Form PS2000-44 "Application to Title and Register a Motor Vehicle" - Minnesota

What Is Form PS2000-44?

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

Form Details:

  • Released on May 1, 2016;
  • The latest edition provided by the Minnesota Department of Public Safety;
  • 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 PS2000-44 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Public Safety.

ADVERTISEMENT
ADVERTISEMENT

Download Form PS2000-44 "Application to Title and Register a Motor Vehicle" - Minnesota

Download PDF

Fill PDF online

Rate (4.5 / 5) 57 votes
APPLICATION TO TITLE/REG. A VEHICLE
Print Form
VALIDATION AND
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
OFFICE USE ONLY
PLATE NUMBER
YEAR
Driver and Vehicle Services Division
445 Minnesota St., St. Paul, MN 55101-5185
Phone (651) 297-2126 TTY: (651 282-6555
YEAR VALIDATION STICKER NUMBER
YEAR
dvs.dps.mn.gov
FOR CENTRAL OFFICE USE ONLY
WEIGHT STICKER NUMBER/MOTORCYCLE ENGINE NO.
A
DVS CENTRAL OFFICE USE ONLY
NEW
PREVIOUS PLATE NUMBER
YEAR
MONTH
YEAR
DATE OF PURCHASE
EXPIRATION
USED
DATE
PURCHASER(S)
COLOR CODE
TRUCKS/TRAILERS
View Color Codes
MODEL YEAR
MAKE
BODY/MODEL TYPE
OWNER(S)
DOT#
EMPTY WT.
# AXLES
BODY
ROOF
MUST
You may disclose my information for any use in
COMPLETE
VEHICLE IDENTIFICATION NUMBER
response to requests for my individual driver or
motor vehicle record.
Vehicle
You may disclose my personal information for bulk
distribution for surveys, marketing or solicitations.
Information
LAST, FIRST, MIDDLE NAME
DRIVER'S LICENSE NUMBER / DEALER NUMBER
DATE OF BIRTH
Purchaser(s)
Owner(s)
ADDITIONAL PURCHASER(S)/OWNER(S) LAST, FIRST, MIDDLE NAME
DRIVER'S LICENSE NUMBER
DATE OF BIRTH
Information
STREET ADDRESS
CITY
COUNTY CODE
STATE
ZIP CODE
DAYTIME TELEPHONE NO. MN COUNTY/STATE VEH. IS KEPT
AUTO INSURANCE COMPANY
POLICY NO.
EXP. DATE
B
NO
IS THIS VEHICLE SUBJECT TO SECURITY AGREEMENT(S)? YES
IF YES, COMPLETE SECTION B.
FIRST SECURED PARTY (PRINT NAME)
DATE OF LOAN
For Additional Secured Parties,
PURCHASER(S)
Attach Completed Form PS2017
OWNER(S)
STREET ADDRESS
CITY
STATE
ZIP CODE
MUST
COMPLETE
C
ODOMETER DISCLOSURE STATEMENT. I (WE) CERTIFY THAT THE ODOMETER
DAMAGE DISCLOSURE STATEMENT. TO THE BEST OF
MY KNOWLEDGE, THIS VEHICLE:
NOW READS
(NO TENTHS) MILES AND TO THE
Has
(CHECK ONE) SUSTAINED DAMAGE IN EXCESS
SELLER(S)
BEST OF MY KNOWLEDGE, THE ODOMETER MILEAGE IS:
OF 80 PERCENT ACTUAL CASH VALUE.
Actual mileage
Has Not
MUST
In excess of odometer's mechanical limits
COMPLETE
Not actual mileage - WARNING ODOMETER DISCREPANCY
and SIGN
ASSIGNMENT: I (WE) CERTIFY THAT THIS VEHICLE IS FREE FROM ALL SECURITY INTERESTS. I (WE) WARRANT TITLE AND ASSIGN THE REGISTRATION
TAX AND VEHICLE TO THE PERSON(S)NAMED ABOVE.
