STATE OF NEW MEXICO

TAXATION & REVENUE DEPARTMENT

Title Number - PLEASE READ
MOTOR VEHICLE DIVISION
APPLICATION FOR VEHICLE DIVISION IMPORTANT
USE ONLY INFORMATION
TITLE AND REGISTRATION
MVD-10002 REV. 09/09 ON REVERSE SIDE -
Vehicle Identification Number Year Make Model / Series Number Color(s) Major Minor)
of Liens

Secondary ID Number Wt./Wheels First Year Reg. Date of Issue Type of Title 01 - First Time 04 - Duplicate
02 - Title Transfer 05 - No Fee Corr.
03 - Lien Release 11 - Non-Negotiable
Name and Mailing Address of Registered Owner(s) DGVW Cyls. Body Type Type of Fuel (G) -Gasoline (D)-Diesel Odometer *
(L)-Liquified (O)-Other

License Plate Number(s) Vehicle Brand Vehicle Class

Title Use Previous Title No. and State Date Purchased

Fleet Number Commercial Vehicle "2290" 2-Year Registration # of Passengers # of Doors # of Seats

1st Reg. Owner's Social Security / Employer Identification / CRS No. 1st Reg. Owner D.O.B. N.M. Driver License No. N.M. Veteran Cert. No.

FIRST LIEN File Date Maturity Date SECOND LIEN File Date Maturity Date
HOLDER HOLDER

Name and Address Name and Address

Canceled Plt. No. Dealer Lic. No. Mobile Home Size Cnty. Approximate Location (Mobile Home) Suspended By:

Trade-In VIN (If Applicable) MONTH DAY YEAR Cleared By:

REG. EXPIRATION:
Residence Address If Different Than Mailing Address Reg. Sticker Number: Sale Price:

IMPORTANT: THERE IS A PENALTY CHARGE Less Trade-In:

FOR FAILING TO RENEW BY THIS DEADLINE.
*ODOMETER DISCLOSURE STATEMENT Net Difference:
FEDERAL AND STATE LAW REQUIRES THE TRANSFEROR (SELLER) OF A VEHICLE TO STATE THE ODOMETER MILEAGE UPON TRANSFER OF
OWNERSHIP. ANYONE CONVICTED OF A FRAUDULENT ODOMETER STATEMENT WILL BE SUBJECT TO FINES AND / OR IMPRISONMENT. Net Excise Tax:
I hereby certify that the ODOMETER READING of the vehicle described above is: ______________________________ (no tenths) miles and 90
that to the best of my knowledge stated mileage is (check one of the following):
Registration:
MILEAGE IN EXCESS OF WARNING: NOT THE ACTUAL MILEAGE -ODOM-
*Mileage Codes  THE ACTUAL
MILEAGE (AM)*
 MECHANICAL LIMITS (EL)*
 ETER DISCREPANCY (NM)*
Late Reg. Penalty:
_______________________________________ X_________________________________________________ _________________ 52
Printed Name of Seller Signature of Seller Date of Statement
Vets. Allowance:
_______________________________________ X
_________________________________________________ _________________
Printed Name of Purchaser Signature of Purchaser Date of Statement
51
NOTICE: Payment of the registration fee and acceptance of the application by the Motor Vehicle Divi- Net Registration:
sion constitutes an affirmation that the applicant for title and registration has complied with the require-
ments of the Mandatory Financial Responsibility Act, NMSA 1978 §66-5-201 through 66-5-239. Spec. Plate Fee:

APPLICANT CERTIFICATION: I (We) hereby certify that the information given herein is true and correct
to the best of my (our) knowledge and affirm that I (we) have complied with the requirements of the Admin. Fee:
61
Mandatory Financial Responsibility Act with respect to this vehicle. See reverse side.
X_________________________________________________ Transaction Fee:
_______________________________________ _________________ 55
Printed Name of 1st Registered Owner Signature of 1st Registered Owner Date of Statement

