Prepared and issued as a public service by the office of

23
A GUIDEBOOK FOR NOTARIZING OHIO TITLE DOCUMENTS Prepared and issued as a public service by the office of Erie COUllty Clerk of Courts "This guidebook is based on the original "Guidebook for Notariz- ing Ohio Title Documents" produced and provided by the Frank- lin County Clerk of Courts, Maryellen O'Shaughnessy, Clerk."

Transcript of Prepared and issued as a public service by the office of

Page 1: Prepared and issued as a public service by the office of

A GUIDEBOOK FOR NOTARIZING OHIO TITLE DOCUMENTS

Prepared and issued as a public service by the office of Erie COUllty Clerk of Courts

This guidebook is based on the original Guidebook for Notarizshying Ohio Title Documents produced and provided by the Frankshylin County Clerk of Courts Maryellen OShaughnessy Clerk

Introduction

A Certificate ofTitle is one of the most notarized documents in the State of Ohio It is an important legal document as it officially signifies ownership of a motor vehicle or watercraft vessel

The following guideline was compiled by the Erie County Clerk of Courts ofshyfice and is provided as a courtesy to you

This booklet serves as a general guideline it does not cover every specific asshypect of notarizing certificates of title If you have any questions concerning the notarization of titles or title-related documents please call our Title Dept at 419-627-7626

wwwfranklincountyohiogovclerk

Table of Contents

General Guidelines 1

Assignment of an Ohio Title 2-3

Application of an Obio Title 4-5

Power of Attorney6-7

Odometer 8

Additional Form Samples 9-16

Clerk of Courts Locations 18

Rev 7113 Title Line (419) 627middot7626

ATPS TITLE OFFICE DISTRICTS

Notarizing an Ohio Title - General Guidelines

+ Do not take the acknowledgment on any instrument wherein blanks are left to be filled in later The legal instrument must be completely prepared before notarization is completed

+ When selling a vehicle or watercraft the seller must sign and print their name(s) as it appears on the face of the title

+ Assignments of ownership must be in the form of legal names - Clifton J Smith not CJ Smith - Richard L Jones Jr not Dick Jones

+ Do not under any circumstances white out or scribble out any errors on the title assignment this will void the title and a replacement must be issued

+ Jl someone signs the back of a title on behalf of a company or other entity they must state their position within that entity

- ABC Trucking Company John F Rees Fleet Mgr - Dixie Candy Corp Dennis T Dix Owner - Abel Family Trust Carol A Abel Trustee

+ If the seller or buyer is under 18 years of age the custodial parent or guardishyan must fill out a notarized minor consent fonn (available from the Clerk of Courts Title Office) The minor must bring this consent fornl-along with the certificate of title-to the Clerk of Courts office or the parentguardian must appear in person with the minor at the time of transfer The guardian must provide the court document indicating that they are the legal guardian of the mmor

+ If you take the acknowledgment from a person appointed as power of attorshyney the notarized power of attorney form (available from any of the Clerk of Courts Title Offices or on our web site) must be surrendered at the time of transfer of ownership

- A Durable Power of Attorney is acceptable - A Health Care Power of Attorney is not acceptable

+ If you take the acknowledgment from a person appointed by the Court the Court Order must bear the Judges signature and seal and must be surrendered at the ti me of transfer of ownership

- Court Order appointing Executor Fiduciary Guardian etc Letter of Authority to Transfer

- Relieftrom Administration of Estate 9C Form

Ohio ORC 450502 requires that each applicant must present an official photo identifieation

httpwwweriecountyohgov 1

Assignment of an Ohio Title (Top portion of the back of Title)

I Selling price

2 Date of SaleDelivery

3 Minor (consent form required)

4 Buyer(s) legal name and address

5 Odometer reading as shown on vehicle

6 If odometer is 5 digits and rolled over place (X) in box

(in excess of mechanical limits)

7 If odometer is broken or any other discrepancy exists place (X) in

box

8 Check appropriate box if applicable

9 Printed name(s) of seller(s)

10 Signature ofseller(s

11 Address of selJer(s)

12 Person(s) name who signed in front of you

13 Notary Date

14 Commission expiration date

15 Printed name of Notary Public

16 Signature of Notary Public

17 Notary Seal

Rev 713 Title Line (419) 627-7626

1 O~IJIlI~H) rier _ ~

filled out Notarize onlv jf all lines are com

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111I~dfl ______~______ wC_~

11 1lt Ilul 11 irt)ffll1II1011 IlllClI ill Illh 1fUUll1lh 1 1- tnol 111011(1

httpwwweriecountyohgov 3

4

Application for an Ohio Title (Bottom portion of the back of Title)

I Type of Title

2 Buyer(s) legal name

3 Buyer(s) Social Security Number

4 Buyer(s) physical address

5 County of res idence

6 Purchase price

7 NA (Dealer sale only)

8 NA (Dealer sale only)

9 NA (Dealer sale only)

10 If sale is exempt from tax place (X) in box

I I Reason for exemption

12 NiA (Dealer sale only)

13 N A (Dealer sale only)

14 Condition of vehiclewatercraft

IS Lienholders name and address (if applicable)

bull Ifno liens state none

16 Minor (consent form required)

17A Buyer(s) signature

17B Buyers acknowledgment of mileage

18 Choose (X) printed or (X) non-printed

19 Persons name who signed in your presence

20 Notary Date

21 Commission expiration date

22 Signature ofNotary Public

23 Notary Seal

Rev 7113 Title Line 419-627-7626

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- _-__------ ____-------_

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---~~~ -t~~ l I III bull bullbull thkl J 1 Mf I ~ 1I11t1IIorl dottl

