Form HSMV82039 "Application for Multiple Certificates of Title With/Without Registrations" - Florida

What Is Form HSMV82039?

This is a legal form that was released by the Florida Department of Highway Safety and Motor Vehicles - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 13, 2021;
  • The latest edition provided by the Florida Department of Highway Safety and Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HSMV82039 by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.

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Download Form HSMV82039 "Application for Multiple Certificates of Title With/Without Registrations" - Florida

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FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
www.flhsmv.gov/offices/
APPLICATION FOR MULTIPLE CERTIFICATES OF TITLE WITH/WITHOUT REGISTRATIONS
(Instructions on Reverse Side)
1
APPLICANT IDENTIFICATION
Owner/Lessor Name
Owner/Lessor Email Address
FEID #
Sex
Fleet #
Owner/Lessor’s Address
City
State
Zip
Lessee’s Name
Lessee’s Email Address
Date of Birth
Sex
Lessee’s Mailing Address
City
State
Zip
Owner/Lessee’s Street Address in Florida (Mandatory)
City
State
Zip
2
TRANSFER TYPE AND STATUS
IF OWNERSHIP HAS TRANSFERRED, HOW WERE VEHICLES OR VESSELS ACQUIRED?
SALE
GIFT
REPOSSESSION
COURT ORDER
OTHER (SPECIFY) _____________________
DATE ACQUIRED ___________________________
NEW
USED
LEASE:
SHORT TERM
LONG TERM
PRIVATE
TAXI CAB
POLICE
3
LIENHOLDER INFORMATION
FEID #
Date of Lien
Lienholder Name
Lienholder Email Address
Lienholder Address
City
State
Zip
(DOES NOT APPLY TO VESSELS)
If Lienholder authorizes the Department to send title to the owner, check box and countersign. _______________________________________________________________________
If box above is not checked, title will be mailed to first lienholder.
Signature of Lienholders Representative
4
MOTOR VEHICLE , MOBILE HOME OR VESSEL DESCRIPTIONS
YEAR
MAKE/MANUFACTURER
BODY
WEIGHT/LENGTH
ODOMETER STATUS
I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE, THE MILEAGE THAT I CHECKED IS THE TRUE AND CORRECT MILEAGE.
INITIAL
VIN / HIN
LICENSE PLATE
COLOR
PREVIOUS
ODOMETER
DATE
TITLE NUMBER
PREVIOUS
(IF VIN
OR
OF
STATE
READING
*
*
*
READ
ISSUE
VERIFIED
REGISTRATION
VEHICLE
A
N
E
DATE
BY OWNER)
NUMBER
TYPE
HULL MATERIAL
PROPULSION
FUEL
1. Open Motorboat
5. Houseboat
1. Wood
4. Fiberglass
1. Outboard
4. Inboard/Outboard
1. Gas
2. Cabin Motorboat
6. Pontoon
2. Aluminum
5. Wood/Fiberglass
2. Inboard
5. Air Propelled
2. Diesel
3. Auxiliary Sailboat
7. Personal Watercraft
3. Steel
6. Other__________
3. Sail
6. Other_______
3. Other________
4. Inflatable
8. Other ___________
Specify
Specify
Specify
Specify
USE OF VESSEL
LENGTH OF VESSEL
*DRAFT OF VESSEL
OWNER
CO-OWNER
1. Pleasure
Are you a Florida
(The depth of water a vessel draws)
2. Dealer
resident?
yes
no
yes
no
3. Manufacturer
FT. _____ IN._____
FT. ________
IN.________
4. Pleasure Canoe
Are you an alien?
yes
no
yes
no
5. Commercial Canoe
6. Commercial
Contribution To Election Campaign Financing Trust Fund
*For all vessels 26’ or more in length and all
7. Exempt
sailboats
Previously Federally Documented Vessel, Attach Copy of:
Previous Out-of-State Registration Number:
1. U.S. Coast Guard Release From Documentation Form; or
2. Copy of Canceled Documentation Papers
5
VEHICLE IDENTIFICATION NUMBER VERIFICATION
THIS PART REQUIRES A PHYSICAL INSPECTION OF EACH MOTOR VEHICLE AND EACH VEHICLE IDENTIFICATION NUMBER (VIN) DESCRIBED ON THIS FORM BY A FLORIDA NOTARY PUBLIC. IF OTHER
THAN A NOTARY, THE VIN VERIFICATION CAN BE PERFORMED BY A FLORIDA LICENSED DEALER, LAW ENFORCEMENT OFFICER, MILITARY POLICE OFFICER OR FLORIDA COMPLIANCE EXAMINER/
INSPECTOR (DIVISION OF MOTORIST SERVICES/TAX COLLECTOR EMPLOYEE). COMPLETE THIS SECTION ON ALL USED MOTOR VEHICLES, INCLUDING TRAILERS (WITH ABBREVIATION OF "TL" AND
A WEIGHT OF 2,000 POUNDS OR MORE), NOT CURRENTLY TITLED IN FLORIDA.