SELLER'S PRINTED NAME(S)
DATE OF SALE
SELLER'S ADDRESS
DEALER LICENSE #
X
ALL SELLER'S SIGNATURE(S)
D
PURCHASER'S MOTOR VEHICLE SALES TAX DECLARATION
REGISTRATION TAX
Base value or
Gross Weight
$
1. Full purchase price
PLATE FEE
Registration Period
PURCHASER(S)
2. Less trade-in allowance
ARREARS TAX
From
Through
OWNER(S)
complete item #6
Change of Gross Vehicle Weight
$
WHEELAGE TAX
3. Net purchase price
MUST
Time of
:
Change
Hours
$
COMPLETE
% of line 3
4.
and SIGN
Date of
PS VEHICLE FEE
$
5. Less tax paid to another state
Change
TRANSFER TAX
$
NET SALES TAX DUE
Date
Change
TITLE/TRANSFER FEE
Expires
6. Trade-in was:
MODEL YR.
MAKE
PLATE #
Change of Weight and/or Class
LIEN FEE
From
To
I DECLARE
MN DEALER LICENSE #
MV SALES TAX
I (WE) CERTIFY I (WE) ARE OF LEGAL AGE, HAVE PURCHASED
THIS TAX
THIS VEHICLE SUBJECT TO LIENS SHOWN AND NO OTHER.
MN SALES TAX ACCOUNT #
LATE TRANSFER PENALTY
EXEMPTION
THIS VEHICLE IS AND WILL CONTINUE TO BE INSURED WHILE
OPERATING UPON THE PUBLIC STREETS AND HIGHWAYS. THE
CODE:
INTERNAL REV. CODE # (IRC)
VEHICLE WILL BE OPERATED IN COMPLIANCE WITH THE LAWS
SUB-TOTAL
THAT APPLY TO ITS CLASS OF REGISTRATION. I (WE) HAVE
RECEIVED A COPY OF THIS APPLICATION AND ALL OF MY
PRORATE ACCOUNT #
STATE/DEPUTY FILING FEE
(OUR) DECLARATIONS ARE TRUE AND CORRECT. IF
(Sales tax due when registered)
APPLICABLE, I (WE) HAVE KNOWLEDGE OF STATE AND
FEDERAL REGULATIONS APPLICABLE TO COMMERCIAL
TOTAL DUE
VEHICLE OPERATION, MINNESOTA STATUTES, CHAPTER 221,
NON-NEGOTIABLE REGISTRATION RECEIPT (CARD) AND CAB CARD
PUBLIC SERVICE COMMISSION RULES 1 THROUGH 48 AND
THIS COPY WHEN VALIDATED (STAMPED ABOVE BY A DEPUTY REGISTRAR OR THE
CODE OF FEDERAL REGULATIONS, TITLE 49, PARTS 390
THROUGH 399, AND IF A TRANSPORTER OF HAZARDOUS
CENTRAL OFFICE) SERVES AS EVIDENCE THAT THIS RECEIPT HAS BEEN ASSIGNED
X
MATERIALS, CODE OF FEDERAL REGULATIONS, TITLE 49,
TO THE OWNER FOR USE ONLY ON THE VEHICLE DESCRIBED.
PARTS 171 TO 199.
DATE
WITHOUT PROPER OWNERSHIP/TRANSFER DOCUMENTS (e.g., OUT-OF-STATE
DO NOT SIGN UNTIL COMPLETE
CERTIFICATE OF TITLE), NO MINNESOTA TITLE WILL BE ISSUED.
X
DATE
ALL PURCHASERS/OWNERS MUST SIGN
PS2000-44 (05/16)
-over-
APPLICATION TO TITLE/REG. A VEHICLE
Print Form
VALIDATION AND
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
OFFICE USE ONLY
PLATE NUMBER
YEAR
Driver and Vehicle Services Division
445 Minnesota St., St. Paul, MN 55101-5185
Phone (651) 297-2126 TTY: (651 282-6555
YEAR VALIDATION STICKER NUMBER
YEAR
dvs.dps.mn.gov
FOR CENTRAL OFFICE USE ONLY
WEIGHT STICKER NUMBER/MOTORCYCLE ENGINE NO.
