South Carolina Department of Motor Vehicles

Form 400
Title Application (Rev. 02/18)
All vehicles or mobile homes 1
No strikeovers, erasures or correction fluid is acceptable on this form.

Applications can be mailed to: SCDMV P.O. Box 1498 –10311 Wilson Blvd. Blythewood, SC 29016 – 0024. Title will be mailed to the address on record with SCDMV.
Visit our website www.scdmvonline.com to verify and correct your mailing address prior to requesting the title or call our Customer Call Center at (803) 896-5000.

I am applying for a (check box that applies): NEW TITLE AND REGISTRATION TITLE AND PLATE TRANSFER TITLE ONLY LEASED VEHICLE

VEHICLE IDENTIFICATION NUMBER TRANSFER PLATE NUMBER

SECTION A – VEHICLE INFORMATION

MAKE YEAR BODY STYLE MODEL EMPTY WEIGHT GVW

ADDRESS WHERE VEHICLE IS HOUSED (IF DIFFERENT FROM RESIDENTIAL ADDRESS) CITY STATE ZIP CODE COUNTY

SC

NEW OR USED DATE OF PURCHASE DATE FIRST OPERATED IN SC ENERGY EFFICIENT MANUFACTURED HOME? FUEL TYPE (GAS, ELECTRIC)

YES NO

Federal and state law requires that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement
SECTION B – ODOMETER MILEAGE may result in fines and/or imprisonment.

I state that the odometer now reads_____________________________________ (no tenths) and to the best of my knowledge that it reflects the ACTUAL mileage of the vehicle
described above unless one of the following statements is checked:
DO NOT CHECK ONE OF THE FOLLOWING UNLESS IT APPLIES.
EXEMPT
I certify that to the best of my knowledge the mileage stated is in excess of its mechanical limits (the odometer started at zero again).

I certify that the odometer reading is not the ACTUAL mileage. WARNING ODOMETER DISCREPANCY.

SECTION C – OWNER INFORMATION

LEASING COMPANY NAME ONLY COMPLETE FOR LEASED VEHICLES PHONE NO. CONTACT PERSON CUSTOMER NO.

LEASING COMPANY ADDRESS CITY STATE ZIP CODE COUNTY

PRIMARY OWNER’S / REGISTRANT’S LEGAL NAME (LAST, FIRST, MIDDLE) CO-OWNER’S / CO-REGISTRANT’S LEGAL NAME (LAST, FIRST, MIDDLE)

PRIMARY OWNER’S CUSTOMER NO., SC DRIVER’S LICENSE NO. DATE OF BIRTH CO-OWNER’S CUSTOMER NO., SC DRIVER’S LICENSE NO. DATE OF BIRTH

PRIMARY OWNER’S RESIDENTIAL ADDRESS (APT NO IF APPLICABLE) STATE CO-OWNERS’S RESIDENTIAL ADDRESS (APT NO IF APPLICABLE) STATE

CITY ZIP CODE COUNTY CITY ZIP CODE COUNTY

SHARED OWNERSHIP DAYTIME PHONE NUMBER EMAIL ADDRESS

AND OR

SECTION D – LIEN INFORMATION

IS THERE A SECOND LIEN? YES NO IF YES, COMPLETE FORM 400-L FOR THE SECOND LIEN
CUSTOMER NO. LIENHOLDER NAME DATE OF LIEN CONTACT PERSON TELEPHONE NUMBER

MAILING ADDRESS CITY STATE ZIPCODE

 South Carolina Department of Motor Vehicles
Form 400
Title Application (Rev. 02/18)
All vehicles or mobile homes 2
No strikeovers, erasures or correction fluid is acceptable on this form.
NEW VEHICLE PURCHASES TITLED IN SOUTH CAROLINA ARE SUBJECT TO SALES TAX OR INFRASTRUCTURE MAINTENANCE FEE (IMF) UNLESS
SECTION E – SALES TAX / IMF EXEMPTION EXEMPT. THE TAX IS 5% OF THE SALES PRICE UP TO A MAXIMUM OF $500.00. (MOBILE HOMES ARE CALCULATED DIFFERENTLY.) NEW RESIDENTS
MOVING INTO SC ARE SUBJECT TO THE $250.00 IMF FOR VEHICLES ALREADY TITLED IN THEIR NAME.

