The Brentwood and Warrington offices are experiencing an outage that prevents access to state systems. We are working with vendors to restore access as quickly as possible.
Title Request Form for New Residents and Military Personnel Request a Title Held by a LienholderUse this form if you are transferring your title and registration to Florida and the title is held by a Lienholder. Please only use this form if you have a residential address in Escambia County, Florida. Choose Your Situation(Required)Moving To Florida (Other than Military)Military – Becoming a Florida ResidentMilitary -Florida Resident Stationed Outside of FloridaThis choice will determine how your application is tracked and which documents and instructions are provided to you. Vehicle InformationVIN (Vehicle Identification Number)(Required)Enter your Vehicle Identification Number (VIN). Usually 17 characters long, but could be as few as 9 characters depending on the age of the vehicle. Your VIN can usually be located on your current registration, loan documents, bill of sale, dashboard of your vehicle, or title. Current Titled State(Required) AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Indicate state where vehicle is currently titled. The following states allow the owner to hold the title even if there is a lien: KY, MD, MI OPTIONAL, MN, MO, MT, NJ, NY, OK, WI, WY OPTIONAL This means that if you are from one of these states, you most likely possess your title. Status of Current Registration Current Expired Not Registered Your Current License Plate Expiration Date (If Applicable) MM slash DD slash YYYY Vehicle Year(Required)Make of Vehicle(Required)Example: Chevrolet, GMC, Ford, Honda, Toyota, Kia, Hyundai, etc.Model of VehicleExample: Camry, Explorer, Altima, Silverado, etc.Body Style of Vehicle(Required)Select Body TypeTruck2 Door4 Door4 Passenger Vehicle5 DoorBusConvertibleHearseJeepMotor CoachPickupStation WagonUtilityVanVesselTravel TrailerMotorcycleTrailerOff HighwayA “pickup” is defined as a truck weighing less than 5,000 pounds when unburdened. If your truck weighs more than 5,000 pounds, choose “truck” from the list below. If you are unsure, make your best guess. This information can be corrected later during the titling process. Color of Vehicle(Required)Select ColorSilver/AluminumBeigeBlackBlueDark BlueLight BlueBronzeBrownMaroon/BurgandyChrome/Stainless SteelCopperCream/IvoryGoldGrayGreenDark GreenLight GreenLavenderOrangePinkPurpleRedTanTurquoiseYellowMulticoloredWhiteLienholder(Required)Select Lien HolderNOT LISTEDNAVY FEDERAL CREDIT UNIONUSAA FEDERAL SAVINGS BANKALLY FINANCIALCAPITAL ONE AUTO