A
DVS CENTRAL OFFICE USE ONLY
NEW
PREVIOUS PLATE NUMBER
YEAR
MONTH
YEAR
DATE OF PURCHASE
EXPIRATION
USED
DATE
PURCHASER(S)
COLOR CODE
TRUCKS/TRAILERS
View Color Codes
MODEL YEAR
MAKE
BODY/MODEL TYPE
OWNER(S)
DOT#
EMPTY WT.
# AXLES
BODY
ROOF
MUST
You may disclose my information for any use in
COMPLETE
VEHICLE IDENTIFICATION NUMBER
response to requests for my individual driver or
motor vehicle record.
Vehicle
You may disclose my personal information for bulk
distribution for surveys, marketing or solicitations.
Information
LAST, FIRST, MIDDLE NAME
DRIVER'S LICENSE NUMBER / DEALER NUMBER
DATE OF BIRTH
Purchaser(s)
Owner(s)
ADDITIONAL PURCHASER(S)/OWNER(S) LAST, FIRST, MIDDLE NAME
DRIVER'S LICENSE NUMBER
DATE OF BIRTH
Information
STREET ADDRESS
CITY
COUNTY CODE
STATE
ZIP CODE
DAYTIME TELEPHONE NO. MN COUNTY/STATE VEH. IS KEPT
AUTO INSURANCE COMPANY
POLICY NO.
EXP. DATE
B
NO
IS THIS VEHICLE SUBJECT TO SECURITY AGREEMENT(S)? YES
IF YES, COMPLETE SECTION B.
FIRST SECURED PARTY (PRINT NAME)
DATE OF LOAN
For Additional Secured Parties,
PURCHASER(S)
Attach Completed Form PS2017
OWNER(S)
STREET ADDRESS
CITY
STATE
ZIP CODE
MUST
COMPLETE
C
ODOMETER DISCLOSURE STATEMENT. I (WE) CERTIFY THAT THE ODOMETER
DAMAGE DISCLOSURE STATEMENT. TO THE BEST OF
MY KNOWLEDGE, THIS VEHICLE:
NOW READS
(NO TENTHS) MILES AND TO THE
Has
(CHECK ONE) SUSTAINED DAMAGE IN EXCESS
SELLER(S)
BEST OF MY KNOWLEDGE, THE ODOMETER MILEAGE IS:
OF 80 PERCENT ACTUAL CASH VALUE.
Actual mileage
Has Not
MUST
In excess of odometer's mechanical limits
COMPLETE
Not actual mileage - WARNING ODOMETER DISCREPANCY
and SIGN
ASSIGNMENT: I (WE) CERTIFY THAT THIS VEHICLE IS FREE FROM ALL SECURITY INTERESTS. I (WE) WARRANT TITLE AND ASSIGN THE REGISTRATION
TAX AND VEHICLE TO THE PERSON(S)NAMED ABOVE.
SELLER'S PRINTED NAME(S)
DATE OF SALE
SELLER'S ADDRESS
DEALER LICENSE #
X
ALL SELLER'S SIGNATURE(S)
D
PURCHASER'S MOTOR VEHICLE SALES TAX DECLARATION
REGISTRATION TAX
Base value or
Gross Weight
$
1. Full purchase price
PLATE FEE
Registration Period
PURCHASER(S)
2. Less trade-in allowance
ARREARS TAX
From
Through
OWNER(S)
complete item #6
Change of Gross Vehicle Weight
$
WHEELAGE TAX
3. Net purchase price
MUST
Time of
:
Change
Hours
$
COMPLETE
% of line 3
4.
and SIGN
Date of
PS VEHICLE FEE
$
5. Less tax paid to another state
Change
TRANSFER TAX
$
NET SALES TAX DUE
Date
Change
TITLE/TRANSFER FEE
Expires
6. Trade-in was:
MODEL YR.
