1. Today's Date
-
Month
-
Day
Year
Date
2. Dealership Name
*
Dealership Name
3. Senders Name
*
Senders Name
4. Email
*
example@example.com
5. Phone Number
*
Format: (000) 000-0000.
6. Year Of Vehicle
Year of Vehicle
7. Color Of Vehicle
Please Select
WHITE
BLACK
RED
BLUE
YELLOW
GREEN
BROWN
GREY
SILVER
TAN
ORANGE
OTHER
If other type into comment box.
8. Make Of Vehicle
Please Select
Acura
AM General
Aston Martin
Audi
Bentley
BMW
Buick
Cadillac
Chevrolet
Chrysler
Daewoo
Dodge
Eagle
Ferrari
Ford
Geo
GMC
Hennessey
Honda
Hummer
Hyundai
Infinity
Isuzu
Jaguar
Jeep
Kia
Lamborghini
Land Rover
Lexus
Lincoln
Lotus
Maserati
Mazda
McLaren
Mercedes-Benz
Mercury
MINI
Mitsubishi
Nissan
Oldsmobile
Plymouth
Pontiac
Porsche
Rolls Royce
Saab
Saturn
Scion
Subaru
Suzuki
Toyota
Volkswagen
Volvo
Zenvo
Make of Vehicle
9. Weight Of Vehicle
Shipping Weight
10. Is this a heavy truck over 5000lb? If so, what is the Gross Vehicle Weight?
Gross Vehicle Weight
11. Type of Vehicle
*
2 Door
4 Door
Convertible
SUV
Pick Up Truck
Van
2DR COUPE
4DR COUPE
Cargo van (passenger)
Cargo Van (non passenger)
Heavy truck over 5000lb
12. Is this a NEW Vehicle or a USED vehicle?
*
NEW
USED
13. Is this Vehicle being purchased by an individual OR is it a Leased Vehicle?
PRIVATE PURCHASE
LEASE
14. What is Customers Date of Birth?
*
-
Month
-
Day
Year
Date
15.Which Florida County does the Purchaser or Lessee reside in?
What city does the purchaser or lessee reside in?
16. Is this a military customer claiming TAX EXEMPTION as an ACTIVE DUTY military member?
YES
NO
Does the Military member have a Florida Drivers License?
Yes
No
17. What is the date of purchase, or lease of this Vehicle
*
-
Month
-
Day
Year
Date Of Purchase Or Lease
What is the Sale Price of the Vehicle? Please UPLOAD A BILL OF SALE
PLEASE UPLOAD OR EMAIL A BILL OF SALE FOR THE BEST ESTIMATE ON YOUR QUOTE.
UPLOAD BILL OF SALE HERE:
*
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18. If the customer traded a vehicle, what is the Trade Allowance?
Trade Allowance?
19. Is the TAX to be paid to Florida?
*
YES
NO
20.If the are not Paying taxes to Florida, what sate were taxes collected for?
21. Is this a Florida Transfer or a new plate?
*
TRANSFER
NEW PLATE
IF REQUESTING A NEW PLATE- SUNSHINE STATE PLATES WILL AUTOMATICALLY BE ISSUED UNLESS A SPECIALTY PLATE IS REQUESTED. WILL YOU BE REQUESTING A SPECIALTY PLATE?
YES
NO
WHICH SPECIALTY PLATE? (ALL SPECIALTY PLATES LISTED ON WEBSITE)
Does your customer want their plate personalized?
YES
NO
22. IF this is a Florida transfer, what is the PLATE NUMBER?
Plate Number To Be Transferred
If this is a transfer, did the plate come off of a leased vehicle?
YES
NO
If this is a transfer did this plate come off of a “TK” heavy truck
Yes
No
Please attach a copy of the registration to be transferred here:
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23. Is there a Lien on this vehicle?
*
Yes
No
If so, what is name of the lien holder
Name of Lien Holder
If there are any mistakes on the title work, please upload all MSO and TITLE assignments so Florida title can review them. (if there are any mistakes or strike-overs we will need an original affidavit filled out and mailed in with the paperwork.)
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COMMENTS
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