Individual-owned Shared Vehicle Certificate Application Information

• Fields marked with * are required.

Owner Name

Last Name

First Name

Middle Initial

Street Address Where the Car is Physically Located in Arizona

(Please provide a physical address in Arizona, not a P.O. Box address)

Address

Apt/Suite/Other

City

State

Zip

Country

Individual-owned Shared Vehicle Information

Vehicle Identification Number (VIN)

State Vehicle is Registered

Select Choose File to browse and select to upload to a TIFF file. Only one file can be uploaded. Note: Multiple images can be combined into one TIFF file.
For more information visit https://azdor.gov/transaction-privilege-tax-tpt/peer-peer-car-rental.

File Name and Path

	I certify that I have paid transaction privilege or use tax when I purchased this vehicle.
	Executing a false or fraudulent document will subject the individual to criminal felony penalties pursuant to A.R.S. § 42-1127(B).