_______________________________________ X
_________________________________________________ _________________ Late Transfer Fee:
Printed Name of 2nd Registered Owner Signature of 2nd Registered Owner Date of Statement 70
The Division is not responsible for false or fraudulent statements the applicant/registered owner makes in connection with this application, nor is the Division liable Duplicate Title Fee:
for lien recording errors. The registered owner must notify the Division of any errors contained in the title and registration issued pursuant to this application. 72
TOTAL
NCIC Check by FEES:

ACCEPTED BY: Signature of M.V.D. Employee: _______________________________________________________ Date: ______________ $

FINANCIAL RESPONSIBILITY INFORMATION:

THE MANDATORY FINANCIAL RESPONSIBILITY ACT (Section 66-5-201 et seq. NMSA 1978 as amended)
DEFINES FINANCIAL RESPONSIBILITY AS A MOTOR VEHICLE LIABILITY POLICY WITH MINIMUM LIMITS AS
REQUIRED BY THE ACT OR A SURETY BOND OR CASH DEPOSIT IN THE AMOUNT OF $60,000. FAILURE TO
HAVE EVIDENCE OF FINANCIAL RESPONSIBILITY AVAILABLE WHILE VEHICLE IS IN USE IS A MISDEMEANOR
PUNISHABLE BY LAW. THE CERTIFICATE OF VEHICLE REGISTRATION MUST ALSO BE AVAILABLE WHILE
VEHICLE IS IN USE.

REGISTRATION RESPONSIBILITY:

VEHICLE OWNERS WILL BE MAILED A BILL TO THEIR ADDRESS OF RECORD NOTIFYING THEM THAT IT
IS TIME TO RENEW THEIR VEHICLE REGISTRATION(S). HOWEVER, THE LAW DOES NOT REQUIRE SUCH
NOTICE AS A PRECONDITION FOR THE OWNER TO MAINTAIN TIMELY AND PROPER REGISTRATION. THE
OWNER HAS THE RESPONSIBILITY AND IS ON CONTINUAL AND PERMANENT NOTICE OF THE NEED TO
RENEW BY THE EXPIRATION DATE INDICATED ON THE LICENSE PLATE VALIDATION STICKER AND THE
CERTIFICATE OF REGISTRATION.

PLATE-TO-OWNER INFORMATION:

NEW MEXICO USES A PLATE-TO-OWNER PROCEDURE FOR TRANSFERRING OWNERSHIP OF VEHICLES.

UNDER THIS PROCEDURE NEW MEXICO LICENSE PLATES ARE ASSIGNED TO YOU THE OWNER RATHER
THAN THE VEHICLE. WHEN DISPOSING OF A VEHICLE THE LICENSE PLATE MUST BE REMOVED BY YOU
BEFORE DELIVERY OF THE VEHICLE IS MADE TO PURCHASER OR DEALER. YOU THEN HAVE THIRTY (30)
DAYS IN WHICH TO REGISTER THE REMOVED PLATE WITH ANOTHER VEHICLE OF THE SAME CLASS OR
RETURN IT TO A LOCAL MOTOR VEHICLE DIVISION FIELD OFFICE FOR CANCELLATION. IF YOU NEED AD-
DITIONAL INFORMATION ON THIS PROCEDURE, CONTACT YOUR LOCAL M.V.D. FIELD OFFICE MANAGER.

CHANGE OF ADDRESS:

BY LAW YOU MUST NOTIFY THE MOTOR VEHICLE DIVISION, P.O. BOX 1028, SANTA FE, NM 87504-1028
WITHIN TEN (10) DAYS OF ANY ADDRESS CHANGE. NOTIFICATION MAY BE BY WRITTEN LETTER OR BY
COMPLETING A CHANGE OF ADDRESS CARD (FORM 10284) OBTAINED FROM A LOCAL MVD OFFICE. YOU
MUST SUPPLY FULL NAME, DATE OF BIRTH AND SOCIAL SECURITY NUMBER (AS THEY APPEAR ON YOUR
DRIVER'S LICENSE), YOUR NEW ADDRESS, AND THE YEAR, MAKE, LICENSE PLATE NUMBER AND VEHICLE
IDENTIFICATION NUMBER OF EACH VEHICLE YOU OWN.