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178

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t ifnf lOr-- It ~hH11ltd1 [J fo Liqjl klIi~tgtJIUlI ____ tH~r Ou~llIj 10gt1 t=J hU

_________ I 3shy_______

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Notarize only ifalilines are completely filled out

httpwwweriecountyohgomiddot 5

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

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tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

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)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

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Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 2: Prepared and issued as a public service by the office of

Introduction

A Certificate ofTitle is one of the most notarized documents in the State of Ohio It is an important legal document as it officially signifies ownership of a motor vehicle or watercraft vessel

The following guideline was compiled by the Erie County Clerk of Courts ofshyfice and is provided as a courtesy to you

This booklet serves as a general guideline it does not cover every specific asshypect of notarizing certificates of title If you have any questions concerning the notarization of titles or title-related documents please call our Title Dept at 419-627-7626

wwwfranklincountyohiogovclerk

Table of Contents

General Guidelines 1

Assignment of an Ohio Title 2-3

Application of an Obio Title 4-5

Power of Attorney6-7

Odometer 8

Additional Form Samples 9-16

Clerk of Courts Locations 18

Rev 7113 Title Line (419) 627middot7626

ATPS TITLE OFFICE DISTRICTS

Notarizing an Ohio Title - General Guidelines

+ Do not take the acknowledgment on any instrument wherein blanks are left to be filled in later The legal instrument must be completely prepared before notarization is completed

+ When selling a vehicle or watercraft the seller must sign and print their name(s) as it appears on the face of the title

+ Assignments of ownership must be in the form of legal names - Clifton J Smith not CJ Smith - Richard L Jones Jr not Dick Jones

+ Do not under any circumstances white out or scribble out any errors on the title assignment this will void the title and a replacement must be issued

+ Jl someone signs the back of a title on behalf of a company or other entity they must state their position within that entity

- ABC Trucking Company John F Rees Fleet Mgr - Dixie Candy Corp Dennis T Dix Owner - Abel Family Trust Carol A Abel Trustee

+ If the seller or buyer is under 18 years of age the custodial parent or guardishyan must fill out a notarized minor consent fonn (available from the Clerk of Courts Title Office) The minor must bring this consent fornl-along with the certificate of title-to the Clerk of Courts office or the parentguardian must appear in person with the minor at the time of transfer The guardian must provide the court document indicating that they are the legal guardian of the mmor

+ If you take the acknowledgment from a person appointed as power of attorshyney the notarized power of attorney form (available from any of the Clerk of Courts Title Offices or on our web site) must be surrendered at the time of transfer of ownership

- A Durable Power of Attorney is acceptable - A Health Care Power of Attorney is not acceptable

+ If you take the acknowledgment from a person appointed by the Court the Court Order must bear the Judges signature and seal and must be surrendered at the ti me of transfer of ownership

- Court Order appointing Executor Fiduciary Guardian etc Letter of Authority to Transfer

- Relieftrom Administration of Estate 9C Form

Ohio ORC 450502 requires that each applicant must present an official photo identifieation

httpwwweriecountyohgov 1

Assignment of an Ohio Title (Top portion of the back of Title)

I Selling price

2 Date of SaleDelivery

3 Minor (consent form required)

4 Buyer(s) legal name and address

5 Odometer reading as shown on vehicle

6 If odometer is 5 digits and rolled over place (X) in box

(in excess of mechanical limits)

7 If odometer is broken or any other discrepancy exists place (X) in

box

8 Check appropriate box if applicable

9 Printed name(s) of seller(s)

10 Signature ofseller(s

11 Address of selJer(s)

12 Person(s) name who signed in front of you

13 Notary Date

14 Commission expiration date

15 Printed name of Notary Public

16 Signature of Notary Public

17 Notary Seal

Rev 713 Title Line (419) 627-7626

1 O~IJIlI~H) rier _ ~

filled out Notarize onlv jf all lines are com

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httpwwweriecountyohgov 3

4

Application for an Ohio Title (Bottom portion of the back of Title)

I Type of Title

2 Buyer(s) legal name

3 Buyer(s) Social Security Number

4 Buyer(s) physical address

5 County of res idence

6 Purchase price

7 NA (Dealer sale only)

8 NA (Dealer sale only)

9 NA (Dealer sale only)

10 If sale is exempt from tax place (X) in box

I I Reason for exemption

12 NiA (Dealer sale only)

13 N A (Dealer sale only)

14 Condition of vehiclewatercraft

IS Lienholders name and address (if applicable)

bull Ifno liens state none

16 Minor (consent form required)

17A Buyer(s) signature

17B Buyers acknowledgment of mileage

18 Choose (X) printed or (X) non-printed

19 Persons name who signed in your presence

20 Notary Date

21 Commission expiration date

22 Signature ofNotary Public

23 Notary Seal

Rev 7113 Title Line 419-627-7626

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- _-__------ ____-------_

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178

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Notarize only ifalilines are completely filled out

httpwwweriecountyohgomiddot 5

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

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Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

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)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

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fVfIj

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llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 3: Prepared and issued as a public service by the office of

Table of Contents

General Guidelines 1

Assignment of an Ohio Title 2-3

Application of an Obio Title 4-5

Power of Attorney6-7

Odometer 8

Additional Form Samples 9-16

Clerk of Courts Locations 18

Rev 7113 Title Line (419) 627middot7626

ATPS TITLE OFFICE DISTRICTS

Notarizing an Ohio Title - General Guidelines

+ Do not take the acknowledgment on any instrument wherein blanks are left to be filled in later The legal instrument must be completely prepared before notarization is completed