MAKE
PLATE #
Change of Weight and/or Class
LIEN FEE
From
To
I DECLARE
MN DEALER LICENSE #
MV SALES TAX
I (WE) CERTIFY I (WE) ARE OF LEGAL AGE, HAVE PURCHASED
THIS TAX
THIS VEHICLE SUBJECT TO LIENS SHOWN AND NO OTHER.
MN SALES TAX ACCOUNT #
LATE TRANSFER PENALTY
EXEMPTION
THIS VEHICLE IS AND WILL CONTINUE TO BE INSURED WHILE
OPERATING UPON THE PUBLIC STREETS AND HIGHWAYS. THE
CODE:
INTERNAL REV. CODE # (IRC)
VEHICLE WILL BE OPERATED IN COMPLIANCE WITH THE LAWS
SUB-TOTAL
THAT APPLY TO ITS CLASS OF REGISTRATION. I (WE) HAVE
RECEIVED A COPY OF THIS APPLICATION AND ALL OF MY
PRORATE ACCOUNT #
STATE/DEPUTY FILING FEE
(OUR) DECLARATIONS ARE TRUE AND CORRECT. IF
(Sales tax due when registered)
APPLICABLE, I (WE) HAVE KNOWLEDGE OF STATE AND
FEDERAL REGULATIONS APPLICABLE TO COMMERCIAL
TOTAL DUE
VEHICLE OPERATION, MINNESOTA STATUTES, CHAPTER 221,
NON-NEGOTIABLE REGISTRATION RECEIPT (CARD) AND CAB CARD
PUBLIC SERVICE COMMISSION RULES 1 THROUGH 48 AND
THIS COPY WHEN VALIDATED (STAMPED ABOVE BY A DEPUTY REGISTRAR OR THE
CODE OF FEDERAL REGULATIONS, TITLE 49, PARTS 390
THROUGH 399, AND IF A TRANSPORTER OF HAZARDOUS
CENTRAL OFFICE) SERVES AS EVIDENCE THAT THIS RECEIPT HAS BEEN ASSIGNED
X
MATERIALS, CODE OF FEDERAL REGULATIONS, TITLE 49,
TO THE OWNER FOR USE ONLY ON THE VEHICLE DESCRIBED.
PARTS 171 TO 199.
DATE
WITHOUT PROPER OWNERSHIP/TRANSFER DOCUMENTS (e.g., OUT-OF-STATE
DO NOT SIGN UNTIL COMPLETE
CERTIFICATE OF TITLE), NO MINNESOTA TITLE WILL BE ISSUED.
X
DATE
ALL PURCHASERS/OWNERS MUST SIGN
PS2000-44 (05/16)
-over-
PURCHASER(S)
A VEHICLE ACQUIRED BY A MINNESOTA RESIDENT IS SUBJECT TO TAX AS SOON AS THE VEHICLE IS OPERATED ON A MINNESOTA STREET OR HIGHWAY. AN
OWNER(S)
AUTOMOBILE BROUGHT INTO MINNESOTA BY A NON-RESIDENT MUST BE REGISTERED WITHIN 60 DAYS; HOWEVER, IF THE FOREIGN STATE VEHICLE IS NOT
MUST
CURRENTLY REGISTERED, THE VEHICLE MUST BE REGISTERED IMMEDIATELY. TAX FOR THE NON-RESIDENT IS COMPUTED FROM THE APPLICATION DATE OR
COMPLETE
60 DAYS AFTER THE VEHICLE IS BROUGHT INTO MINNESOTA, WHICHEVER IS FIRST. TAX ON A TRUCK IS DUE AND COMPUTED FROM THE APPLICATION DATE
WHEN:
OR THE DATE THE VEHICLE IS BROUGHT INTO MINNESOTA, WHICHEVER IS FIRST.