FINANCETOYOTA MOTOR CREDIT CORPNISSAN MOTOR ACCEPTANCE CORPFORD MOTOR CREDIT COMPANY, LLC.JPMORGAN CHASE BANK, N.A.GULF WINDS FEDERAL CREDIT UNIONAMERICAN HONDA FINANCE CORPORATIONGM FINANCIALWELLS FARGO DEALER SERVICESSANTANDER CONSUMER USAPEN AIR FEDERAL CREDIT UNIONBANK OF AMERICA NACHRYSLER CAPITALCARMAX BUSINESS SERVICES, LLCBRIDGECREST ACCEPTANCE CORPPNC BANKSUNTRUST BANKUS BANK, NABMW FINANCIAL SERVICES NA LLCWELLS FARGO DEALER SERVICESWELLS FARGO AUTOTD AUTO FINANCE LLCBB&TVW CREDIT INCKEESLER FEDERAL CREDIT UNIONPNC BANK NATIONAL ASSOCIATIONFIFTH THIRD BANKHONDA LEASE TRUSTHYUNDAI CAPITAL AMERICA DBA HYUNDAI MOTOR FINANCECHASE AUTO FINANCIAL SERVICES INCHUNTINGTON NATIONAL BANKWORLD OMNI FINANCIAL CORPCREDIT ACCEPTANCE CORPORATIONBANK OF THE WESTSAN DIEGO COUNTY CREDIT UNIONREGIONAL ACCEPTANCE CORPORATIONREGIONS BANKHYUNDAI LEASE TITLING TRUSTWESTLAKE FINANCIAL SERVICESWELLS FARGO AUTOEXETER FINANCE LLCALASKA USA FEDERAL CREDIT UNIONTOYOTA LEASE TRUSTBMW BANK OF NORTH AMERICASOUTHEAST TOYOTA FINANCECONSUMER PORTFOLIO SERVICES INC.ONEMAIN FINANCIAL SERVIES, INCGATEWAY ONE LENDING AND FINANCE LLCHARLEY DAVIDSON CREDIT CORPRANDOLPH-BROOKS FEDERAL CREDIT UNIONLANGLEY FEDERAL CREDIT UNIONSERVICE CREDIT UNIONJPMORGAN CHASE BANK,NAGROW FINANCIAL FEDERAL CREDIT UNIONMEMBERS FIRST CREDIT UNION OF FLORIDAM&T BANKLEXUS FINANCIAL SERVICESGOLDEN 1 CUEAGLEMARK SAVINGS BANKFLAGSHIP CREDIT ACCEPTANCE LLCSTATE FARM BANKWELLS FARGO AS CTL AGTAMERICAN CREDIT ACCEPTANCE, LLCCREDIT ACCEPTANCEPENTAGON FEDERAL CREDIT UNIONCENTRAL CREDIT UNION OF FLORIDAHARVESTERS FEDERAL CREDIT UNIONTEXELL CREDIT UNIONSUBARU MOTORS FINANCE C/O CHASECITIZENS ONEBANK OF HAWAIIKNOXVILLE TVA EMPLOYEES CREDIT UNIONENT CREDIT UNIONFAMILY SECURITY CREDIT UNIONBAYPORT CREDIT UNIONINFINITI FINANCIAL SERVICESONEMAIN FINANCIAL GROUP, LLC.COMPASS BANKAUDI FINANCIAL SERVICESPRESTIGE FINANCIAL SERVICES, INC.VALLEY NATIONAL BANKAMERICA FIRST FEDERAL CREDIT UNIONAMERICA'S FIRST FEDERAL CREDIT UNIONHTD LEASING LLCNAVIGATOR CREDIT UNIONALLIANT CREDIT UNIONNORTHWEST FEDERAL CREDIT UNIONASSOCIATED CREDIT UNIONANDREWS FEDERAL CREDIT UNIONAMERICAN HONDA FINANCE CORPORATIONGUARDIAN CREDIT UNIONOLD NATIONAL BANKCCAP AUTO LEASE LTDCARVANA LLCUSAA FINANCIAL LLCKITSAP CREDIT UNIONSIERRA CENTRAL CREDIT UNIONAPCO EMPLOYEES CREDIT UNIONCORNERSTONE FINANCIAL CREDIT UNIONHAPO COMMUNITY CREDIT UNIONMISSION FCUMEMBERS CHOICE CREDIT UNIONNEIGHBORS FEDERAL CREDIT UNIONFIRST INVESTORS FINANCIAL SERVICES, INCALABAMA CREDIT UNIONUNIVERSITY OF ILLINOIS EMPLOYEES CREDIT UNIONORNL FEDERAL CREDIT UNIONALL IN CREDIT UNIONKIA FINANCIALCITIZENS BANK N.APAWTUCKET