+ When selling a vehicle or watercraft the seller must sign and print their name(s) as it appears on the face of the title

+ Assignments of ownership must be in the form of legal names - Clifton J Smith not CJ Smith - Richard L Jones Jr not Dick Jones

+ Do not under any circumstances white out or scribble out any errors on the title assignment this will void the title and a replacement must be issued

+ Jl someone signs the back of a title on behalf of a company or other entity they must state their position within that entity

- ABC Trucking Company John F Rees Fleet Mgr - Dixie Candy Corp Dennis T Dix Owner - Abel Family Trust Carol A Abel Trustee

+ If the seller or buyer is under 18 years of age the custodial parent or guardishyan must fill out a notarized minor consent fonn (available from the Clerk of Courts Title Office) The minor must bring this consent fornl-along with the certificate of title-to the Clerk of Courts office or the parentguardian must appear in person with the minor at the time of transfer The guardian must provide the court document indicating that they are the legal guardian of the mmor

+ If you take the acknowledgment from a person appointed as power of attorshyney the notarized power of attorney form (available from any of the Clerk of Courts Title Offices or on our web site) must be surrendered at the time of transfer of ownership

- A Durable Power of Attorney is acceptable - A Health Care Power of Attorney is not acceptable

+ If you take the acknowledgment from a person appointed by the Court the Court Order must bear the Judges signature and seal and must be surrendered at the ti me of transfer of ownership

- Court Order appointing Executor Fiduciary Guardian etc Letter of Authority to Transfer

- Relieftrom Administration of Estate 9C Form

Ohio ORC 450502 requires that each applicant must present an official photo identifieation

httpwwweriecountyohgov 1

Assignment of an Ohio Title (Top portion of the back of Title)

I Selling price

2 Date of SaleDelivery

3 Minor (consent form required)

4 Buyer(s) legal name and address

5 Odometer reading as shown on vehicle

6 If odometer is 5 digits and rolled over place (X) in box

(in excess of mechanical limits)

7 If odometer is broken or any other discrepancy exists place (X) in

box

8 Check appropriate box if applicable

9 Printed name(s) of seller(s)

10 Signature ofseller(s

11 Address of selJer(s)

12 Person(s) name who signed in front of you

13 Notary Date

14 Commission expiration date

15 Printed name of Notary Public

16 Signature of Notary Public

17 Notary Seal

Rev 713 Title Line (419) 627-7626

1 O~IJIlI~H) rier _ ~

filled out Notarize onlv jf all lines are com

~~I~~~~1 L8~ middotl~~~~~~~ d~d bullbull Jill N ~_ L_~_ bullbull 111kf Ir 1 s_ Elf 3- xlkr h~~ J 1 J 0

1~IlnnliH~llfltllfilIlUIII(~ ___~_ _________

rrJkli ~ j1 111 UUOUf 11111 II (It 11111 uhltfto i 111111111(11111111 Ill I n(u lit ~If hlH hI fHllridr ill p idllll

11101 11I1f1l1L 1 1(Iiilt III OI4I1ld t1l 11t1IriIl)tIl 5 ~l r~irl

I hod It~li(~ lJ L L IIIJ llri Iu nr 11 t ull llIolniJl- llul Ilk fltf rulltgt

fitlt t~ tlfO nhal lIIilur If f~ dHk f-IltH - J 1 fIrltI~t MliUtrll j rfltOtti

6f 1 tit tllk~f ~I~ i ill (11 III

---~ Ih 141ljr11 hlloi~

10 L- h)n~ilr 111( ttIUlJllr

11 ---_bull__-__-----shyII ~II- (H rrll f ptli bull-d JjoliflH

011middot ~ II blaobpatr allm l I he tUllllIrlfd bdurr dII~ kd~cmcnl

nHI It tIlaquol uIInilltJ III I~ IlfCfiil( 1 t~~ h IJI2 14

il~Hi nf tlli- 1l1 U vIIamp( Ohill ~~i-(I (Mt IHI ~ IIHtliurK( ~ 1 lIutfllh inj~fH~U 1 iKM 01 (Il IIHlltr lito

~aiiJl 01 t1111 11 II~~ 1ft JJk4 lit 1bt-1klIo1l1r1l(l1ll1f 11imu lilt wlkr MI~ IHIJrt il PflImtO IlIfllqwilI 1(IIIlrd

_i) t~( 1~U_1JfI~I_~t I~~~~~ _L ~_I~~fI__ ~_J iI~~~~ all~~Liio~_~~_ j~~~ I~___ _

-ll11(middot110 In~ nKIII( IHil middot11111 11 Hmiddot or Prill1in IlIll _ _ ~_

II IH-I)I gtIpoundlrhhJlaquotd [l 101111 (h~k ~_-1 kllJf~1 [J IIItJltliI C 1laquoIvuul tt 0 ih~i(

111I~dfl ______~______ wC_~

11 1lt Ilul 11 irt)ffll1II1011 IlllClI ill Illh 1fUUll1lh 1 1- tnol 111011(1

httpwwweriecountyohgov 3

4

Application for an Ohio Title (Bottom portion of the back of Title)