I, the undersigned, certify that I have physically inspected the above described vehicles and find vehicle identification numbers on each vehicle to be identical to the vehicle identification
numbers recorded on this form.
__________________________
___________________________________________________
_____________________________________________
(DATE)
(SIGNATURE)
(PRINTED NAME)
Law Enforcement/Miliary Officer
Badge or
_______________________________________________________ FL.
(Notary Stamp)
or FL. Dealer's Name:
Dealer #:__________________________
Florida DMV/Tax Collector Employee: _________________________________________________ Florida Compliance Examiner/Inspector Badge or ID Number ___________________
___________________________________________________________
Commissioned Name of Florida Notary: ___________________________________________________ Notary's Signature: __
www.flhsmv.gov
HSMV 82039 (Rev. 01/13/21)
FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
www.flhsmv.gov/offices/
APPLICATION FOR MULTIPLE CERTIFICATES OF TITLE WITH/WITHOUT REGISTRATIONS
(Instructions on Reverse Side)
1
APPLICANT IDENTIFICATION
Owner/Lessor Name
Owner/Lessor Email Address
FEID #
Sex
Fleet #
Owner/Lessor’s Address
City
State
Zip
Lessee’s Name
Lessee’s Email Address
Date of Birth
Sex
Lessee’s Mailing Address
City
State
Zip
Owner/Lessee’s Street Address in Florida (Mandatory)
City
State
Zip
2
TRANSFER TYPE AND STATUS
IF OWNERSHIP HAS TRANSFERRED, HOW WERE VEHICLES OR VESSELS ACQUIRED?
SALE
GIFT
REPOSSESSION
COURT ORDER
OTHER (SPECIFY) _____________________
DATE ACQUIRED ___________________________
NEW
USED
LEASE:
SHORT TERM
LONG TERM
PRIVATE
TAXI CAB
POLICE
3
LIENHOLDER INFORMATION
FEID #
Date of Lien
Lienholder Name
Lienholder Email Address
Lienholder Address
City
State
Zip
(DOES NOT APPLY TO VESSELS)
If Lienholder authorizes the Department to send title to the owner, check box and countersign. _______________________________________________________________________
If box above is not checked, title will be mailed to first lienholder.
Signature of Lienholders Representative
4
MOTOR VEHICLE , MOBILE HOME OR VESSEL DESCRIPTIONS
YEAR
MAKE/MANUFACTURER
BODY
WEIGHT/LENGTH
ODOMETER STATUS
I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE, THE MILEAGE THAT I CHECKED IS THE TRUE AND CORRECT MILEAGE.
INITIAL
VIN / HIN
LICENSE PLATE
COLOR
PREVIOUS
ODOMETER
DATE
TITLE NUMBER
PREVIOUS
(IF VIN
OR
OF
STATE
READING
*
*
*
READ
ISSUE
VERIFIED
REGISTRATION
VEHICLE
A
N
E
DATE
BY OWNER)
NUMBER
TYPE
HULL MATERIAL
PROPULSION
FUEL
1. Open Motorboat
5. Houseboat
1. Wood
4. Fiberglass
1. Outboard
4. Inboard/Outboard
1. Gas
2. Cabin Motorboat
6. Pontoon
2. Aluminum
5. Wood/Fiberglass
2. Inboard
5. Air Propelled
2. Diesel
3. Auxiliary Sailboat
7. Personal Watercraft
3. Steel
6. Other__________
3. Sail
6. Other_______
3. Other________
4. Inflatable
8. Other ___________
Specify
Specify
Specify
Specify
USE OF VESSEL
LENGTH OF VESSEL
*DRAFT OF VESSEL
OWNER
CO-OWNER
1. Pleasure
Are you a Florida
(The depth of water a vessel draws)
2. Dealer
resident?
