Vsa 153 form 2025

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4.8 out of 5

144 votes

The document is a Vehicle Services Payment Authorization form used by customers to authorize payment to the DMV via fax. It includes sections for applicant information, vehicle details, dealer information, and credit card payment authorization. Customers must complete the form and fax it to the appropriate DMV work center based on their transaction type.

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Click ‘Get Form’ to open the VSA 153 form in the editor.
Begin by filling out the 'APPLICANT INFORMATION' section. Enter your name, DMV customer number, daytime telephone number, mailing address, city, state, and ZIP code.
Next, move to the 'VEHICLE INFORMATION' section. Provide details such as plate number, VIN, make, year, title number, and state of title.
In the 'DEALER INFORMATION' section, select the application type and add any relevant comments.
Proceed to the 'PAYMENT AUTHORIZATION' section. Choose your credit card type (MasterCard, Visa, Discover, American Express) and fill in the name on the card, daytime telephone number, credit card number, amount to be charged, expiration date (mm/yy), and sign where indicated.
Finally, identify the applicable Work Center for your transaction and fax the completed form to the appropriate fax number listed in the Transaction/Fax Information section.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (144 Votes)
2015	4 Satisfied (35 Votes)

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