I Type of Title

2 Buyer(s) legal name

3 Buyer(s) Social Security Number

4 Buyer(s) physical address

5 County of res idence

6 Purchase price

7 NA (Dealer sale only)

8 NA (Dealer sale only)

9 NA (Dealer sale only)

10 If sale is exempt from tax place (X) in box

I I Reason for exemption

12 NiA (Dealer sale only)

13 N A (Dealer sale only)

14 Condition of vehiclewatercraft

IS Lienholders name and address (if applicable)

bull Ifno liens state none

16 Minor (consent form required)

17A Buyer(s) signature

17B Buyers acknowledgment of mileage

18 Choose (X) printed or (X) non-printed

19 Persons name who signed in your presence

20 Notary Date

21 Commission expiration date

22 Signature ofNotary Public

23 Notary Seal

Rev 7113 Title Line 419-627-7626

SSI4N1L I 01 OlItIII1 I hd nih Jwo uhk 1gt IIII rltl 11 gt111 II r ib-j 111 fli 11( lhfHJ ___~ u tw-Imiddot t __ ~ 1 ltUt bull Ijpow i ~( J

- _-__------ ____-------_

1~tflif Ill I III ~ h11jr ~ ~Ifd~ 1i Iw bull 1(1 III 1(

ukl h tlw bullbull bull 1 ~f Hi tik ~ I IIIniltlt flW fJuWgtI ~1lrtMomI ii

---~~~ -t~~ l I III bull bullbull thkl J 1 Mf I ~ 1I11t1IIorl dottl

101(11 dlJ - Ifl(ril JJJ~

ThI wooIl_trr HWllf IIw h1~1 Mlke kli 01011111( r IUmiddotn

01 [ t1~m mc alHHf fllIll bt rOlllpicttd IlduH uJ1I0ILhdJlClllenl

-----------shy- -I ~~II n1 imn R l UIIIl( IH 1 01 II(J 1 OI)O1I1fR nRIlrItAnO

178

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ulJ~ U h 11 lIIUI1lt1U ~I( IIIoIilrd PI) J lkpaIIlUJrIl N bI~ 1 (11 n4 ltUHI Mlhl 1 ~1lI 1I111lkotl ltqI(IUi

1 tlt~ f_~~-~ 11bull~~~l ~~f ~~ ~Iof~~~L~~~~ ~ il~vd_~ ~_~~~~_

1111(1101 OR l ~~1111lt ~rHH 11111 11u IW fm iorlL I bull gt _ h _

t ifnf lOr-- It ~hH11ltd1 [J fo Liqjl klIi~tgtJIUlI ____ tH~r Ou~llIj 10gt1 t=J hU

_________ I 3shy_______

lil_l 1~r4 Un~4 6 ili 1-7 bullbullbullbullbull bull bullbull8 ____~ P_

lnu( jfKr th l-J I~ _ _ ~

I rf(III4u1deg~-~~ ~J 11 IkJln 1~I1I1 lIt~ 1lt Ht~__ t 111lt111 _Ii din I ~ItHIJII ff IWiI tJ 11gt1 Ilhd I14 J tti J j I J P-II J fnUII

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1(1I1tdn tS ddtrH

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19 -ff HI d di~J fI 11 rU-liH h) _

21 h gtIIiltD~ ~llf_~

23 jC~11 i kd I)oPtH (lorA ltl11-li11tmiddot ~~

~ 111 _____ __

Notarize only ifalilines are completely filled out

httpwwweriecountyohgomiddot 5

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

J bullbull lc - bull 1( ~d l

~ 1 L f 5--+ III i-Ir =17 t 1hj 11 bullIlr~ I~liill~ r1lt -- -~ - -_-_ rshy

7~lt~~~ i~~I ~~IL-d

L~ ~~ r ~f ~ I

11111 _ ltl

I ~ f

II middotmiddotI~ I _ ~ to bull

~-- --- ---~------- --__-__-__shy-~ ---~ --shy

~Il bull I~ I~I( u( If hltr~ 1~1t lmllH U 11

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lul~f ~I hl1l oIllJlII( 1 JxWu 1 l middoti~ 1lt 1 11 r ~IJ r ~I~( ptTitlr If) 1J~middotI~tIImiddotI(r r(quClnl

tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

dO III 111111 IIlIIW I

1 Ak 1-11 W klAi Nit

UKI ~11 )~ I~ I

Iiii)IY (11 Mtlll)l( Nfl

tlIflt1rII(~ NMt1

(II(K liN 111 1111 IplllVlti l1lIMrW_~ rNr tflHUY HldI

I (--J iLl llll~ fl ydk(l pO~iI( K~ f [tIIU( Irll 111~ lIil- )fIVUil iI11tel r~ lite d~I deitJftli 01((11 V(tHJImiddot(lI1IIH Ileodlllfllit- ttllIi-It ttll)IfL~Iilj nIH 0-) tf Iltt kjl~~j [ It

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PU- tllwl fltgtLlMII1 mnlrl 111~hll( (t U~r( 1 IN ) 1Wtrlly (~f 1VlII1IAPJ JuIIH~

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I II tjl~ i_oll~ my (nlll) kill vlIh~_ UH~ 1)jlllUh1 1Ildll~ 1(1 h lill~ i( IIlltl 1ll11t~~ I he lOhmdt1 I~W~IUI wUn I nk-qp III IX (I d 111(1 11C-I(itUfl ilHlIHllk ll hnJoI or ~ ~rl

11li(

I llt III of my IJUI) kllll--lt1h( lltl OJ-IIIlaquoiC ~dulq l lH~ 11K llllllmitdqmiddot 111ft 1~Jl~d JUj