yes
no
yes
no
3. Manufacturer
FT. _____ IN._____
FT. ________
IN.________
4. Pleasure Canoe
Are you an alien?
yes
no
yes
no
5. Commercial Canoe
6. Commercial
Contribution To Election Campaign Financing Trust Fund
*For all vessels 26’ or more in length and all
7. Exempt
sailboats
Previously Federally Documented Vessel, Attach Copy of:
Previous Out-of-State Registration Number:
1. U.S. Coast Guard Release From Documentation Form; or
2. Copy of Canceled Documentation Papers
5
VEHICLE IDENTIFICATION NUMBER VERIFICATION
THIS PART REQUIRES A PHYSICAL INSPECTION OF EACH MOTOR VEHICLE AND EACH VEHICLE IDENTIFICATION NUMBER (VIN) DESCRIBED ON THIS FORM BY A FLORIDA NOTARY PUBLIC. IF OTHER
THAN A NOTARY, THE VIN VERIFICATION CAN BE PERFORMED BY A FLORIDA LICENSED DEALER, LAW ENFORCEMENT OFFICER, MILITARY POLICE OFFICER OR FLORIDA COMPLIANCE EXAMINER/
INSPECTOR (DIVISION OF MOTORIST SERVICES/TAX COLLECTOR EMPLOYEE). COMPLETE THIS SECTION ON ALL USED MOTOR VEHICLES, INCLUDING TRAILERS (WITH ABBREVIATION OF "TL" AND
A WEIGHT OF 2,000 POUNDS OR MORE), NOT CURRENTLY TITLED IN FLORIDA.
I, the undersigned, certify that I have physically inspected the above described vehicles and find vehicle identification numbers on each vehicle to be identical to the vehicle identification
numbers recorded on this form.
__________________________
___________________________________________________
_____________________________________________
(DATE)
(SIGNATURE)
(PRINTED NAME)
Law Enforcement/Miliary Officer
Badge or
_______________________________________________________ FL.
(Notary Stamp)
or FL. Dealer's Name:
Dealer #:__________________________
Florida DMV/Tax Collector Employee: _________________________________________________ Florida Compliance Examiner/Inspector Badge or ID Number ___________________
___________________________________________________________
Commissioned Name of Florida Notary: ___________________________________________________ Notary's Signature: __
www.flhsmv.gov
HSMV 82039 (Rev. 01/13/21)
6
SALES TAX EXEMPTION CERTIFICATION
I CERTIFY THE MOTOR VEHICLES, MOBILE HOMES OR VESSELS (DESCRIBED ON SIDE 1 SIDE OF THIS FORM) HAVE BEEN PURCHASED AND IS EXEMPT FROM THE SALES
TAX IMPOSED BY CHAPTER 212, FLORIDA STATUTES BECAUSE:
PURCHASER (STATE AGENCIES, COUNTIES, ETC.) HOLDS VALID EXEMPTION CERTIFICATE ______________________________________________________
CONSUMER’S CERTIFICATE OF EXEMPTION NO.
VEHICLES
MOBILE HOMES
VESSELS WILL BE USED EXCLUSIVELY FOR RENTAL
______________________________________________________
SALES TAX REGISTRATION NUMBER
7
DEALER SALES TAX REPORT
FLORIDA SALES TAX REG NUMBER
DATE OF SALE
DEALER LICENSE NUMBER
AMOUNT OF TAX, PER UNIT
DEALER / AGENT SIGNATURE
8
CERTIFICATION
THE FOLLOWING CERTIFICATIONS ARE MADE BY THE APPLICANT:
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________
IN CONSIDERATION OF THE FOREGOING AND THE ATTACHED EVIDENCE OF MY/OUR OWNERSHIP OF THE MOTOR VEHICLES, MOBILE HOMES OR
VESSELS DESCRIBED ON SIDE 1 OF THIS FORM, I/WE REQUEST THAT THE CERTIFICATE OF TITLE BE ISSUED IN TO MY/OUR NAME.
