Official Louisiana Vehicle Application Template in PDF Fill Out My Document Online

Official Louisiana Vehicle Application Template in PDF

The Louisiana Vehicle Application form is a crucial document used for registering vehicles in the state of Louisiana. It collects essential information about the vehicle and its owner, ensuring compliance with state regulations. For a smooth registration process, complete the form accurately and submit it promptly.

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Document Overview

Fact Name Details
Governing Law The Louisiana Vehicle Application form is governed by Louisiana Revised Statutes Title 32:861-865.
Required Information Applicants must complete all required fields to avoid rejection of the application.
Submission Deadline The application must be submitted within 40 days of the vehicle purchase to avoid penalties.
Proof of Insurance Proof of liability insurance must be provided before the application can be processed.
Duplicate Title Affidavit If a title is lost or never received, a notarized affidavit is required to apply for a duplicate title.

Detailed Steps for Writing Louisiana Vehicle Application

Filling out the Louisiana Vehicle Application form is an essential step in registering your vehicle. Make sure to gather all necessary information before starting. Follow the steps below to ensure your application is completed correctly and submitted without delay.

  1. Obtain the form: Download or pick up the Louisiana Vehicle Application form from the Office of Motor Vehicles.
  2. Fill in your details: Start with your name, driver's license number or EIN, and address. If applicable, include the name and details of a joint owner.
  3. Provide vehicle information: Enter the Vehicle Identification Number (VIN), make, model, year, body color, and mileage of your vehicle.
  4. Indicate the type of plate: Select the appropriate type of plate you are applying for.
  5. Complete lienholder information: If applicable, fill in the names and addresses of the first and second lienholders.
  6. Declare any trade-ins: If you are trading in a vehicle, provide the trade VIN and license number.
  7. Detail any fees: List all applicable fees, including title fees, license fees, and any penalties or interest.
  8. Sign and date: Ensure that you sign the application and date it. If applying for a duplicate title, this must be notarized.
  9. Attach proof of insurance: Include documentation proving you have vehicle liability insurance as required by law.
  10. Submit the application: Send the completed form and all necessary documents to the address provided on the form.

After submitting your application, you can expect to receive your title, license plate, or validation sticker within thirty days. If you do not receive these items in that timeframe, it is important to contact the Office of Motor Vehicles for assistance.

Form Preview

 

 

 

 

 

 

 

 

 

 

 

 

 

Louisiana Department of Public Safety and Corrections

 

 

 

 

 

 

 

 

 

TO AVOID REJECTION:

 

 

 

 

 

 

 

 

Office of Motor Vehicles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete all required information

 

 

P.O. Box 64886, Baton Rouge, LA 70896-4886

TRANSFER CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ELECTRONIC FUND

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Prepared

Type of Plate

 

 

 

 

 

 

VEHICLE APPLICATION

 

 

 

 

DEALER CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Make

 

 

 

 

License No.

 

 

 

 

 

 

 

Exp. Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Body

 

 

Color

 

 

 

Year

 

 

 

 

Mileage

 

 

 

Model/Weight

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver's License or EIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Joint Owner (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver's License or EIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner's Principal Residence Address (or Business Location if Vehicle is Used for Commercial Purposes)

 

 

 

 

 

 

Are you

residing within the corporate limits of municipality?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

NO

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

Parish

 

State/Zip

 

 

 

 

 

 

Are you residing within a special tax district or ward?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

NO

 

If yes, what ward or district?

 

 

 

Lessee

 

Mail To

 

Domicile

Renter

 

 

 

 

If lessee, domicile, or renter is indicated, renewal notice

should be mailed to (check one):

 

 

 

Domicile Code

 

 

 

 

 

 

 

 

 

 

.

Owner

 

 

Lessee, renter, or domicile address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver's License or EIN of Lessee or Renter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trade VIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

Parish

 

State/Zip

 

 

 

 

 

 

 

 

Trade License No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE IS SUBJECT TO SECURITY AGREEMENT AS FOLLOWS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ELECTRONIC LIEN

First Lienholder's Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Second Lienholder's Name

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANSFER CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New

Date Acquired

 

Tax Date

 

Previous Title No.

