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Surety Bond Girls Title Bond Application
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Applicant Information
New owner of the vehicle to be titled
Name
*
Exactly as it appears on drivers license or dealers license
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
County
*
Your answer
Phone Number
*
Home, Mobile
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Drivers License # (if not GA issue, which state)
*
Your answer
E-mail Address
*
Your answer
Vehicle Information
Describing the vehicle to be titled
Make
*
Your answer
Model
*
Your answer
Year
*
Your answer
VIN Number
*
Please double check for accuracy
Your answer
Purchase Amount
*
Your answer
Has the vehicle been salvaged?
Yes
No
Is this an abandoned vehicle?
Yes
No
Is there a Lien on the Vehicle?
Yes
No
Which documents do you have in your possession?
*
Title
Bill of Sale
T-22B (filled out by a GA Law Officer)
NMVTIS Report
Certified Title History report from state of last title (If other than GA)
Other:
Required
Length and Width if a Mobile Home
Your answer
Why is the title bond needed?
*
Your answer
Bonded Title Amount
Min. $5,000.00 (leave blank if you're not sure)
Your answer
Seller's Information
Previous Owner's information
Seller's Name
*
Your answer
Seller's Street Address
Your answer
Seller's City
Your answer
Seller's State
Your answer
Seller's Zip
Your answer
Sellers Drivers License Number/State of Issue
Your answer
Date of Sale
*
MM
/
DD
/
YYYY
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