E
THIS VEHICLE WAS:
WERE YOU A MINNESOTA RESIDENT
DATE THIS VEHICLE FIRST BROUGHT INTO MINNESOTA
AT THE TIME OF PURCHASE?
REGISTERING A
NEW
USED
YES
NO
VEHICLE FROM
ANOTHER STATE
F
I CERTIFY BY MY SIGNATURE I HAVE PURCHASED THE VEHICLE DESCRIBED ON THIS APPLICATION. CHECK ONE:
I am 17 years old and have completed an approved
I am an employed, emancipated minor and I have a
driver training course.
Minnesota driver's license.
UNDER LEGAL
AGE
When I was a resident of a foreign state, I was the duly registered owner of the automobile or
I am 17 years old and a high school graduate.
truck described on this application (COMPLETE SECTION E)
G
BY LAW, THE TYPE, AND IN SOME CASES THE USE, OF YOUR VEHICLE DETERMINES WHICH REGISTRATION CLASS (PLATE) IS PROPER. THE
PURCHASER(S)
OWNER(S)
FOLLOWING IS A BRIEF DESCRIPTION OF THE LAW WHICH APPLIES TO THE CLASSES OF REGISTRATION. PLEASE CHECK THE BOX
MUST
CORRESPONDING TO THE PROPER CLASS FOR YOUR VEHICLE.
COMPLETE
VEHICLE TYPE
CLASS
EXPLANATION OF REGISTRATION CLASSES
AUTOMOBILE AND STATION WAGONS
PASS
All passenger automobiles and vans, station wagons, ambulances and hearses. Also all pickup trucks with a manufacturer's rated capacity of 3/4 ton or less.
BUSES
BDU
BY
IC
Intercity bus
Duluth Transit Bus
Charter Bus
2C
Bus operated in cities of less than 70,000 population
Bus used exclusively for transporting students (must be inspected prior to registration)
SB
MOTORCYCLES AND MOPEDS
M
All motorcycles, motorbikes, minibikes and motorscooters. Engine number is required on front of form.
MP
All motorized bicycles, which do not exceed 50 cubic centimeters or 2 brake horsepower.
RECREATIONAL
Self-propelled vehicle is a vehicle with permanently installed life support systems designed to be used for temporary living quarters while engaged in recreational or vacation
RV
activities which uses the public streets or highways incidental to such activities and is not used as the residence of the owner or occupant. At least four of the following life support
systems must be present, two of which must be 1, 2 or 3.
1. Cooking with liquid propane gas supply. 2. Potable water supply including sink and faucet. 3. Separate 110-125 volt electrical power supply. 4. Heating
or air conditioning separate from vehicle engine. 5. Refrigerator – electric or propane. 6. Toilet – self-contained or connected to a plumbing system.
Towed vehicle used for temporary living quarters while engaged in recreational or vacation activities which uses the public streets or highways incidental to such activities and not
RL
used as the residence of the owner or occupant. Limited to trailers up to 102” in width and 45’ in length.
TRAILERS
ST
All semi-trailers (Permanent plate)
Trailer with a gross weight of more than 3,000 pounds (except those registered in the B (utility), recreational, farm or semi trailer classes) or an equipment dolly used to transport the
CT
owner’s construction machinery, equipment, implements and other objects used on a construction project, but not to be incorporated in or to become a part of a completed project.
Farm trailer with a gross weight in excess of 10,000 pounds drawn by a passenger automobile or farm truck. Used exclusively for transporting agricultural products from farm to
FT
farm and to and from the usual market. May be registered on an annual or quarterly basis.
B
Trailer with a maximum gross weight of 3,000 pounds (except those registered in the recreational or farm classes). Permanent registration.
Park trailer (used for temporary living quarters) exceeds 8-1/2' in width but is no larger than 400 sq. Ft. (note: park trailers not used on the highways during the calendar year shall
(Not Plated)
be taxed as manufactured homes).
Manufactured homes any trailer or semi-trailer which is designed, constructed and equipped for use as a human dwelling place, living abode or living quarters. The manufactured
(Not Plated)
home is 320 sq. ft. Or more when erected on site.