)1O1llliUf

I (t(lj~) (1ti11 lJt Ihtmtl~Ilf~)liIId 011111101 1H1l1 14 Itl I l if~irJp ii nlj~WHt fililtllil illfln Ie fllit I In(lt

lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 4: Prepared and issued as a public service by the office of

ATPS TITLE OFFICE DISTRICTS

Notarizing an Ohio Title - General Guidelines

+ Do not take the acknowledgment on any instrument wherein blanks are left to be filled in later The legal instrument must be completely prepared before notarization is completed

+ When selling a vehicle or watercraft the seller must sign and print their name(s) as it appears on the face of the title

+ Assignments of ownership must be in the form of legal names - Clifton J Smith not CJ Smith - Richard L Jones Jr not Dick Jones

+ Do not under any circumstances white out or scribble out any errors on the title assignment this will void the title and a replacement must be issued

+ Jl someone signs the back of a title on behalf of a company or other entity they must state their position within that entity

- ABC Trucking Company John F Rees Fleet Mgr - Dixie Candy Corp Dennis T Dix Owner - Abel Family Trust Carol A Abel Trustee

+ If the seller or buyer is under 18 years of age the custodial parent or guardishyan must fill out a notarized minor consent fonn (available from the Clerk of Courts Title Office) The minor must bring this consent fornl-along with the certificate of title-to the Clerk of Courts office or the parentguardian must appear in person with the minor at the time of transfer The guardian must provide the court document indicating that they are the legal guardian of the mmor

+ If you take the acknowledgment from a person appointed as power of attorshyney the notarized power of attorney form (available from any of the Clerk of Courts Title Offices or on our web site) must be surrendered at the time of transfer of ownership

- A Durable Power of Attorney is acceptable - A Health Care Power of Attorney is not acceptable

+ If you take the acknowledgment from a person appointed by the Court the Court Order must bear the Judges signature and seal and must be surrendered at the ti me of transfer of ownership

- Court Order appointing Executor Fiduciary Guardian etc Letter of Authority to Transfer

- Relieftrom Administration of Estate 9C Form

Ohio ORC 450502 requires that each applicant must present an official photo identifieation

httpwwweriecountyohgov 1

Assignment of an Ohio Title (Top portion of the back of Title)

I Selling price

2 Date of SaleDelivery

3 Minor (consent form required)

4 Buyer(s) legal name and address

5 Odometer reading as shown on vehicle

6 If odometer is 5 digits and rolled over place (X) in box

(in excess of mechanical limits)

7 If odometer is broken or any other discrepancy exists place (X) in

box

8 Check appropriate box if applicable

9 Printed name(s) of seller(s)

10 Signature ofseller(s

11 Address of selJer(s)

12 Person(s) name who signed in front of you

13 Notary Date

14 Commission expiration date

15 Printed name of Notary Public

16 Signature of Notary Public

17 Notary Seal

Rev 713 Title Line (419) 627-7626

1 O~IJIlI~H) rier _ ~

filled out Notarize onlv jf all lines are com

~~I~~~~1 L8~ middotl~~~~~~~ d~d bullbull Jill N ~_ L_~_ bullbull 111kf Ir 1 s_ Elf 3- xlkr h~~ J 1 J 0

1~IlnnliH~llfltllfilIlUIII(~ ___~_ _________

rrJkli ~ j1 111 UUOUf 11111 II (It 11111 uhltfto i 111111111(11111111 Ill I n(u lit ~If hlH hI fHllridr ill p idllll

11101 11I1f1l1L 1 1(Iiilt III OI4I1ld t1l 11t1IriIl)tIl 5 ~l r~irl

I hod It~li(~ lJ L L IIIJ llri Iu nr 11 t ull llIolniJl- llul Ilk fltf rulltgt

fitlt t~ tlfO nhal lIIilur If f~ dHk f-IltH - J 1 fIrltI~t MliUtrll j rfltOtti

6f 1 tit tllk~f ~I~ i ill (11 III

---~ Ih 141ljr11 hlloi~

10 L- h)n~ilr 111( ttIUlJllr

11 ---_bull__-__-----shyII ~II- (H rrll f ptli bull-d JjoliflH

011middot ~ II blaobpatr allm l I he tUllllIrlfd bdurr dII~ kd~cmcnl

nHI It tIlaquol uIInilltJ III I~ IlfCfiil( 1 t~~ h IJI2 14

il~Hi nf tlli- 1l1 U vIIamp( Ohill ~~i-(I (Mt IHI ~ IIHtliurK( ~ 1 lIutfllh inj~fH~U 1 iKM 01 (Il IIHlltr lito

~aiiJl 01 t1111 11 II~~ 1ft JJk4 lit 1bt-1klIo1l1r1l(l1ll1f 11imu lilt wlkr MI~ IHIJrt il PflImtO IlIfllqwilI 1(IIIlrd

_i) t~( 1~U_1JfI~I_~t I~~~~~ _L ~_I~~fI__ ~_J iI~~~~ all~~Liio~_~~_ j~~~ I~___ _

-ll11(middot110 In~ nKIII( IHil middot11111 11 Hmiddot or Prill1in IlIll _ _ ~_

II IH-I)I gtIpoundlrhhJlaquotd [l 101111 (h~k ~_-1 kllJf~1 [J IIItJltliI C 1laquoIvuul tt 0 ih~i(

111I~dfl ______~______ wC_~

11 1lt Ilul 11 irt)ffll1II1011 IlllClI ill Illh 1fUUll1lh 1 1- tnol 111011(1

httpwwweriecountyohgov 3

4

Application for an Ohio Title (Bottom portion of the back of Title)

