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Application For Transfer Disabled Veteran Or Former Prisoner Of War BMV 4506 - Ohio
| Application For Transfer Disabled Veteran Or Former Prisoner Of War Form. This is a Ohio form and can be used in Vehicle Registration Bureau Of Motor Vehicles Statewide . |
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OHIO BUREAU OF MOTOR VEHICLES APPLICATION FOR TRANSFER DISABLED VETERAN OR FORMER PRISONER OF WAR OHIO LICENSE PLATES TYPE OR PRINT REGISTRATION INFORMATION FOUND ON OHIO REGISTRATION CARD. OHIO LICENSE PLATE NUMBER VEHICLE INFORMATION FROM OHIO CERTIFICATE/MEMORANDUM TITLE. VEH. YEAR VEH. MAKE VEH. TYPE VEH. COLOR CERTIFICATION OF TITLE NUMBER VEHICLE SERIAL NUMBER OWNER INFORMATION OWNER NAME OHIO ADDRESS JOINT OWNER NAME Fill in city name ONLY if you live inside corporation limits. OWNER'S PHONE NUMBER SOCIAL SECURITY NUMBER STATE ZIP CODE ( CITY ) OHIO COUNTY OF RESIDENCE Fill in township ONLY if you live outside corporation limits. INCORPORATED CITY TOWNSHIP YES YES NO NO 1. Is your license plate registration under suspension or revocation under Ohio Financial Responsibility Law? 2. Has the motor vehicle being registered been operated by the owner on public roads or highways prior to date of the application? *OLD VEHICLE DATA VEHICLE YEAR VEHICLE MAKE VEHICLE TYPE VEHICLE SERIAL NUMBER FIRST NAME CITY STATE MI ZIP CODE SOLD TO (LAST NAME) ADDRESS *NOTE: Old Vehicle MUST be sold in order to transfer your license plates. PROOF OF FINANCIAL RESPONSIBILITY I Affirm that the owners (or lessees of leased vehicle) now have insurance or other proof of financial responsibility (FR Proof) covering this vehicle and will not operate or permit the operation of any vehicle without FR Proof; All pervious registration fees due have been paid and this plate category is correct. I also affirm that the vehicle described above is not to be used for farm or commercial purposes unless registered as farm or commercial, as defined under O.R.C. 4501.01 and 4503.04, that my statements are correct, that the vehicle is lawfully entitled to registration, and that I grant limited Power of Attorney to the Registrar and Deputy Registrar to renew the vehicle registration. SIGNATURE OF OWNER(S) DATE X IMPORTANT 1. The following items must be returned to the: Ohio Bureau of Motor Vehicles, P.O. Box 16521, Columbus, Ohio 432166521 Attention: Gratis Unit. a. Completed and signed Application for Transfer. b. Certificate of Title Or Memorandum Title (original document not a copy). Leased vehicles, the original Certificate of Title along with a copy of the signed Lease Agreement must be sent. c. Self-addressed, stamped envelope for return of your title document. d. Current registration card for old vehicle. 2. Failure to follow instructions may delay the processing of your application. WARNING: Applicant giving false information is subject to prosecution O.R.C. Section 2921.13. Application must be signed by the owner(s) as named on certificate of title. Contact this office at (614) 752-7518 for more information or go to www.ohiobmv.com BMV 4506 8/06 American LegalNet, Inc. www.FormsWorkflow.com
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