Charlottesville, VA · City of Charlottesville
High Mileage Application (Passenger Vehicles Only)
Passenger vehicle owners file this application with Charlottesville’s Commissioner of the Revenue to request a high-mileage adjustment and provide supporting vehicle documentation.
What this form is
This application lets passenger vehicle owners provide information about themselves and their vehicle to request a high-mileage adjustment. Complete, sign, date, and return it with one listed supporting document for the vehicle; the document must show the VIN and be dated before January 1. The form says you need not apply every year, though you may need to reapply to qualify when minimum mileage amounts change.
Who needs it
Passenger vehicle owners seeking a high-mileage adjustment submit this application with supporting evidence for the vehicle.
How to submit it
Complete, sign, and date the form, attach one required vehicle document, and return it to the Commissioner of the Revenue at 605 E. Main Street, Room A130, Charlottesville, VA 22902-2964.
About notarization
This application is signed and dated without a notary; its certification is made under penalty of perjury, and no notarized attachment is listed.
How to submit this form
- 1
Download The Application
Download the High Mileage Application for passenger vehicles.
- 2
Complete The Form
Fill in the owner and vehicle information, then sign and date the certification.
- 3
Gather A Vehicle Document
Attach one listed document showing the vehicle's VIN and dated before January 1.
- 4
Submit The Application
Return the application and supporting document to the Commissioner of the Revenue at the address on the form.
Frequently asked questions
- Do I need a notary for the High Mileage Application?
- No. The owner signs and dates the application, whose certification is made under penalty of perjury. The form does not list a notarized attachment.
- How do I submit the High Mileage Application?
- Return the completed, signed, and dated application with one required vehicle document to the Commissioner of the Revenue at 605 E. Main Street, Room A130, Charlottesville, VA 22902-2964.
- What documentation must I attach?
- Attach an unadulterated inspection receipt, an oil change or service repair receipt from a vehicle care center or service station, or a title issued within the past 60 days. The document must show the VIN and be dated before January 1.
- Do I need to apply every year?
- No. The form says you need not apply every year, but changing minimum mileage amounts may mean you need to reapply in the future to re-qualify.
Need something notarized?
This High Mileage Application (Passenger Vehicles Only) doesn’t need a notary — but if you have another Charlottesville form that does, a commissioned online notary can help.