"YOUR QUOTE WILL BE PROCESSED PROMPTLY!"

1. Today's Date

MonthDayYear
Date
2. Dealership Name*
Dealership Name
3. Senders Name*
Senders Name
4. Email*
example@example.com
5. Phone Number*
6. Year Of Vehicle
Year of Vehicle
7. Color Of Vehicle
If other type into comment box.
8. Make Of Vehicle
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 Door4 DoorConvertibleSUVPick Up TruckVan2DR COUPE4DR COUPECargo van (passenger)Cargo Van (non passenger)Heavy truck over 5000lb
12. Is this a NEW Vehicle or a USED vehicle?*

NEWUSED
13. Is this Vehicle being purchased by an individual OR is it a Leased Vehicle?

PRIVATE PURCHASELEASE
14. What is Customers Date of Birth?*

MonthDayYear
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?

YESNO
Does the Military member have a Florida Drivers License?

YesNo
17. What is the date of purchase, or lease of this Vehicle*

MonthDayYear
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?*

YESNO
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?*

TRANSFERNEW 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?

YESNO
WHICH SPECIALTY PLATE? (ALL SPECIALTY PLATES LISTED ON WEBSITE)
Does your customer want their plate personalized?

YESNO
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?

YESNO
If this is a transfer did this plate come off of a “TK” heavy truck

YesNo
Please attach a copy of the registration to be transferred here:

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23. Is there a Lien on this vehicle?*

YesNo
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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Additional comments:
COMMENTS
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