I/WE FURTHER AGREE TO DEFEND THE TITLE AGAINST ALL CLAIMS.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
_____________________________________________________________ _____________________________________ _______________________
Signature of Applicant (Owner)
Printed Name
Date
_____________________________________________________________ _____________________________________ _______________________
Signature of Co-Applicant (Co-Owner)
Printed Name
Date
_______________________________________________________________________________________________________
WHO IS AUTHORIZED TO COMPLETE THIS FORM?:
ANY AUTHORIZED AGENT OF A COMPANY OR CORPORATION, REQUIRED TO MAKE APPLICATION FOR MULTIPLE FLORIDA CERTIFICATES OF
TITLE.
WHEN SHOULD THIS FORM BE USED?:
WHEN A COMPANY OR CORPORATION IS APPLYING FOR MULTIPLE CERTIFICATES OF TITLE ON NEW OR USED MOTOR VEHICLES, MOBILE
HOMES OR VESSELS WITH THE SAME YEAR, MAKE, BODY AND WEIGHT. FOR MOBILE HOMES AND VESSELS, BODY AND WEIGHT ARE
EXCLUDED AND LENGTH IS INCLUDED.
WHEN IS THE VIN VERIFICATION ON THIS FORM NOT NECESSARY?:
THE VIN VERIFICATION ON THIS FORM DOES NOT HAVE TO BE COMPLETED ON VESSELS, MOBILE HOMES, TRAVEL TRAILERS, CAMPING
TRAILERS, FIFTH WHEEL RECREATIONAL TRAILERS OR SEMI TRAILERS WITH A NET WEIGHT OF LESS THAN 2,000 POUNDS, WHEN A FLORIDA
CERTIFICATE OF TITLE IS SUBMITTED AS PROOF OF OWNERSHIP OR WHEN FORM HSMV 82042 HAS BEEN COMPLETED AND IS ATTACHED.
WHEN IS THE ODOMETER DECLARATION ON THIS FORM NOT NECESSARY?:
THE ODOMETER DECLARATION IN SECTION 4 OF THIS FORM DOES NOT HAVE TO BE COMPLETED WHEN THE VEHICLE BEING TITLED IS EXEMPT
FROM ODOMETER DISCLOSURE REQUIREMENTS. EXEMPTIONS: A MOTOR VEHICLE WITH A MODEL YEAR OF 2011 OR NEWER IS EXEMPT
AFTER TWENTY (20) YEARS AND A MOTOR VEHICLE WITH A MODEL YEAR OF 2010 OR OLDER IS EXEMPT AFTER TEN (10) YEARS, HAS A
GROSS VEHICLE WEIGHT RATING (GVWR) OF MORE THAN 16,000 POUNDS OR IS NOT SELF- PROPELLED.
ODOMETER STATUS
A - WHEN A CHECK MARK IS ENTERED UNDER THE “A” THE STATUS WILL BE SHOWN AS “ACTUAL MILEAGE.”
N - WHEN A CHECK MARK IS ENTERED UNDER THE “N” THE STATUS WILL BE SHOWN AS “WARNING: NOT ACTUAL MILEAGE.”
E - WHEN A CHECK MARK IS ENTERED UNDER THE “E” THE STATUS WILL BE SHOWN AS “EXCEEDS MECHANICAL LIMITS.”
FILING:
1.
ALL APPLICABLE SECTIONS OF THIS FORM MUST BE COMPLETED LEGIBLY.
2.
ONE OF THE FOLLOWING MUST BE FILED WITH THIS FORM.
(A)
FLORIDA CERTIFICATE OF TITLE.
(OR)
(B)
MANUFACTURER’S CERTIFICATE OF ORIGIN.
(OR)
(C)
OUT-OF-STATE TITLE OR OTHER OFFICIAL PROOF OF OWNERSHIP.
3.
THIS FORM MUST BE SIGNED BY AND INCLUDE THE PRINTED NAME OF AN AUTHORIZED AGENT OF THE COMPANY OR CORPORATION.
SALES TAX
THE SALES TAX EXEMPTION NUMBER OR CONSUMER’S CERTIFICATE OF EXEMPTION NUMBER MUST BE SHOWN IN SECTION 6 OF THIS FORM.
NOTE: FORMS DR40, DR-41A AND FORM HSMV 82042 HAVE BEEN MERGED INTO THIS FORM.
Visit the following website for current mailing addresses: http://www.flhsmv.gov/offices/
)
www.flhsmv.gov
HSMV 82039 (Rev. 01/13/21
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