Form B-301 "Registration Affidavit" - Connecticut

What Is Form B-301?

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

Form Details:

  • Released on April 1, 2018;
  • The latest edition provided by the Connecticut Department of 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 B-301 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

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Download Form B-301 "Registration Affidavit" - Connecticut

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REGISTRATION AFFIDAVIT
STATE OF CONNECTICUT
B-301 REV. 4-2018
DEPARTMENT OF MOTOR VEHICLES
CORE CUSTOMER OPERATIONS
60 STATE STREET, WETHERSFIELD, CT 06161-5017
On The Web At ct.gov/dmv
MARKER PLATE NUMBER
VEHICLE YEAR
MAKE
MODEL
APPLICANT'S NAME (Last, First, Middle Initial)
SEX
DATE OF BIRTH
ADDRESS (Number and Street)
VALIDATE ABOVE
(City)
(State)
(Zip Code)
TOWN WHERE VEHICLE WILL BE TAXED AS PERSONAL PROPERTY
The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned, under penalty of false statement, in accordance
with the provisions of Section 14-110 and 53a-157b of the Connecticut General Statutes. I understand that if I make a statement which I do not believe to be true,
with the intent to mislead the Commissioner, I will be subject to prosecution under the above-cited laws.
APPLICANT'S SIGNATURE
NAME OF AUTOMOBILE INSURANCE COMPANY (Not Agency)
X
CO-OWNER'S SIGNATURE
AUTOMOBILE INSURANCE POLICY NUMBER
X
REGISTRATION AFFIDAVIT
STATE OF CONNECTICUT
B-301 REV. 4-2018
DEPARTMENT OF MOTOR VEHICLES
CORE CUSTOMER OPERATIONS
60 STATE STREET, WETHERSFIELD, CT 06161-5017
On The Web At ct.gov/dmv
MARKER PLATE NUMBER
VEHICLE YEAR
MAKE
MODEL
APPLICANT'S NAME (Last, First, Middle Initial)
SEX
DATE OF BIRTH
ADDRESS (Number and Street)
VALIDATE ABOVE
(City)
(State)
(Zip Code)
TOWN WHERE VEHICLE WILL BE TAXED AS PERSONAL PROPERTY
The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned, under penalty of false statement, in accordance
with the provisions of Section 14-110 and 53a-157b of the Connecticut General Statutes. I understand that if I make a statement which I do not believe to be true,
with the intent to mislead the Commissioner, I will be subject to prosecution under the above-cited laws.
APPLICANT'S SIGNATURE
NAME OF AUTOMOBILE INSURANCE COMPANY (Not Agency)
X
CO-OWNER'S SIGNATURE
AUTOMOBILE INSURANCE POLICY NUMBER
X