I Type of Title

2 Buyer(s) legal name

3 Buyer(s) Social Security Number

4 Buyer(s) physical address

5 County of res idence

6 Purchase price

7 NA (Dealer sale only)

8 NA (Dealer sale only)

9 NA (Dealer sale only)

10 If sale is exempt from tax place (X) in box

I I Reason for exemption

12 NiA (Dealer sale only)

13 N A (Dealer sale only)

14 Condition of vehiclewatercraft

IS Lienholders name and address (if applicable)

bull Ifno liens state none

16 Minor (consent form required)

17A Buyer(s) signature

17B Buyers acknowledgment of mileage

18 Choose (X) printed or (X) non-printed

19 Persons name who signed in your presence

20 Notary Date

21 Commission expiration date

22 Signature ofNotary Public

23 Notary Seal

Rev 7113 Title Line 419-627-7626

SSI4N1L I 01 OlItIII1 I hd nih Jwo uhk 1gt IIII rltl 11 gt111 II r ib-j 111 fli 11( lhfHJ ___~ u tw-Imiddot t __ ~ 1 ltUt bull Ijpow i ~( J

- _-__------ ____-------_

1~tflif Ill I III ~ h11jr ~ ~Ifd~ 1i Iw bull 1(1 III 1(

ukl h tlw bullbull bull 1 ~f Hi tik ~ I IIIniltlt flW fJuWgtI ~1lrtMomI ii

---~~~ -t~~ l I III bull bullbull thkl J 1 Mf I ~ 1I11t1IIorl dottl

101(11 dlJ - Ifl(ril JJJ~

ThI wooIl_trr HWllf IIw h1~1 Mlke kli 01011111( r IUmiddotn

01 [ t1~m mc alHHf fllIll bt rOlllpicttd IlduH uJ1I0ILhdJlClllenl

-----------shy- -I ~~II n1 imn R l UIIIl( IH 1 01 II(J 1 OI)O1I1fR nRIlrItAnO

178

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ulJ~ U h 11 lIIUI1lt1U ~I( IIIoIilrd PI) J lkpaIIlUJrIl N bI~ 1 (11 n4 ltUHI Mlhl 1 ~1lI 1I111lkotl ltqI(IUi

1 tlt~ f_~~-~ 11bull~~~l ~~f ~~ ~Iof~~~L~~~~ ~ il~vd_~ ~_~~~~_

1111(1101 OR l ~~1111lt ~rHH 11111 11u IW fm iorlL I bull gt _ h _

t ifnf lOr-- It ~hH11ltd1 [J fo Liqjl klIi~tgtJIUlI ____ tH~r Ou~llIj 10gt1 t=J hU

_________ I 3shy_______

lil_l 1~r4 Un~4 6 ili 1-7 bullbullbullbullbull bull bullbull8 ____~ P_

lnu( jfKr th l-J I~ _ _ ~

I rf(III4u1deg~-~~ ~J 11 IkJln 1~I1I1 lIt~ 1lt Ht~__ t 111lt111 _Ii din I ~ItHIJII ff IWiI tJ 11gt1 Ilhd I14 J tti J j I J P-II J fnUII

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1(1I1tdn tS ddtrH

I I IIIf I ~c 1uf Iii ~ )tI~ilk lit Ihbullbull ~ffj 4u h II AI rOl I h rvlhIIIl ~ -llr-~~ -J- lPIioImiddotjtllI~)___~ ___ ~____18J Ifulln J ltlil j

19 -ff HI d di~J fI 11 rU-liH h) _

21 h gtIIiltD~ ~llf_~

23 jC~11 i kd I)oPtH (lorA ltl11-li11tmiddot ~~

~ 111 _____ __

Notarize only ifalilines are completely filled out

httpwwweriecountyohgomiddot 5

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

J bullbull lc - bull 1( ~d l

~ 1 L f 5--+ III i-Ir =17 t 1hj 11 bullIlr~ I~liill~ r1lt -- -~ - -_-_ rshy

7~lt~~~ i~~I ~~IL-d

L~ ~~ r ~f ~ I

11111 _ ltl

I ~ f

II middotmiddotI~ I _ ~ to bull

~-- --- ---~------- --__-__-__shy-~ ---~ --shy

~Il bull I~ I~I( u( If hltr~ 1~1t lmllH U 11

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lul~f ~I hl1l oIllJlII( 1 JxWu 1 l middoti~ 1lt 1 11 r ~IJ r ~I~( ptTitlr If) 1J~middotI~tIImiddotI(r r(quClnl

tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

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I II tjl~ i_oll~ my (nlll) kill vlIh~_ UH~ 1)jlllUh1 1Ildll~ 1(1 h lill~ i( IIlltl 1ll11t~~ I he lOhmdt1 I~W~IUI wUn I nk-qp III IX (I d 111(1 11C-I(itUfl ilHlIHllk ll hnJoI or ~ ~rl

11li(

I llt III of my IJUI) kllll--lt1h( lltl OJ-IIIlaquoiC ~dulq l lH~ 11K llllllmitdqmiddot 111ft 1~Jl~d JUj

)1O1llliUf

I (t(lj~) (1ti11 lJt Ihtmtl~Ilf~)liIId 011111101 1H1l1 14 Itl I l if~irJp ii nlj~WHt fililtllil illfln Ie fllit I In(lt

lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 5: Prepared and issued as a public service by the office of

