The Ohio BMV Application Form is a crucial document used for applying for a certificate of title to a motor vehicle. This form helps individuals declare ownership and provides necessary details about the vehicle and its previous ownership. Completing the application accurately is essential to ensure a smooth title transfer process.
The Ohio BMV Application form is a crucial document for anyone looking to obtain or replace a certificate of title for a motor vehicle in Ohio. This form serves multiple purposes, including applying for an original title, a duplicate title, a replacement title, or a salvage title. Applicants must provide essential information, such as their name, Social Security Number or Employer Identification Number, and addresses for both primary and secondary applicants. It also requires details about the vehicle, including its year, make, model, and Vehicle Identification Number (VIN). Moreover, the form asks for a declaration of ownership and any existing liens on the vehicle. Applicants must indicate how they acquired the vehicle, and if applicable, provide information about the previous owner. Fees may apply, particularly if the application is not submitted within 30 days of assignment. Notably, the form emphasizes the importance of accuracy, warning applicants against providing false statements, which can lead to severe penalties. Finally, the signature of the applicant and a notary public are necessary to validate the application, ensuring compliance with Ohio law.
OHIO 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
SSN / EIN
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:
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 OwnerIs Seller a Minor? Yes Address of Previous Owner
No
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.
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
$
VENDOR’S 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.
Applicant’s signature
X
Is Applicant a Minor?
Yes
Sworn to and subscribed in my presence this
day of
, 20
in
County,
State of
.
(Notary Seal)
My commission expires
Signature of Notary Public or other Authorized Officer by law
BMV 3774 3/20 [17601081]
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