MHA WORK SHEET

Complete the information below for each vehicle registered to ensure quick processing. Completely Fill In All Requested Information For This Specific Vehicle

Name___________________________________PMB #___________.

1)Social security # for you: _ _ _-_ _ -_ _ _ _      Other Owner  _ _ _ -_ _ -_ _ _ _
2)Year of Vehicle: _____________.
3)Make/Manufacturer of vehicle: _______________________.
4)Model of vehicle: _________________________________.
5)Primary Color: ________________________.
6)Gas or Diesel: ________________________
7)For RV’s & Heavy Towing Vehicles Number of Axles: _____. Number of Tires: ____.
8)Length of RV: _________________.  RV Width: ________________.
9)If a Motor Cycle then Engine size in Number of CCs: ____________.
10)If a Pickup, is it 2 or 4 wheel drive: _____________________.
11)Shipping weight of RV’s:(Motor Homes, Trailers of all Types and all Vehicles older than1985)This means empty weight from manufacturer or dry weight leaving the factory: _____________.(Shipping weight from manufacturer or Manufacturers Certificate of Origin with weight stated.)
12)Sales Statement/Bill of Sale: _________________________ 
NOTE * Send a copy of the Bill of Sale AND fill in a & b below if applicable
a) Vehicle Identification Number of Trade In: _________________________.
b) Year and Make of trade in: ___________________________.
13)DMV-611 Mileage Disclosures for motorized vehicles need to be filled in regardless of age.
(Be sure to sign and fill in mileage) This form is not needed for trailers of all kinds.
14)DMV-610 SD Uniform Damage Disclosure Statement. (Be sure to sign whether there is damage or not! And also answer questions 1 and 2).
15)DMV-608 SD APPLICATION for MOTOR VEHICLE & TITLE REG.
(Only fill in information in areas that are highlighted and sign the bottom) If the vehicle is in a trusts name, we need a copy of documentation showing when the trust was formed and who the trustees are.
16) Send Original Title or Manufacturer’s Statement of Origin (MSO)
a)On a California title or any other state where taxes have never been paid, South Dakota WILL NOT register unless you have a paper title and proof of taxes paid. If purchased from a dealer we need:
1)Name of Selling Dealer:________________________
2)Address of Selling Dealer:_______________________
3)Dealers Phone #:_______________AND Fax Phone Number #:______________
b) IF your lien holder holds the title:
Lien Holder Information: If you have a lien holder, be sure you fill in the fax # for the titling department ONLY if the lien holder has the title. The privacy act restricts us from contacting your lien holder to obtain your account information. Therefore, you will need to contact them yourself.
Lien Holder Name:_________________________
Address:_____________________, City:__________, State: ______, ZIP: ___________
Phone #____________________ ***Fax #_________________________***
Your Account number: ______________________________ .
17)Phone number to contact you if problems surface: ____________________ .
18)Address that MHA should mail your new plates to:
_______________________________
_______________________________
________________________________
19)Return this packet and necessary forms to “My Home Address, Inc.” along with registration fee and 3% tax if applicable. 

Did you remember to: 1) Enclose payment (call 1-888-494-4499 for $ to send)                            2) Complete worksheet 3) Sign all paperwork

ATTENTION: INCOMPLETE REGISTRATIONS CAN NOT BE PROCESSED!!!!