TRUCKS
CHECK HERE IF VEHICLE IS A TRUCK-TRACTOR
Gross weight trucks used exclusively by the owner, to transport farm products or personal property from farm to market or to transport property and supplies to the owner’s farm or
occasionally used to transport unprocessed and raw farm products not produced by the owner of the truck from the place of production to market when such transportation
constitutes the first haul of such products, or used to transport raw and unfinished forest products harvested by the truck owner from the place of production to an assembly yard or
T
rail head when such transportation constitutes the first haul thereof, or used to transport milk and/or cream from a farm to an assembly point or place of final manufacture and/or
from an assembly point for final processing or manufacture providing the truck is a single unit truck and solely constructed for such use. Farm trucks may be registered on an annual
or quarterly basis.
CZ
Trucks used only in the commercial zone.
For CZ registration, enter LCC or ICC permit number:
Y
All gross weight trucks except those registered in the farm or commercial zone class.
Y
NON-COMMERCIAL Y CLASS - Non-commercial Y class (plate) is for one-ton pick-up trucks registered at 10,000, 12,000 or 15,000 used exclusively for personal use.
NOTE: TRAILERS AND TRUCKS REGISTERED ON A GROSS WEIGHT BASIS MUST BE REGISTERED AT A MINIMUM OF 1.25 TIMES THE EMPTY WEIGHT.
FOR TRUCKS REGISTERED AT 78,000 OR HIGHER, MUST DECLARE THE NUMBER OF AXLES ON THE FRONT OF THIS APPLICATION NEXT TO THE OWNER’S SIGNATURE.
UNIQUE CLASSES
FOR CLASSIC, COLLECTOR, STREET ROD & PIONEER, PLEASE INDICATE DESIRED NUMBER OF PLATES:
One Plate
Two Plates
CL
Classic Car as defined by law (M.S. 168.10), and owned and operated solely as a collector’s item and not for general transportation purposes.
Collector Vehicle is a vehicle which is at least 20 model years old and manufactured after 1935 and owned and operated solely as a collector’s item and not for general
COL
transportation purposes. To register a vehicle in the collector class, the owner of the vehicle must have one or more vehicles with regular license plates.
REGULAR LICENSE PLATE NUMBER OF THE OTHER VEHICLE OWNED OR LEASED BY YOU:
Street Rod is a motorized vehicle manufactured prior to 1949 or designed and manufactured to resemble such vehicle and owned and operated solely as a street rod and
SR
not for general transportation purposes. To register a vehicle as a street rod, the owner of the vehicle must have one or more vehicles with regular license plates.
REGULAR LICENSE PLATE NUMBER OF THE OTHER VEHICLE OWNED OR LEASED BY YOU:
P
Pioneer Vehicle Is a vehicle manufactured prior to 1936 which is owned and operated solely as a collector’s item and not for general transportation purposes.
Tax Exempt all vehicles required to display tax-exempt license plate(s) must have the name of the state department or political subdivision, non-public high school
TE
operating a driver education program or licensed commercial driving school, plainly displayed on both sides of the vehicle; except those exempted by M.S. 168.012. For
more information regarding the marking or exemption requirements please call DVS at (651) 205-4082.
FOR ADDITIONAL INFORMATION, CONTACT A DEPUTY REGISTRAR OR THE DEPARTMENT OF PUBLIC SAFETY
PS2000-45 (05/18)
-over-
C
SELLER(S) MUST COMPLETE:
A
B
D
G
PURCHASER(S) / OWNER(S) MUST COMPLETE:
,
,
,
AND
PURCHASER(S) / OWNER(S) MUST ALSO COMPLETE:
E
WHEN REGISTERING A VEHICLE FROM ANOTHER STATE
F
WHEN UNDER LEGAL AGE
DATA PRIVACY / RESTRICTED INFORMATION
ALL DATA COLLECTED ON A MOTOR VEHICLE APPLICATION, WITH THE EXCEPTION OF YOUR HOME TELEPHONE NUMBER, ARE REQUIRED
BY LAW. THESE DATA ARE USED TO IDENTIFY YOUR MOTOR VEHICLE. FAILURE TO PROVIDE REQUIRED DATA MAY RESULT IN DENIAL OF
THE TRANSFER OF OWNERSHIP, REGISTRATION OF THIS VEHICLE AND OTHER REQUESTED ACTION.