 

State

Cost of Vehicle

 

 

 

 

Less Trade

 

 

 

 

 

 

 

 

 

 

 

Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title Fee

 

 

 

 

Lic Pen Credit

 

 

 

 

 

Handling Fee

 

 

 

Rebate

 

 

 

 

Tax Value

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mortgage Fee

 

Tax

 

 

 

 

 

Tow Fee

 

 

 

 

 

DUPLICATE TITLE AFFIDAVIT (Must be signed by owner and notarized.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The certificate of title issued to me was

 

 

 

 

 

 

 

 

 

License Fee

 

 

 

*Tax Penalty

 

 

 

 

 

Miscellaneous Fee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. lost

 

 

 

mutilated

 

 

never received

 

Lic Transfer Fee

 

*Interest

 

 

 

 

 

Total Fees

 

 

 

 

 

I make application for a duplicate copy of said certificate and agree to hold the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Credit

 

Vendor's Comp

 

 

 

 

 

Total Taxes

 

 

 

 

 

Commissioner harmless if the previous title is obtained by another person.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I give the Commissioner permission to mail the title to the address on this

 

License Penalty

 

Tax Credit

 

 

 

 

 

Grand Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

application.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BE SURE TO SIGN AND DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I do swear or affirm that the information contained in this document is true and

 

 

 

 

 

 

 

Owner(s)'s Signature(s) for Duplicate Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

correct to the best of my knowledge.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I have and will maintain, during this registration period, vehicle liability insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

 

 

 

 

 

Witness

 

(security) required by LRS Title 32:861-865. Failure to maintain as agreed will

Sworn and subscribed before me this ________ day of ____________, _______

 

be a violation of law which may result in criminal prosecution and/or suspension

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of registration privileges.

 

 

 

 

 

 

 

 

 

 

 

 

Notary Public Signature, Printed Name

 

 

 

 

 

 

ID Number

 

If the vehicle being registered is defined as a commercial motor vehicle by the

 

 

 

AFFIDAVIT OF NON-POSSESSION OF TITLE BY LIENHOLDER.

 

Federal Motor Carrier Safety Regulations and/or Federal Hazardous Material

 

 

 

 

Regulations, by signature below registrant declares knowledge of those federal

 

 

 

 

Must be signed by lienholder and notarized.

 

regulations.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby swear or affirm that title of above described vehicle showing lien in our

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

favor was

never received

 

received and surrendered to the owner.

 

 

 

 

 

Applicant's Signature

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Co-Applicant's Signature

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

Lienholder's Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROOF OF LIABILITY INSURANCE MUST BE FURNISHED AS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROVIDED FOR BY LAW BEFORE THIS FILE CAN BE PROCESSED.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

 

 

 

 

 

Witness

 

 

 

TO AVOID PENALTY AND INTEREST:

 

 

 

 

 

Sworn and subscribed before me this ________ day of ____________, _______

 

File must be submitted within 40 days from the date of purchase. For

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

manufactured houses (mobile homes), file must be submitted by the 20th of the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

month following the month of delivery.

 

 

 

 

 

 

 

 

 

 

 

Notary Public Signature, Printed Name

 

 

 

 

 

 

ID Number

 

*Tax Penalty: 5% of sales tax due for 30 days or fraction thereof (not to

 

 

RECEIVED/REJECTION DATE(S)

 

 

 

 

 

 

 

 

 

.

 

 

 

 

exceed 25%).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Interest: 1.25% of sales tax due for 30 days or fraction thereof

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

(no maximum).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTICE:

If a title, license plate, or validation sticker is not received within thirty (30) days after submitting application and fees for such, contact your nearest Office of Motor Vehicles. Departmental policy provides for the issuance of a free replacement within sixty (60) days from the date of issuance. Failure to notify this office timely could result in additional fees being charged.

A.

CONVERSION

 

 

Old License Plate Number _____________________

New License Plate Number _____________________

 

Use _____________________

Use _____________________

 

Weight _____________________

Weight _____________________

B.TRANSFER OF PLATE

License plate ___________________ has been removed from a _______________________________________________________

YEAR MAKE VIN

and transferred to the vehicle described on the first page of this form. License plate returned is ______________________________

C. LOST, STOLEN, OR REPLACEMENT

PLATE

STICKER

License Plate Number ________________

D.TITLE CORRECTION

Error: _____________________________________________________________________________________________________

__________________________________________________________________________________________________________

Correct To: ________________________________________________________________________________________________

__________________________________________________________________________________________________________

E.FARM USE STATEMENT

I do declare that I am a bona fide farmer and am in the business of farming; that the vehicle described on the first page of this form is used primarily, but not exclusively, in hauling farm produce raised on my farm, from such farm to market and return therefrom; hauling merchandise to my farm and that this vehicle will not be used to haul another person's farm produce or other products for a fee or compensation. Said farm is located at:

________________________________________________________________________________________________________________

RFDBoxCityParishZip

________________________________________________________________________________________________________________

Owner's Signature

F.OUT OF STATE DECLARATION

I,

declare that the

 

 

 

(Printed name of owner)

 

 

MAKE

MODEL

VIN

was domiciled in Louisiana on

 

 

.