CREDIT UNIONTWINSTAR CREDIT UNIONFREEDOM ROAD FINANCIALCAPITAL ONE, NAFIRST TECHNOLOGY FCUGPCE CREDIT UNIONCALIFORNIA COAST CREDIT UNIONNUSENDA FEDERAL CREDIT UNIONLINCOLN AUTOMOTIVE FINANCIAL SERVICESMEMBERS 1ST FEDERAL CREDIT UNIONDELTA COMMUNITY CREDIT UNIONMINI FINANCIAL SERVICESINDEPENDENT BANKCARMAX FUNDING SERVICES LLCMERCEDES-BENZ FINANCIAL SERVICES USA LLCABNB FEDERAL CREDIT UNIONTHE CREDIT UNION LOAN SOURCE LLCVERIDIAN CREDIT UNIONSCHOOLSFIRST FCUFIDELITY BANKDAIMLER TITLE COCANVAS CREDIT UNIONUNIVERSITY OF IOWA COMMUNITY CREDIT UNIONEGLIN FEDERAL CREDIT UNIONC & F FINANCE COMPANYSTATE EMPLOYEES CREDIT UNIONMERRICK BANKEFCU FINANCIAL FEDERAL CREDIT UNIONVOLVO CAR FINANCIAL SERVICES US LLCCITADEL FCUTMX FINANCE OF FLORIDA INCHANCOCK WHITNEY BANKLENDMARK FINANCIAL SERVICES, LLCFIRST CITIZENS BANK AND TRUSTMAX CREDIT UNIONGLOBAL LENDING SERVICES LLCREGIONS BANK – DEALER FINANCIAL SERVICESKEYBANK, NAGECUDUTRAC COMMUNITY CREDIT UNIONMID-ATLANTIC FINANCE COMPANYAL HOLDING CORPFLORIDA CREDIT UNIONPOWERCO FEDERAL CREDIT UNIONUSE CREDIT UNIONSECURITY SERVICE FEDERAL CREDIT UNIONHYUNDAI CAPITAL AMERICA DBA KIA MOTORS FINANCEADVANCIAL FEDERAL CREDIT UNIONAVADIAN CREDIT UNIONRENASANT BANKTEXAS DOW EMPLOYEES CREDIT UNIONHUGHES FEDERAL CREDIT UNIONCENTRIS FEDERAL CREDIT UNIONNASA FEDERAL CREDIT UNIONSUNCOAST CREDIT UNIONREDSTONE FEDERAL CREDIT UNIONROBINS FINANCIAL CREDIT UNIONBECUAMERICAN AIRLINES EMPLOYEES FED CREDIT UNIONCEFCU (CITIZENS EQUITY FIRST CREDIT UNION)FIRST COMMUNITY CREDIT UNIONSTERLING UNITED FCUCENTURY NATIONAL BANK DIVISION OF PARK NATIONAL BASTATE SAVINGS BANKCARMAXX, LLCACCEPTANCE LOAN CO. INC.VANTAGE WEST CREDIT UNIONNAVY ARMY CCUSOUTH CAROLINA FEDERAL CREDIT UNIONSECURITY NATIONAL AUTO ACCEPTANCE COMPANY LLC#1 AUTO RESELLERS INCSUNTRUST BANK DBA LIGHTSTREAMSANTANDER BANK N.A.CITY CREDIT UNIONNEW HORIZONS CREDIT UNIONSTATE DEPARTMENT FEDERAL CREDIT UNIONDAIMLER TRUSTBBVA COMPASS FINANCIAL CORPORATIONOMNI FINANCIAL OF TNFIRST HELP FINANCIAL, LLC.VCI LOAN SERVICES LLCCASCADE FINANCIAL SERVICESONE SOURCE FEDERAL CREDIT UNIONNOBLE FEDERAL CREDIT UNIONHEARTLAND CREDIT UNIONFIRST COMMAND BANKHOME CREDIT CORP INCUS AUTO FINANCE INCNORTH FLORIDA AUTO BROKERS LLCCERTIFIED AL COMPANYLEGACY COMMUNITY FEDERAL CREDIT UNIONSUNRISE ACCEPTANCE, INC.ONE NEVADA CREDIT UNIONCOMMUNITY FIRST CREDIT UNIONPHEPLE FEDERAL CREDIT UNIONSOLARITY CREDIT UNIONGEORGIA POWER NORTHWEST FEDERAL CREDIT UNIONUNIVERSAL CREDIT ACCEPTANCE, INC.1 SOURCENMA FEDERAL CREDIT UNIONCOLUMBUS METRO FEDERAL CREDIT UNIONTELCO COMMUNITY CREDIT UNION510 NOVA, LLCBYRIDER FINANCE LLC, DBA CNACPEARL HAWAII FEDERAL CREDIT