1.
Purchase price of vehicle (including freight & accessories) .......
2.
Other taxable charges (
documentary, service, temp. reg. fees, etc.
)
2a. Optional electronic $24 filing fee......................................
3.
Trade-in sales tax credit .....................................................
4.
Total taxable price (line 1 + line 2 + line 2a - line 3) ...............
5.
Sales tax + plate fee + title fee (from total above) ...........
6.
Non-taxable charges (labor, service contract, etc.) .................
7. Total delivered price (line 1 + line 2 + line 2a + line 5 + line 6)
8.
Cash on deposit ...................................................................
9. Cash due on delivery....................
Trade-in .........................................
Minus lien .....................................
Total down payment .............................................................
Unpaid balance to be financed ..........................................
Insurance/additional product charge*.................................
Total amount of finance contract (line 13 + line 14)
Purchaser warning: Do not sign a blank form
I am purchasing or leasing this vehicle and am applying for a Michigan certicate of title and registration or, if the lessee, applying for a registration. I certify that my driver’s license is not
suspended, revoked, or denied as a repeat offender and I am eligible to purchase or register this vehicle. I further certify that if a tax exemption is shown above it is valid.
Note to purchasers: If you do not receive your vehicle title within 45 days, contact the Department of State Information Center at 888-767-6424.
Authority granted by P.A. 300 of 1949, as amended.
Form must be typed only. See Dealer Manual for permitted handwritten corrections.
RD-108 (rev. 01/23)
Michigan Department of State Application for Title and Registration
Statement of Vehicle Sale
Purchase date
Delivery date
ZIP code:
Vehicle sold:
New
Trade-in
Trade-in year Vehicle Identication Number (VIN)
Vehicle registration to transfer plate
Expires 30 days after delivery date
Make
Plate transferred from:
Vehicle Identication Number (VIN):
Plate number:
Vehicle history and title brand disclosure
Police vehicle
Municipal vehicle
Taxi
Vehicle has been flood damaged
Salvage title was previously issued
Odometer mileage disclosure
The odometer mileage reading must match the mileage reading disclosed to the
purchaser on the title or mileage statement.
Actual mileage
Not actual mileage
Exempt
Phone number
State: MI
Sales tax
license number
Trade-in make
Year
No tenths
Recreation Passport?
Remarks:
I certify this vehicle was delivered to the named purchaser or lessee on the
delivery date indicated above, all information on this form is accurate and
the vehicle is subject only to the secured interest listed on this form. I certify
the dealership will apply for title and registration in the purchaser’s name
within 21 days of the delivery date, and that I have provided paper or
electronic copies of all signed documents to the purchaser.
Signature of dealer’s agent
Title
Dealer:
Street address:
City:
County:
Dealer license number
Plate expiration date:
Month Day
Year
New plate
Renewal
Months
Year Make Body style
Vehicle Identification Number
Base MSRP or empty weight
County of residence
License plate fee
Title fee
Plate transfer fee
Complete names and address of all owners or lessor
Complete names and address of all lessees
Titl
e late fee: $50 ($100 for B
dealer floor planned vehicles)
Sales t
ax
Total - transfer to line 5
Full rights to survivor
Yes No
Michigan No-Fault insurance company Policy or binder number
Lien filing date:
Secured interest:
Street address:
City, state, ZIP:
*Warning: This insurance is not PL/PD No-Fault insurance required by Michigan law.
Credit life insurance
Gap or waiver
Health & accident insurance
BFS-4 temporary registration number (this number may be handwritten)
Printed name of salesperson
$
$
Stock number
Plate number
Printed name of dealer’s agent
X
10.
11.
12.
13.
14.
15.
Driver's license, ID, or FEIN number of all owners or lessees
1) 2)
3)
Purchaser or lessor’s signature
Date Date
X
Co-purchaser’s signature
X
Lessee’s signature
X
Co-lessee’s signature
X
Co-lessee’s signature
Date Date
Date
Date
X
X
Transfer
Lien code ID:
Yes
No Purchaser or lessee’s initials:
Used Demo
Yes No
Co-purchaser’s signature
Title only
I have selected and agree
to pay the optional $24
electronic filing fee
Customer initial
s
Used vehicle dealers only
Floor planned inventory lender:
c
CLEAR FORM
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