Notarizing an Ohio Title - General Guidelines

+ Do not take the acknowledgment on any instrument wherein blanks are left to be filled in later The legal instrument must be completely prepared before notarization is completed

+ When selling a vehicle or watercraft the seller must sign and print their name(s) as it appears on the face of the title

+ Assignments of ownership must be in the form of legal names - Clifton J Smith not CJ Smith - Richard L Jones Jr not Dick Jones

+ Do not under any circumstances white out or scribble out any errors on the title assignment this will void the title and a replacement must be issued

+ Jl someone signs the back of a title on behalf of a company or other entity they must state their position within that entity

- ABC Trucking Company John F Rees Fleet Mgr - Dixie Candy Corp Dennis T Dix Owner - Abel Family Trust Carol A Abel Trustee

+ If the seller or buyer is under 18 years of age the custodial parent or guardishyan must fill out a notarized minor consent fonn (available from the Clerk of Courts Title Office) The minor must bring this consent fornl-along with the certificate of title-to the Clerk of Courts office or the parentguardian must appear in person with the minor at the time of transfer The guardian must provide the court document indicating that they are the legal guardian of the mmor

+ If you take the acknowledgment from a person appointed as power of attorshyney the notarized power of attorney form (available from any of the Clerk of Courts Title Offices or on our web site) must be surrendered at the time of transfer of ownership

- A Durable Power of Attorney is acceptable - A Health Care Power of Attorney is not acceptable

+ If you take the acknowledgment from a person appointed by the Court the Court Order must bear the Judges signature and seal and must be surrendered at the ti me of transfer of ownership

- Court Order appointing Executor Fiduciary Guardian etc Letter of Authority to Transfer

- Relieftrom Administration of Estate 9C Form

Ohio ORC 450502 requires that each applicant must present an official photo identifieation

httpwwweriecountyohgov 1

Assignment of an Ohio Title (Top portion of the back of Title)

I Selling price

2 Date of SaleDelivery

3 Minor (consent form required)

4 Buyer(s) legal name and address

5 Odometer reading as shown on vehicle

6 If odometer is 5 digits and rolled over place (X) in box

(in excess of mechanical limits)

7 If odometer is broken or any other discrepancy exists place (X) in

box

8 Check appropriate box if applicable

9 Printed name(s) of seller(s)

10 Signature ofseller(s

11 Address of selJer(s)

12 Person(s) name who signed in front of you

13 Notary Date

14 Commission expiration date

15 Printed name of Notary Public

16 Signature of Notary Public

17 Notary Seal

Rev 713 Title Line (419) 627-7626

1 O~IJIlI~H) rier _ ~

filled out Notarize onlv jf all lines are com

~~I~~~~1 L8~ middotl~~~~~~~ d~d bullbull Jill N ~_ L_~_ bullbull 111kf Ir 1 s_ Elf 3- xlkr h~~ J 1 J 0

1~IlnnliH~llfltllfilIlUIII(~ ___~_ _________

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11101 11I1f1l1L 1 1(Iiilt III OI4I1ld t1l 11t1IriIl)tIl 5 ~l r~irl

I hod It~li(~ lJ L L IIIJ llri Iu nr 11 t ull llIolniJl- llul Ilk fltf rulltgt

fitlt t~ tlfO nhal lIIilur If f~ dHk f-IltH - J 1 fIrltI~t MliUtrll j rfltOtti

6f 1 tit tllk~f ~I~ i ill (11 III

---~ Ih 141ljr11 hlloi~

10 L- h)n~ilr 111( ttIUlJllr

11 ---_bull__-__-----shyII ~II- (H rrll f ptli bull-d JjoliflH

011middot ~ II blaobpatr allm l I he tUllllIrlfd bdurr dII~ kd~cmcnl

nHI It tIlaquol uIInilltJ III I~ IlfCfiil( 1 t~~ h IJI2 14

il~Hi nf tlli- 1l1 U vIIamp( Ohill ~~i-(I (Mt IHI ~ IIHtliurK( ~ 1 lIutfllh inj~fH~U 1 iKM 01 (Il IIHlltr lito

~aiiJl 01 t1111 11 II~~ 1ft JJk4 lit 1bt-1klIo1l1r1l(l1ll1f 11imu lilt wlkr MI~ IHIJrt il PflImtO IlIfllqwilI 1(IIIlrd

_i) t~( 1~U_1JfI~I_~t I~~~~~ _L ~_I~~fI__ ~_J iI~~~~ all~~Liio~_~~_ j~~~ I~___ _

-ll11(middot110 In~ nKIII( IHil middot11111 11 Hmiddot or Prill1in IlIll _ _ ~_

II IH-I)I gtIpoundlrhhJlaquotd [l 101111 (h~k ~_-1 kllJf~1 [J IIItJltliI C 1laquoIvuul tt 0 ih~i(

111I~dfl ______~______ wC_~

11 1lt Ilul 11 irt)ffll1II1011 IlllClI ill Illh 1fUUll1lh 1 1- tnol 111011(1

httpwwweriecountyohgov 3

4

Application for an Ohio Title (Bottom portion of the back of Title)