EXCEPT FOR CERTAIN USES PERMITTED BY FEDERAL AND STATE LAWS, PERSONAL INFORMATION CONTAINED IN YOUR APPLICATION MAY
NOT BE DISCLOSED TO ANYONE WITHOUT YOUR EXPRESS CONSENT.
A
C
D
BEFORE COMPLETING
,
,
PLEASE READ CAREFULLY
OR
A
VEHICLE COLOR CODES:
D
C
L
P
BLACK
GRAY
MAROON
SILVER
BLUE
B
GREEN
G
ORANGE
O
TAN
H
E
I
J
BROWN
IVORY
PINK
WHITE
F
GOLD
N
LAVENDER
M
RED
A
YELLOW
K
OWNERSHIP INFORMATION
WHEN THIS VEHICLE IS TRANSFERRED, ALL OWNERS MUST SIGN THE ASSIGNMENT, WHETHER THE VEHICLE IS OWNED AS JOINT TENANTS (OR, AND/OR)
OR AS TENANTS IN COMMON (AND-NO CONJUNCTION). THE DEATH OF A JOINT TENANT REQUIRES PROOF OF DEATH, APPLICATION FOR TITLE BY THE
SURVIVING JOINT TENANT AND APPROPRIATE FEES. THE DEATH OF A SOLE OWNER OR OF A TENANT IN COMMON REQUIRES AN APPLICATION FOR TITLE
BY THE SURVIVOR, APPROPRIATE FEES AND EITHER THE PROBATE COURT DOCUMENT OR A SURVIVING SPOUSE/NO PROBATE FORM (PS2071) ALONG
WITH PROOF OF DEATH. IF THIS VEHICLE IS LEASED FOR MORE THAN 180 DAYS, A LESSEE DESIGNATION FORM (PS2019) MUST BE ATTACHED.
C
DISCLOSURE STATEMENTS MUST BE SIGNED BY ALL SELLERS
WARNING
FEDERAL AND STATE LAWS REQUIRE THAT YOU STATE THE MILEAGE IN CONNECTION WITH THE TRANSFER OF OWNERSHIP. MINNESOTA LAW
REQUIRES THAT YOU MAKE DISCLOSURES ABOUT DAMAGE TO THE VEHICLE. FAILURE TO COMPLETE OR PROVIDING A FALSE STATEMENT MAY
RESULT IN FINES AND/OR IMPRISONMENT; SOME EXEMPTIONS MAY APPLY.
AN ODOMETER STATEMENT IS NOT REQUIRED FOR:
1. A VEHICLE HAVING A GROSS VEHICLE WEIGHT RATING OF MORE THAN 16,000 POUNDS;
2. A VEHICLE THAT IS NOT SELF-PROPELLED; OR
3. A VEHICLE THAT IS 10 YEARS OLD OR OLDER.
D
MUST BE SIGNED BY ALL PURCHASERS (OWNERS)
MOTOR VEHICLE SALES TAX EXEMPTIONS AND CODES (M.S. 297B.01 Subd. 14)
EXEMPTIONS CAN BE USED ONLY AS LISTED. NO CHANGES MAY BE MADE!