 

 

G.DISCLOSURE OF SALVAGE / RECONSTRUCTED / WATER DAMAGED / HAIL-DAMAGED

I,

swear under penalties of perjury that:

(Printed name of owner)

the title covering the vehicle,

MAKEMODEL

Louisiana R.S. 32:706.1, has been branded:

VIN

Salvaged Vehicle

,in accordance with

Reconstructed Vehicle

In accordance with Louisiana R.S. 32:789, the undersigned confirm that the above referenced vehicle has sustained water damage to the following extent:

In accordance with Louisiana R.S. 32:781, the undersigned confirm that the above referenced vehicle has sustained water damage

to the following components: Power Train

Computer

Electrical System

In accordance with Louisiana R.S. 32:702(13), the undersigned confirm that the above referenced vehicle has sustained only cosmetic damage caused by hail, equivalent to seventy-five percent or more of its market value as a result of costs or repairs to items such as windshield, windows, and rear glass; exterior paint and paint materials; and body damage such as dents.

Hail-Damaged

Signed by

under penalties of perjury this day of

(Signature of vehicle owner)

, 20

False statements are punishable by fine, imprisonment or both under R.S. 32:730.

Misconceptions

Misconceptions about the Louisiana Vehicle Application form can lead to confusion and delays in processing. Here are six common misunderstandings:

  1. All information is optional.

    Many people believe that they can skip certain sections of the form. However, all required information must be completed to avoid rejection.

  2. Proof of insurance is not necessary.

    Some applicants think they can submit the form without providing proof of liability insurance. In reality, proof of insurance is mandatory before the application can be processed.

  3. The form can be submitted anytime after purchase.

    There is a specific timeframe for submitting the application. It must be filed within 40 days from the date of purchase to avoid penalties.

  4. Only the owner needs to sign the application.

    While the owner's signature is essential, if there is a co-applicant or lienholder, their signatures are also required on the form.

  5. Duplicate title applications are straightforward.

    Some may think that obtaining a duplicate title is a simple process. However, it requires notarization and a signed affidavit, which can complicate the application.

  6. There are no fees associated with the application.

    Applicants often underestimate the various fees involved. The form includes multiple fees that can add up, including title fees, handling fees, and taxes.

Documents used along the form

The Louisiana Vehicle Application form is a crucial document for registering a vehicle in the state. Along with this form, several other documents may be required to ensure a smooth application process. Below is a list of commonly used forms that accompany the Louisiana Vehicle Application.

  • Duplicate Title Affidavit: This document is necessary if the original title is lost, mutilated, or never received. The owner must sign and notarize the affidavit to request a duplicate title.
  • Durable Power of Attorney: This legal document enables an individual to appoint someone else to make decisions on their behalf if they become incapacitated. Understanding the nuances of a Durable Power of Attorney is crucial; for more details, visit https://arizonapdfforms.com/durable-power-of-attorney.
  • Affidavit of Non-Possession of Title by Lienholder: This form must be signed by the lienholder, confirming that they never received the title for the vehicle that shows a lien in their favor.
  • Proof of Liability Insurance: Before processing the application, proof of liability insurance must be submitted as mandated by state law. This documentation verifies that the vehicle is insured.
  • Farm Use Statement: For vehicles used primarily in farming, this statement declares that the vehicle is used for hauling farm produce and confirms the owner's status as a bona fide farmer.
  • Out of State Declaration: This declaration is used when the vehicle was previously registered in another state. It affirms that the vehicle was domiciled in Louisiana on a specific date.
  • Disclosure of Salvage/Reconstructed/Water Damaged/Hail-Damaged: This form is required if the vehicle has been branded as salvage or has sustained significant damage. The owner must disclose the extent and type of damage.

These documents play a vital role in the vehicle registration process in Louisiana. Ensuring that all necessary forms are completed and submitted can help prevent delays and complications in obtaining vehicle registration.