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DEALERSHIP INFORMATION

Dealership

Contact

Person preparing quote.

Phone Number

Provide a phone number to reach you.

Email or Fax

Provide an email address or fax number to reach you.

Title Clerk

Title Clerk handling paperwork.

CUSTOMER INFORMATION

Customer(s)

Is Owner Active Military? Yes No

Is the Owner Active Duty Military?
This does not include retired Military.

Primary Customer

Enter Owner's Full name

Co-Owner

Enter Co-Owner's Full Name

Registration Street

Enter customers physical address where the vehicle will be registered.
(No P.O. Boxes)

Registration City

Registration State

Registration Zip Code

VEHICLE INFORMATION

Condition New Used

VIN

Enter the VIN for the vehicle

VIN not available

Select this checkbox is the VIN is not yet available

REGISTRATION OPTIONS

Registration Options

What type of registration does the customer want?

Plate Number

Provide the license plate number being transferred.

Confirm Title Only

Check box to confirm that the customer wants title only with no registration or plates.

Was the initial lease in the same state? Yes No

Vehicle Use Private Commercial

Is the vehicle being registered private or commercial?

FINANCING INFORMATION

Is there a lien on the vehicle? Yes No

Is the vehicle being leased? Yes No

CALCULATE TAX

Calculate exact tax due? Yes No

Choosing YES will require all final figures for this deal.
You will have the ability to calculate the exact tax due through Dealer Services if NO is chosen.