City of Fairfax
Vehicle Registration or Correction and Personal Property Tax Return
*
Indicates Required Information
General Information
Owner's First name:
*
Owner's Last name:
*
Social Sec. Number
*
Co-owner's First name:
Co-owner's Last name:
Co-owner's SSN:
Mailing Address:
*
City:
*
State:
*
Zip code:
*
Driver's City Address:
City:
State:
Zip code:
Phone Number:
*
(Where We May Contact You)
E-Mail Address:
*
(Where We May Contact You)
Active Military?
- - -
Yes
No
IMPORTANT:
Non-Resident
Military Personnel
Re-Certification
You must personally appear in the Office of the Commissioner of the Revenue in order to receive a military exemption.
Account Number:
Vehicle Information
Registering a NEW VEHICLE OR CORRECTING Existing Information
Registering a NEW VEHICLE
Date vehicle moved in City of Fairfax:
MM/DD/YYYY
Date vehicle purchased/leased:
MM/DD/YYYY
Moved from (City/State):
Vehicle location in the City:
CORRECTING Existing Information
Date Vehicle sold or disposed of:
MM/DD/YYYY
Date vehicle moved from City of Fairfax:
MM/DD/YYYY
New Address Moved To:
City/State/Zip:
Complete Vehicle Information
Vehicle I.D. Number:
*
Date Purchased:
*
MM/DD/YYYY
Year: (YYYY)
*
Make:
*
Model:
*
Tag Number:
*
State:
*
Body Style:
*
- Choose One -
2D SDN
4D SDN
Motorcycle
Station Wagon
SUV
Trailer
Truck
Van
Weight:
Title Number:
*
(If not available, enter eight "9"'s)
Cost:
*
A/C:
- - -
Yes
No
Number of Cyls.:
- Choose One -
4 Cylinder
6 Cylinder
8 Cylinder
Fuel:
- Choose One -
Gas
Diesel
Vehicle Mileage:
Is this vehicle leased?
*
- - -
Yes
No
If
Yes
, Please provide the following Information:
Name of leasing company:
Driver's Name:
Driver's SSN:
Percentage of Use
*
:
Both fields must sum to 100%.
Personal:
% Business:
%
*
Indicates Required Information
City of Fairfax, Commissioner of the Revenue
10455 Armstrong St., Fairfax, VA
703.385.7880