York County
Notice of Disposition or Relocation for a VEHICLE

Using this form you may notify this office your vehicle has been relocated out of York County or disposed. The tax on this vehicle may be prorated, based on the information you supply. DMV will be verified and notified as appropriate. This office will notify via e-mail acknowledging receipt of this statement.

TAXPAYER INFORMATION

*Required Fields-registration cannot be accepted without these areas complete
OWNER 1:
Last Name*     First Name* 
Middle Initial      Suffix (Sr., Jr. etc.)   
OWNER 2: (Required if more than one owner)
Last Name      First Name   
Middle Initial      Suffix (Sr., Jr. etc.)   
Address Line 1*     Apt/Lot/Suite No. 
Address Line 2       Apt/Lot/Suite No. 
City*     State*     Zip*  -

VEHICLE INFORMATION

Year*     Make*     Model* 
Engine Size  (enter CC's/Cylinders)
Vehicle ID Number*     Title Number* 
License Plate*     Date Sold (MM/DD/YYYY) 
Date moved out of York County     
Locality/State vehicle moved to   

Comments:
 

I/We do hereby swear (or attest) that the above information is complete and correct to the best of my/our knowledge and belief. By placing your initials in the appropriate box, it will be equivalent to your signature.
OWNER 1 initials*      OWNER 2 initials   

Daytime phone number 

E-mail* 

Please verify your information and