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    bmv3774 Ohio

    Uploaded by

    jamm247
    This document is an application for a certificate of title to a motor vehicle from the Department of Public Safety Bureau of Motor Vehicles. It collects information about the primary and secondary applicants such as name, SSN/EIN, and address. It also requests information about the vehicle like the year, VIN, model, body type, and make. The applicant declares their status as the lawful owner, purchaser, or lien holder and the method of acquisition. They must provide details of any existing liens on the vehicle and sign and date that all information provided is true.

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    © All Rights Reserved
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    bmv3774 Ohio

    Uploaded by

    jamm247
    105 views1 page
    This document is an application for a certificate of title to a motor vehicle from the Department of Public Safety Bureau of Motor Vehicles. It collects information about the primary and secondary applicants such as name, SSN/EIN, and address. It also requests information about the vehicle like the year, VIN, model, body type, and make. The applicant declares their status as the lawful owner, purchaser, or lien holder and the method of acquisition. They must provide details of any existing liens on the vehicle and sign and date that all information provided is true.

    Original Description:

    Ohio BMV Title Request

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    © © All Rights Reserved

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    This document is an application for a certificate of title to a motor vehicle from the Department of Public Safety Bureau of Motor Vehicles. It collects information about the primary and secondary applicants such as name, SSN/EIN, and address. It also requests information about the vehicle like the year, VIN, model, body type, and make. The applicant declares their status as the lawful owner, purchaser, or lien holder and the method of acquisition. They must provide details of any existing liens on the vehicle and sign and date that all information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    105 views1 page

    bmv3774 Ohio

    Uploaded by

    jamm247
    This document is an application for a certificate of title to a motor vehicle from the Department of Public Safety Bureau of Motor Vehicles. It collects information about the primary and secondary applicants such as name, SSN/EIN, and address. It also requests information about the vehicle like the year, VIN, model, body type, and make. The applicant declares their status as the lawful owner, purchaser, or lien holder and the method of acquisition. They must provide details of any existing liens on the vehicle and sign and date that all information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    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 APPLICANTS NAME SSN/EIN
    PRIMARY APPLICANTS ADDRESS
    SECONDARY APPLICANTS NAME SSN/EIN
    SECONDARY APPLICANTS 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:
    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

    has been
    ;
    that said motor vehicle has not been sold or disposed of except as stated below:
    lost, stolen, destroyed

    The vehicle is in the possession of



    residing at and that if said Certificate of Title be hereby


    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 VIN MODEL
    BODY TYPE MAKE CONVERSION
    PURCHASE PRICE $ TRADE IN AMOUNT $ SALES/USE TAX $
    VENDORS NUMBER PERMIT NUMBER SALES CREDIT AMOUNT $
    CONDITION OF VEHICLE (Check only one)
    GOOD FAIR POOR WRECKED
    TAX EXEMPTION:
    YES
    REASON
    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.
    Applicants signature X

    Sworn to and subscribed in my presence by

    this

    day of

    20
    .
    (Seal)
    Clerk, Deputy of Clerk of Courts - Notary
    X

    BMV 3774 12/07

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