UNIONSIU CREDIT UNIONBROADWAY MOTORSAMERICAN SOUTHWEST CREDIT UNIONAUTOCASH FINANCE OF GEORGIA INCBOB'S MONEY PITTHE CAR STORE INCHOMETOWN CREDIT CORPORATIONONE WITH HIM ENTERPRISES INCPARTNER COLORADO CREDIT UNIONGREAT SOUTHERN ACCEPTANCE COASI FEDERAL CREDIT UNIONSNB BANK NA FKA THE SHATLUCK NATIONAL BANKPEOPLES BANKGM CAPITAL FINANCIAL INCCOMBINED EMPLOYEES CREDIT UNIONTAUNTON FEDERAL CREDIT UNIONMEMBERS ADVANTAGE CREDIT UNIONTEACHERS FEDERAL CREDIT UNIONSTATE EMPLOYEES CREDIT UNION OF MARYLAND, INC.FOURSIGHT CAPITAL LLCREGIONS EQUIPMENT FINANCE CORPORATIONTTCU THE CREDIT UNIONTITLEMAX OF NEW MEXICO, INCSHAREFAX CREDIT UNION, INCFORUM CREDIT UNIONCREDIT UNION OF AMERICAOTERO FEDERAL CREDIT UNIONMETRO CREDIT UNIONALABAMA CENTRAL CREDIT UNION1ST MIDAMERICA CREDIT UNIONPOLICE AND FIRE FEDERAL CREDIT UNIONAMERICAS CHRISTIAN CREDIT UNIONSKYONE FERERAL CREDIT UNIONCREDIT UNION WESTCITIZENS BANKCOREPLUS FCUORION FEDERAL CREDIT UNIONTITLE CASH, INCMUTUAL SAVINGS CREDIT UNIONBLUE FEDERAL CREDIT UNIONPORT ALLIANCE FCUMOUNTAIN AMERICA FEDERAL CREDIT UNIONCAROLINA FINANCE LLCSECURITY CREDIT UNIONALDEN CREDIT UNIONCOMMUNCATION FEDERAL CREDIT UNIONCREDIT HUMAN FCUCHATTANOOGA AREA SCHOOLS FEDERAL CREDIT UNIONAUTOMONEY INCALOHA PACIFIC FCUFEDERAL FINANCIAL SERVICES, INCCAMPERS & MORE LLCCNAC PCB INCSECURITY FEDERAL BANKMIDSOUTH COMMUNITY FEDERAL CREDIT UNIONLOBEL FINANCIAL CORPHIGH PERFORMANCE CAPITALTEACHERS CREDIT UNIONUMPQUA BANKINTERRA CREDIT UNIONGOLDEN PLAINS CREDIT UNIONCITIBANK, N.A.MOBILOIL FEDERAL CREDIT UNIONNORTH STAR COMMUNITY CREDIT UNIONEAGLE FINANCEWAYNE'S AUTO SALESTOWNE BANKCITIZENS BANKNUTMEG STATE FEDERAL CREDIT UNIONHONOR FINANCE LLCUNION BANK & TRUSTHOME TRUST BANKDIGITAL FEDERAL CREDIT UNIONSANDIA AREA FEDERAL CUEVANSVILLE TEACHERS FEDERAL CREDIT UNIONWELLS FARGO BANK NASPACE AGE FEDERAL CREDIT UNIONWSECUKEMBA FINANCIAL CREDIT UNIONRED RIVER EMPLOYEES FEDERAL CREDIT UNIONPIONEER FEDERAL CREDIT UNIONFIRST SOUTH FINANCIAL CREDIT UNIONFAMILY SAVINGS CREDIT UNIONGREENWOOD CREDIT UNIONEASTMAN CREDIT UNIONMANUFACTURERS & TRADERS TRUST CO1ST ADVANTAGE FEDERAL CREDIT UNIONDEER VALLEY CREDIT UNIONTENNESSEE VALLEY FEDERAL CREDIT UNIONPENNSYLVANIA STATE EMPLOYEES CREDIT UNIONU.S. EAGLE FEDERAL CREDIT UNIONMERIWEST CREDIT UNIONIBERIA BANKMARINE BANK & TRUST COMPANYCRESCENT BANK & TRUSTEASTERN BANKCHARTWAY FEDERAL CREDIT UNIONCAPITAL CITY BANKBRECO FEDERAL CREDIT UNIONFINANCIAL SERVICES VEHICLE TRUSTBARKSDALE FEDERAL CREDIT UNIONFIRST FINANCIAL CREDIT UNIONKEY BANK NATIONAL ASSOCIATIONFIRST COAST FINANCE COMPANYBAY FCUFORD CREDIT TITLING TRUSTVYSTAR CREDIT UNIONCITIZENS BANK AND