model Year

Enter the model year or model cycle your motor vehicle is in.

Make of Vehicle

Enter the make of your motor vehicle.

Type of Fuel

Enter the type of fuel your motor vehicle uses.

Number of Cylinders

Enter the number of cylinders your motor vehicle has.

Motor Carrier Number

Enter the motor carrier number of your motor vehicle.

Unit Number

Enter the unit number of your motor vehicle.

Type of Vehicle

Mark the type of motor vehicle that you currently have. You may select:

• Truck

• Gross Vehicle Weight (G.V.W.)

Enter the gross vehicle weight (G.V.W.) of your motor vehicle.

• Gross Combination Weight (G.C.W.)

Enter the gross combination weight (G.C.W) of your motor vehicle.

• Axles

Enter the type of axles your motor vehicle has.

• Truck Tractor

• Gross Vehicle Weight (G.V.W.)

Enter the gross vehicle weight (G.V.W.) of your motor vehicle.

• Gross Combination Weight (G.C.W.)

Enter the gross combination weight (G.C.W) of your motor vehicle.

• Axles

Enter the type of axles your motor vehicle has.

• Bus

• Seats

Enter the number of seats your motor vehicle has.

• Motorcycle

• Engine Number

Enter the engine number of your motor vehicle.

• Engine Size in Cubic Centimeters

Enter the size of your motor vehicle’s engine using cubic centimeters.

• Trailer

• Length

Enter the length of your motor vehicle.

• Gross Vehicle Weight (G.V.W.)

Enter the gross vehicle weight (G.V.W.) of your motor vehicle.

• Type of Trailer

Enter the type of your motor vehicle.

Liens or Encumbrances

If your motor vehicle is subject to any liens or encumbrances, complete the following sections below and attach Form VR-217, Security Interest Filing Statement, for additional Lien Filings; otherwise, enter the word “NONE” below.

The lien filing fee is $20.00 and you must pay for each lien you have filed.

Name of Secured Party

Enter the name of the secured party.

Street Address of Secured Party

Enter the street address of the secured party.

City or Town

Enter the city or town of the secured party.

State

Enter the state of the secured party.

ZIP Code

Enter the ZIP code of the secured party.

Kind of Lien

Enter the type of lien your motor vehicle has.

Date of Lien

Enter the date when the lien of your motor vehicle was completed.

Amount of Lien

Enter the amount of lien your motor vehicle has.

Purchase Information for Tax Purposes

Full Purchase Price

Enter the full purchase price of your motor vehicle.

Maryland Dealer’s Certification

By signing, you hereby certify under the penalty of perjury that the purchase price represents the full amount paid for this vehicle.

Date of Delivery

Enter the date of delivery.

Dealer’s Number

Enter the number of the dealer.

Name of Dealership

Enter the name of the dealership.

Signature of Dealer

Have the dealer affix his or her signature.

Date

Enter the current date.

Dealers Only

Certified Selling Price

Have the dealer enter the certified selling price.

Trade-In Allowance

Have the dealer enter the trade-in allowance.

Taxable Price

Have the dealer enter the taxable price.

Gross Tax Collected

Have the dealer enter gross tax collected.

Collection Fee 0.6% of Gross or $12.00 Maximum Fee Allowed

Have the dealer enter the collection fee of the gross.

Net Tax Remitted

Have the dealer enter the amount of net tax remitted.

Vehicle Identification Number (VIN) of Trade-In

Enter the vehicle identification number (VIN) of the trade-in.

State

Enter the state of this transaction.

Excise Tax Credit

Complete the following sections below if you qualify for an Excise Tax Credit in this state.

Years of Residence

Enter the years you have been a resident of Maryland.

Last Vehicle Registration

Enter the date when you last registered your motor vehicle.

Tax

Enter the amount of tax you paid. If you did not pay any tax, enter the word “NONE.”

Active Duty Military

Mark the box if you are currently active in military duty.

Odometer Reading

Enter the odometer reading of your motor vehicle.

Mileage

Mark the appropriate box which corresponds to your motor vehicle’s mileage. You may select:

• The mileage stated is in excess of its mechanical limits.
• The odometer reading is not the actual mileage.

Application for New Registration Plates or Transfer of Registration Plates

Type of Application

Mark the appropriate box which corresponds to the type of application you are applying for. You may select:

• New tags
• Transfer of tags
• 30 day inspection plate
• Title only

Class of Tags Desired

Enter the class of tags desired.

Term Rental

Mark YES if your motor vehicle is to be operated for short term rental; otherwise, mark NO.

Tag Number

Enter the tag number of your motor vehicle.

Sticker Number

Enter the sticker number of your motor vehicle.

Name of Insurance Company

Enter the name of your insurance company.

Policy or Binder Number

Enter the policy or binder number of your motor vehicle.

Agent or Broker

Enter the full legal name of your agent or broker.

Signature of Applicant

Affix your signature.

Printed Name of Applicant

Enter your full legal name.

Signature of Co-Applicant

Have your co-applicant affix his or her signature.

Printed Name of Co-Applicant

Have your co-applicant enter his or her full legal name.

Date of Signing

Enter the current date of signing.

Signature of Co-Signer

Have the co-signer affix his or her signature.

Relationship

Enter the relationship you have with your co-applicant.

Soundex

Enter your soundex.

Date of Birth

Enter your date of birth.