Surety Bond Girls Title Bond Application
The data submitted in this form is safe with SSL Secure Encryption. Depending on the value of the car, we may request your Social Security Number separately.
(To view this application in Spanish, please click on this link: https://docs.google.com/a/suretybondgirls.com/forms/d/1ooNwwIPfR-PWN5s-lhYnPU7WEBfvFt7-WQ1u9-UejF0/viewform.)
You will need to have a form T-22B completed by a GA law enforcement officer. You can access this form by clicking on this link:
http://dor.georgia.gov/sites/dor.georgia.gov/files/related_files/document/MVD/Form/MV_Serial_Plate_Verification_Form_T22B_0.pdf
Date
MM
/
DD
/
YYYY
Applicant Information
New Owner of the vehicle to be titled
Name *
Exactly as it appears on drivers license
Street Address *
City *
State *
Zip *
County *
Phone Number *
Home, Mobile
Date of Birth *
mm/dd/yyyy
Drivers License # (if not GA issue, which state) *
E-mail Address *
Vehicle Information
Describing the vehicle to be titled
Make *
Model *
Year *
VIN Number *
Please double check for accuracy
Has the vehicle been salvaged?
Clear selection
Is this an abandoned vehicle?
Clear selection
Is there a Lien on the Vehicle
Clear selection
Which documents do you have in your possession? *
Required
Length and Width if a Mobile Home
Why is the title bond needed? *
Bonded Title Amount
Min. $5,000.00 (leave blank if you're not sure)
Seller's Information
Previous Owner's information
Seller's Name *
Seller's Street Address
Seller's City
Seller's State
Seller's Zip
Sellers Driver's License Number/State of Issue
Date of Sale *
mm/dd/yyyy
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