TRUSTFIRST COMMERCE CREDIT UNIONAMERIS BANKHERITAGE BANKEDUCATIONAL EMPLOYEES CREDIT UNIONGREATER NEVADA CREDIT UNIONCBC FEDERAL CREDIT UNIONMAZUMA CREDIT UNIONTOWER FEDERAL CREDIT UNIONEDUCATIONAL EMPLOYEE CREDIT UNIONACE TITLE LOANFIRST HAWAIIAN BANKJUSTICE FEDERAL CREDIT UNIONEMERY FEDERAL CREDIT UNIONATLANTIC REGIONAL FED C UFORT LEE FEDERAL CREDIT UNIONBELLCO CREDIT UNIONBAXTER CREDIT UNIONMAZDA AMERICAN CREDITLISTER HILL CREDIT UNIONA PLUS FEDERAL CREDIT UNIONBUDGET AUTO CREDITFIRST COMMONWEALTH BANKIDA LLCALTURA CREDIT UNIONHANSCOM FEDERAL CREDIT UNIONNUMERICA CREDIT UNIONWHATCOM EDUCATIONAL CREDIT UNIONAMERIS BANKSOLIDARITY COMMUNITY FEDERAL CREDIT UNIONLBS FINANCIAL CREDIT UNIONALABAMA STATE EMPLOYEES CREDIT UNIONFIRST FLIGHT FEDERAL CREDIT UNIONCREDIT UNION OF COLORADO, A FEDERAL CREDIT UNIONGREYLOCK FEDERAL CREDIT UNIONCOLLINS COMMUNITY CREDIT UNIONUNITUS COMMUNITY CREDIT UNIONCOMMERCE BANKFIRST RELIANCE BANKSANDIA LABORATORY FEDERAL CREDIT UNIONTHE SOUTHERN CREDIT UNIONGENISYS CREDIT UNIONDAIMLER TITLE COPORSCHE FINANCIAL SERVICESUS AUTO CREDIT PURCHASING CENTER, LLCSUN EAST FEDERAL CREDIT UNIONUS BANK NA COMMERCIALCIG FINANCIALAMERICAN HONDA FINANCE CORPORATIONEXPRESS AUTO SALES INCCREDIT UNION OF DENVERBMO HARRIS BANK N. A.PLATINUM AUTO FINANCE OF TAMPA BAY LLCGREAT LAKES CREDIT UNIONFIRST INTERNET BANK OF INDIANACONSUMER FINANCIAL SERVICES OF PENSACOLA1ST FRANKLIN FINANCIAL CORPORATIONCENTENNIAL BANKBANTERRA BANKLANDMARK CREDIT UNIONMARKS GARDEN, LLCSKOPOS FINANCIAL LLCCENTURY MOTORSTITLEMAX OF TENNESSEE INCTITLEMAX OF GEORGIA INCSCOTT CREDIT UNIONIDAHO CENTRAL CREDIT UNIONBANK OZKNUVISTA CREDIT UNIONAMERICAN CREDIT ACCEPTANCE DBA AUTO FINANCETVA COMMUNITY CREDIT UNIONNEW ORLEANS FIREMEN'S FEDERAL CREDIT UNIONSHEFFIELD FINANCIAL, A DIVISION OF BB&TGEORGIA'S OWN CREDIT UNIONPOTLATCH NO 1 FCUVIRGINIA CREDIT UNIONSIGNATURE FEDERAL CREDIT UNIONPACIFIC MARINE CREDIT UNIONMEMBERS CREDIT UNIONUNITED FEDERAL CREDIT UNIONPIKES PEAK CREDIT UNIONGENERAL ELECTRIC CREDIT UNIONMCCALLS AUTO SALES LLCWELLS FARGO BANK NACAPITAL AUTO FINANCEGLOBAL CREDIT UNIONBANK OF THE WEST AS AGENTMECHANICS BANKSOUTHEAST FINANCIAL CREDIT UNIONALABAMA ONE CREDIT UNIONJPMORGAN CHASE BANK, NACRANE FEDERAL CREDIT UNIONAIR ACADEMY FEDERAL CREDIT UNIONWORLD FINANCE CORPONEMAIN FINANCIAL OF AMERICA, INCAMPLIFY CREDIT UNIONCHRYSLER FINANCIAL SERVICES AMERICA LLCHERITAGE TRUST FEDERAL CREDIT UNIONWEBSTER FIRST FEDERAL CREDIT UNIONMICHIGAN STATE UNIVERSITY FEDERAL CREDIT UNIONINTOUCH CREDIT UNION121 FINANCIAL CREDIT UNIONBRAND BANKFIVE STAR BANKLOCAL GOVERNMENT FEDERAL CREDIT UNIONGEORGIA UNITED CREDIT UNIONSYNCHRONY