Ohio > Statewide > Bureau Of Motor Vehicles > Title Related
Applications For Certificate Of Title To A Motor Vehicle BMV 3774 - Ohio
| Applications For Certificate Of Title To A Motor Vehicle Form. This is a Ohio form and can be used in Title Related Bureau Of Motor Vehicles Statewide . |
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DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES APPLICATION(S) FOR CERTIFICATE OF TITLE TO A MOTOR VEHICLE (Type or Print in Ink) CHECK TYPE OF APPLICATION(S) Fee of $5.00 for failure to apply for title within 30 days of assignment. COUNTY PRIMARY APPLICANT'S NAME PRIMARY APPLICANT'S ADDRESS SECONDARY APPLICANT'S NAME SECONDARY APPLICANT'S ADDRESS Hereby declares under penalty of perjury that he/she is the lawful (owner/purchaser/lien holder) of the following described motor vehicle and hereby makes application for the following: SSN/EIN SSN/EIN ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO, Previous Title No., Registration, etc. Applicant acquired said motor vehicle by (state how acquired) from: Name of Previous Owner Address of Previous Owner The following is a full statement of all liens on said motor vehicle. If no lien state "none", if more than one lien, attach statement of all additional liens. Lien Holder /E Code # Address DUPLICATE CERTIFICATE OF TITLE Applicant states that Certificate of Title Number that said 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 said Certificate of Title be hereby has been lost, stolen, destroyed ; recovered by this applicant he will deliver same to the Clerk of Courts for cancellation. The following is a full statement of all liens on said motor vehicle. If no lien state "none", if more than one lien, attach statement of all additional liens. Lien Holder /E Code # Address REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number SALVAGE CERTIFICATE OF TITLE Applicant states that the original Certificate of Title Number has been surrendered to the Clerk of Courts. YEAR BODY TYPE PURCHASE PRICE $ VENDOR'S NUMBER CONDITION OF VEHICLE (Check only one) TAX EXEMPTION: YES REASON VIN MAKE TRADE IN AMOUNT $ PERMIT NUMBER GOOD FAIR MODEL CONVERSION SALES/USE TAX $ SALES CREDIT AMOUNT $ POOR WRECKED Warning: You are required by law to state the true selling price. A false statement is in violation of section 2921.13 of the Ohio Revised Code and is punishable by six months imprisonment and a fine of up to one thousand dollars or both. All transfers are audited by the 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. Applicant's signature X Sworn to and subscribed in my presence by this day of 20 . (Seal) BMV 3774 12/07 Clerk, Deputy of Clerk of Courts - Notary X American LegalNet, Inc. www.FormsWorkflow.com
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