WHEN THIS VEHICLE IS TRANSFERRED, ALL OWNERS MUST SIGN THE ASSIGNMENT, WHETHER THE VEHICLE IS OWNED AS JOINT TENANTS (OR, AND/OR) OR
AS TENANTS IN COMMON (AND-NO CONJUNCTION). THE DEATH OF A JOINT TENANT REQUIRES PROOF OF DEATH, APPLICATION FOR TITLE BY THE
SURVIVING JOINT TENANT AND APPROPRIATE FEES. THE DEATH OF A SOLE OWNER OR OF A TENANT IN COMMON REQUIRES AN APPLICATION FOR TITLE BY
THE SURVIVOR, APPROPRIATE FEES AND EITHER THE PROBATE COURT DOCUMENT OR A SURVIVING SPOUSE/NO PROBATE FORM (PS2071) ALONG WITH
PROOF OF DEATH. IF THIS VEHICLE IS LEASED FOR MORE THAN 180 DAYS, A LESSEE DESIGNATION FORM (PS2019) MUST BE ATTACHED.
When a vehicle is acquired for nominal or no monetary consideration, tax must be based on the average value of similar vehicles.
CODE
EXEMPTION
CODE
EXEMPTION
Vehicle was a transfer between husband and wife in a divorce proceeding,
A disabled veteran purchased vehicle with funds provided by the veteran’s
1.
6.
indicate “divorce."
administration. Must submit letter from the V.A.
Vehicle was selected by the surviving spouse, or acquired by inheritance or
Purchaser is an interstate carrier holding a common carrier direct pay certificate.
2.
7.
bequest.
Prorate vehicle only. Indicate prorate account number.
Vehicle is held for resale by a lending institution or insurance company. Indicate
Vehicle is held for resale or lease by a licensed Minnesota dealer or lessor who
3.
8.
Minn. sales and use tax account number.
has a Minnesota dealer’s license number. Indicate dealer license number.
Vehicle was transferred from joint ownership to ownership by one or more of the
Purchase of a motor vehicle by a private, non-profit, or public educational
4.
9.
same joint owners without monetary consideration or vehicle transfer is
institution for use as an instructional aid in automotive training programs
exempted by an internal revenue code. Indicate IRC code number.
operated by the institution.
Purchaser was a non-resident when vehicle was purchased and subsequently
Vehicle is a municipal fire apparatus, marked patrol car or municipal ambulance,
5.
became a resident of Minnesota more than 60 days after the date the vehicle
10.
of which the general appearance is unmistakable, or the purchase of an
was titled in another state.
ambulance by a licensed ambulance service.
THE ONLY TRADE-IN ACCEPTABLE FOR REDUCTION OF PURCHASE PRICE IS ANOTHER REGISTERED OR PREVIOUSLY REGISTERED MOTOR VEHICLE.
FARM EQUIPMENT, FURNITURE, ANIMALS, ETC., CANNOT BE LISTED AS A TRADE-IN.
ANY PERSON WHO SHALL COMPLETE OR SUBMIT A FALSE OR FRAUDULENT MOTOR VEHICLE PURCHASER’S CERTIFICATE WITH INTENT TO DEFEAT OR EVADE SALES TAX SHALL BE
GUILTY OF A MISDEMEANOR AND FOR EACH OFFENSE SHALL BE FINED NOT MORE THAN $500 OR BE IMPRISONED IN THE COUNTY JAIL FOR NOT MORE THAN ONE YEAR OR BOTH.
TO DETERMINE ANY TAX AMOUNT AND/OR FEES OR TO OBTAIN ASSISTANCE IN COMPLETING THIS APPLICATION, CONTACT A DEPUTY REGISTRAR OR THE DEPARTMENT OF
PUBLIC SAFETY, DIVISION OF DRIVER AND VEHICLE SERVICES.
Minnesota statute 168A.15 Subd. 3 does not allow DVS to issue titles for junked vehicles. A new title will not be issued to any vehicle with a title containing the words,
"junked, non-repairable, scrapped, dismantled, or destroyed."
Minnesota Statute 235F.6642 requires any branding on a title of an out-of-state vehicle to be included on all future titles used for that vehicle. For example, if an out-of-state
vehicle is branded as flood damaged, that will appear on any future Minnesota title that is issued for that vehicle.
PS2000-45 (05/18)
Page of 3