Ohio > County (Court Of Common Pleas) > Lorain > Title Office
Application For Certificate Of Title To A Motor Vehicle - Ohio
| Application For Certificate Of Title To A Motor Vehicle Form. This is a Ohio form and can be used in Title Office Lorain County (Court Of Common Pleas) . |
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Ron Nabakowski Lorain County Clerk of Courts APPLICATION FOR CERTIFICATE OF TITLE TO A MOTOR VEHICLE Type or Print in Ink Check the Type of Application(s) Applicant's Name Applicant's Address Applicant hereby declares under penalty of perjury that He/She is the lawful motor vehicle and hereby makes application(s) for the following: SSN or EIN County of the following described (owner / purchaser / lienholder) ORIGINAL CERTIFICATE OF TITLE: Applicant acquired this motor vehicle from previous owner: Previous owner's Address: Dealer Permit # Evidence of Ownership MCO, Previous Title No. Registration, etc. Vendor # The following is a full statement of all liens on this motor vehicle. If none state "None" If more than One, attach a statement of all additional liens. Lienholder Address DUPLICATE CERTIFICATE OF TITLE: Odometer reading required. has been lost, stolen or destroyed Applicant states that Certificate of Title Number and that the motor vehicle has not been sold or disposed of except as stated below. The vehicle is in the possession of residing at and that if the Certificate of Title is hereafter recovered by the applicant he/she will deliver the Title to the Lorain County Clerk of Courts for cancellation. CURRENT ODOMETER READING IS thousands , hundreds . X MEMORANDUM CERTIFICATE OF TITLE: For certificate of Title Number SALVAGE CERTIFICATE OF TITLE: Certificate of Title Number Applicant states that the original Certificate of Title has been surrendered to the Clerk of Courts Year Vehicle Condition ( check only one) Make Good Fair Model Poor Wrecked Body Type VIN WARNING: You are required by law to state the true selling price. A false statement is in violation of sec. 2921.13 O.R.C. and is punishable by up to six months imprisonment and a fine of up to one thousand dollars or both. All transfers are audited by the Ohio Department of Taxation. The seller and buyer must provide any information requested by the Department of Taxation. The buyer may be assessed any additional tax found to be due. Purchase Price $ Tax Exemption: Yes Reason Trade In Amount $ Sales credit Amount $ AN ADDITIONAL FEE OF $5.00 IS REQUIRED FOR FAILURE TO APPLY FOR A TITLE WITHIN 30 DAYS OF ASSIGNMENT. Applicant's Signature Sworn to and subscribed in my presence by Clerk, Deputy Clerk - Notary (SEAL) $ $ American LegalNet, Inc. www.USCourtForms.com this Gross Tax day of Net Tax 20 Ron Nabakowski Lorain County Clerk of Common Pleas Court Page 1 of 2 APPLICATION FOR CERTIFICATE OF TITLE TO A MOTOR VEHICLE IMPORTANT APPLICATION INFORMATION Title Fees are established by O.R.C. 4505.09 as follows: 1. Application for Certificate of Title $5.00. 2. Application for Duplicate Certificate of Title $5.00. 3. Application for Memorandum Certificate of Title $5.00. 4. Notation of Lien $5.00. 5. Ohio Sales Tax: 5.75% of purchase price. 6. Late Application (30 days after assignment) $5.00. All applications must be completed, sign and notarized. Your title fees may be paid by personal check. Individual sales tax must be paid by money order or a certified bank check , Unless the Name and Address on the Check match the Title Information. Companies and Dealers sales tax must be paid by money order, certified bank check or company check with a bank letter of credit. Upon completion of the application please mail it with your fees and a self addressed stamped envelope to the following address: Ron Nabakowski Lorain County Clerk of Courts P..O. Box 758 Elyria, Ohio 44036 If you are sending anything overnight ( i.e. fedex, ups ) it must send to: Ron Nabakowski Lorain County Clerk of Courts 226 Middle Avenue Elyria, Ohio 44035 If you have any question please feel free to call: (440) 329-5130 American LegalNet, Inc. www.USCourtForms.com
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