TRANSFERRED FROM: TRANSFERRED AS: MILITARY: OTHER:

PARENT SPOUSE LEGAL HEIR ACTIVE DUTY NON THIS VEHICLE WAS A BONAFIDE GIFT
RESIDENT
TAX CREDIT PAID IN RECIPROCAL STATE:
CHILD BROTHER/SISTER BENEFICIARY SPOUSE/DEPENDENT
$____________________

GRANDPARENT GRANDCHILD DISTRIBUTEE

SECTION F – SELLER INFORMATION

SELLER OR DEALER NAME SC DEALER/WHOLESALER NO. SC SALES TAX NO. SALES PRICE TRADE-IN

SELLER/DEALER ADDRESS CITY STATE ZIPCODE

SECTION G – INSURANCE CERTIFICATION NOT REQUIRED FOR TITLE ONLY

A VEHICLE MUST BE INSURED WITH LIABILITY INSURANCE COVERAGE WHEN IT IS REGISTERED AND IT MUST REMAIN INSURED WHILE REGISTERED, WHETHER OR NOT IT IS OPERATED, OR
THE UNINSURED MOTORIST FEE MUST BE PAID. PENALTIES ARE SEVERE FOR VIOLATION OF THIS REQUIREMENT.

UNDER PENALTIES OF PERJURY, I (WE) DECLARE THAT THIS VEHICLE IS INSURED BY A LIABILITY INSURANCE POLICY ISSUED THROUGH AN INSURANCE COMPANY LICENSED TO DO BUSINESS
IN SOUTH CAROLINA AND IT WILL REMAIN INSURED THROUGHOUT THE REGISTRATION PERIOD.

NAME OF INSURANCE COMPANY ______________________________________________________________________________________________________

SECTION H – DONATE LIFE SC YES, I WISH TO DONATE $5.00, MORE OR LESS, TO DONATE LIFE SC. AMOUNT $___________________________

SECTION I – SIGNATURE OF OWNER

UNDER PENALTIES OF PERJURY, I DECLARE THAT I AM THE OWNER OF THIS VEHICLE AND REQUEST THAT A SOUTH CAROLINA CERTIFICATE OF TITLE AND/OR REGISTRATION BE ISSUED. I
FURTHER CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. THE VEHICLE IS SUBJECT TO THE LIENS NAMED AND NO OTHERS. ALSO, IF
REGISTERING A COMMERCIAL VEHICLE OVER 10,000 LBS.., I CERTIFY THAT I AM FAMILIAR WITH THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS AND/OR FEDERAL HAZARDOUS
MATERIALS REGULATIONS. MUST BE SIGNED IN INK BY OWNER OR AUTHORIZED AGENT (ATTACH POWER OF ATTORNEY IF APPLICABLE)

_______________________________________________________________________ __________________________________________________________________
SIGNATURE OF OWNER DATE SIGNATURE OF CO-OWNER DATE

DISCLOSURE STATEMENT REQUIRED FOR VEHICLES 26,000 LBS. OR BUS COMMON CARRIER ONLY.

56-3-240 (SOUTH CAROLINA CODE OF LAWS) - THE DEPARTMENT SHALL OBTAIN THE FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER WHEN A VEHICLE IS
REGISTERED WITH A GROSS VEHICLE WEIGHT OF MORE THAN 26,000 POUNDS OR A BUS COMMON CARRIER. THE DRIVER PRIVACY PROTECTION ACT OF 1994 (DPPA), 18 USC SECTION 2721-
2725 RESTRICT THE DISCLOSURE OF PERSONAL INFORMATION CONTAINED IN OUR RECORDS.

SSN ___________________________________________________________ OR FEIN ___________________________________________________________

FEES

FAILURE TO REGISTER WITHIN 45 DAYS OF THE DATE OF PURCHASE OR THE DATE OF

TRANSFER FEE: $10.00 OPERATION IN SOUTH CAROLINA WILL RESULT IN PENALTY FEES IN ADDITION TO REGULAR
TITLE FEE: $15.00 SALES TAX / IMF: 5% OF TITLE AND/OR REGISTRATION FEES. THE LATE PENALTY FEE SCHEDULE IS AS FOLLOWS:
EXPEDITED TITLE FEE: $20.00 SELLING PRICE OR $500.00 MAX. 46 - 60 DAYS LATE - $10.00 61 - 75 DAYS LATE - $25.00 76 - 135 DAYS LATE - $50.00
IF MAILED, CAN NOT BE EXPEDITED OVER 135 DAYS LATE - $75.00

THIS SECTION FOR DEALERS ONLY THIS SECTION FOR DMV USE ONLY

THE ABOVE VEHICLE IS FOR:

_____________________________ __________________
DEALER USE RETAIL RENTAL PROCESSED BY AND OFFICE # PLATE NUMBER