BANKNATIONWIDE SOUTHEAST LLCChoose your lienholder from the list below. A lienholder is usually a bank or financial institution who holds an interest in your vehicle and to whom you are making payments. Lien Holder Not Listed AboveIf your lienholder was not listed, type the name of the bank, financial institution, or individual below. Loan Number / Account Number(Required)The loan number is helpful in ensuring that your lienholder locates the correct vehicle record. Your loan number may be located on your billing statement, original loan documents from time of purchase, or by contacting your lienholder. Owner/Lessee/Lessor InformationBelow, you will enter the name(s) of the titled owners. If your vehicle is leased, the owner will usually be the leasing company. Lessor: Company or individual who owns and leases the vehicle. Lessee: Individual in possession of the vehicle and usually the one making payments to the lessor for use of the vehicle. Owner Name (if leased, list leasing company in last name field)(Required) First Last If this is a leased vehicle, please put the leasing company name in the last name field. Please also use the last name field for vehicles owned by companies, whether leased or not. Owner Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is there more than one owner?(Required) Yes No Check if you need to add a co-owner.Primary Owners DL#(Required)Is This Vehicle Leased? Leased Vehicle Check here if this vehicle is leased. Lessee Name First Last Individual who leases the vehicle from a lessor.Lessee Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Co-Owner / Co-Lessee NameIf someone owns or leases the vehicle with you, list their information here. Their signature and identity documents will be needed during the titling process. Customer Phone (8:30 AM to-4:30 PM CSDT)(Required)Co-Owner's DL#Email(Required) Enter Email Confirm Email Comments / Special InstructionsIf you have additional comments or a unique situation, please describe it here. You may wish to indicate if you have had a previous license plate history in Florida or other pertinent information. You can indicate if you wish to complete the transaction by mail. Please do not include personal details or payment information in this field. Preferred Office Location (choose Downtown for mail) Downtown Molino Brentwood Warrington Please choose your desired office location. If you desire to complete the transaction by mail, choose Downtown and indicate that in the comments above. NameThis field is for validation purposes and should be left unchanged.
Scott Lunsford Tax Collector Escambia County, Florida
