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DATE MM/DD/YYYY INDIANA PERSONAL AUTO APPLICATION AGENCY APPLICANT S NAME AND MAILING ADDRESS Include county ZIP 4 NAIC CODE TELEPHONE NUMBER CO/PLAN CODE POL SUBCODE AGENCY CUSTOMER ID EFFECTIVE DATE RESIDENCE CURRENT RESIDENCE IS YRS AT ADDR PREVIOUS ADDRESS If less than 3 years CURR PREV OWNED EXPIRATION DATE VEH YEAR TOTAL NUMBER OF VEHICLES IN HOUSEHOLD MAKE MODEL AND BODY TYPE COST NEW SYMBOL AGE GRP PASSIVE AIRBAG SEAT BELT DRV/BOTH TERR M...
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To fill out the Indiana personal automobile application, follow these steps:

01
Retrieve the application form: Obtain the Indiana personal automobile application form either online from the Indiana Bureau of Motor Vehicles website or by visiting a local BMV office.
02
Provide personal information: Begin by filling out the required personal information section. This includes your full name, address, contact details, date of birth, and Social Security number.
03
List the vehicles: Indicate the details of each vehicle you own or drive, including the make, model, year, vehicle identification number (VIN), and license plate number. If you have multiple vehicles, continue adding them to the application form.
04
Mention insurance details: Provide the necessary information regarding your current automobile insurance policy. This includes the insurance company name, policy number, effective dates, and coverage amounts.
05
Include additional drivers: If there are other individuals who regularly drive your vehicle, such as family members or friends, specify their details in the additional drivers section. Include their full name, date of birth, driver's license number, and relationship to you.
06
Declare any accidents or violations: If you have been involved in any accidents or received traffic violations within the past few years, disclose this information in the accidents/violations section. Provide the dates, descriptions, and any resulting claims.
07
Sign and date the application: After completing the form, carefully review all the information you have provided. Once you are satisfied, sign and date the application.

Who needs the Indiana personal automobile application?

01
Indiana residents: Any individual residing in the state of Indiana who owns a personal automobile or plans to drive a car regularly must complete the Indiana personal automobile application.
02
New vehicle owners: If you have recently purchased a vehicle and need to register it with the Indiana BMV, you will need to submit the personal automobile application along with other required documents.
03
Drivers seeking automobile insurance: Many insurance providers require individuals to fill out the Indiana personal automobile application as part of the insurance application process. This helps determine the coverage and premium rates for the policy.
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Indiana personal automobile application is a form that needs to be filed to apply for personal automobile insurance in the state of Indiana.
Any person who wants to obtain personal automobile insurance in Indiana is required to file the indiana personal automobile application.
To fill out the indiana personal automobile application, you need to provide information such as your personal details, driving history, vehicle details, and any additional information required by the insurance company.
The purpose of the indiana personal automobile application is to gather relevant information about the applicant and their vehicle in order to determine their eligibility and calculate the appropriate insurance premium.
The indiana personal automobile application typically requires information such as the applicant's name, address, contact details, driver's license number, vehicle details including make, model, and VIN, driving history, previous insurance information, and any additional drivers to be covered under the policy.
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