I Type of Title

2 Buyer(s) legal name

3 Buyer(s) Social Security Number

4 Buyer(s) physical address

5 County of res idence

6 Purchase price

7 NA (Dealer sale only)

8 NA (Dealer sale only)

9 NA (Dealer sale only)

10 If sale is exempt from tax place (X) in box

I I Reason for exemption

12 NiA (Dealer sale only)

13 N A (Dealer sale only)

14 Condition of vehiclewatercraft

IS Lienholders name and address (if applicable)

bull Ifno liens state none

16 Minor (consent form required)

17A Buyer(s) signature

17B Buyers acknowledgment of mileage

18 Choose (X) printed or (X) non-printed

19 Persons name who signed in your presence

20 Notary Date

21 Commission expiration date

22 Signature ofNotary Public

23 Notary Seal

Rev 7113 Title Line 419-627-7626

SSI4N1L I 01 OlItIII1 I hd nih Jwo uhk 1gt IIII rltl 11 gt111 II r ib-j 111 fli 11( lhfHJ ___~ u tw-Imiddot t __ ~ 1 ltUt bull Ijpow i ~( J

- _-__------ ____-------_

1~tflif Ill I III ~ h11jr ~ ~Ifd~ 1i Iw bull 1(1 III 1(

ukl h tlw bullbull bull 1 ~f Hi tik ~ I IIIniltlt flW fJuWgtI ~1lrtMomI ii

---~~~ -t~~ l I III bull bullbull thkl J 1 Mf I ~ 1I11t1IIorl dottl

101(11 dlJ - Ifl(ril JJJ~

ThI wooIl_trr HWllf IIw h1~1 Mlke kli 01011111( r IUmiddotn

01 [ t1~m mc alHHf fllIll bt rOlllpicttd IlduH uJ1I0ILhdJlClllenl

-----------shy- -I ~~II n1 imn R l UIIIl( IH 1 01 II(J 1 OI)O1I1fR nRIlrItAnO

178

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1111(1101 OR l ~~1111lt ~rHH 11111 11u IW fm iorlL I bull gt _ h _

t ifnf lOr-- It ~hH11ltd1 [J fo Liqjl klIi~tgtJIUlI ____ tH~r Ou~llIj 10gt1 t=J hU

_________ I 3shy_______

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lnu( jfKr th l-J I~ _ _ ~

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19 -ff HI d di~J fI 11 rU-liH h) _

21 h gtIIiltD~ ~llf_~

23 jC~11 i kd I)oPtH (lorA ltl11-li11tmiddot ~~

~ 111 _____ __

Notarize only ifalilines are completely filled out

httpwwweriecountyohgomiddot 5

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

J bullbull lc - bull 1( ~d l

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7~lt~~~ i~~I ~~IL-d

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11111 _ ltl

I ~ f

II middotmiddotI~ I _ ~ to bull

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lul~f ~I hl1l oIllJlII( 1 JxWu 1 l middoti~ 1lt 1 11 r ~IJ r ~I~( ptTitlr If) 1J~middotI~tIImiddotI(r r(quClnl

tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

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11li(

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)1O1llliUf

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lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 6: Prepared and issued as a public service by the office of

Assignment of an Ohio Title (Top portion of the back of Title)

I Selling price

2 Date of SaleDelivery

3 Minor (consent form required)

4 Buyer(s) legal name and address

5 Odometer reading as shown on vehicle

6 If odometer is 5 digits and rolled over place (X) in box

(in excess of mechanical limits)

7 If odometer is broken or any other discrepancy exists place (X) in

box

8 Check appropriate box if applicable

9 Printed name(s) of seller(s)

10 Signature ofseller(s

11 Address of selJer(s)

12 Person(s) name who signed in front of you

13 Notary Date

14 Commission expiration date

15 Printed name of Notary Public

16 Signature of Notary Public

17 Notary Seal

Rev 713 Title Line (419) 627-7626

1 O~IJIlI~H) rier _ ~

filled out Notarize onlv jf all lines are com

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1~IlnnliH~llfltllfilIlUIII(~ ___~_ _________

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111I~dfl ______~______ wC_~

11 1lt Ilul 11 irt)ffll1II1011 IlllClI ill Illh 1fUUll1lh 1 1- tnol 111011(1

httpwwweriecountyohgov 3

4

Application for an Ohio Title (Bottom portion of the back of Title)

I Type of Title

2 Buyer(s) legal name

3 Buyer(s) Social Security Number

4 Buyer(s) physical address

5 County of res idence

6 Purchase price

7 NA (Dealer sale only)

8 NA (Dealer sale only)

9 NA (Dealer sale only)

10 If sale is exempt from tax place (X) in box

I I Reason for exemption

12 NiA (Dealer sale only)

13 N A (Dealer sale only)

14 Condition of vehiclewatercraft

IS Lienholders name and address (if applicable)

bull Ifno liens state none

16 Minor (consent form required)

17A Buyer(s) signature

17B Buyers acknowledgment of mileage

18 Choose (X) printed or (X) non-printed

19 Persons name who signed in your presence

20 Notary Date

21 Commission expiration date

22 Signature ofNotary Public

23 Notary Seal

Rev 7113 Title Line 419-627-7626

SSI4N1L I 01 OlItIII1 I hd nih Jwo uhk 1gt IIII rltl 11 gt111 II r ib-j 111 fli 11( lhfHJ ___~ u tw-Imiddot t __ ~ 1 ltUt bull Ijpow i ~( J

- _-__------ ____-------_

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ukl h tlw bullbull bull 1 ~f Hi tik ~ I IIIniltlt flW fJuWgtI ~1lrtMomI ii

---~~~ -t~~ l I III bull bullbull thkl J 1 Mf I ~ 1I11t1IIorl dottl

101(11 dlJ - Ifl(ril JJJ~

ThI wooIl_trr HWllf IIw h1~1 Mlke kli 01011111( r IUmiddotn

01 [ t1~m mc alHHf fllIll bt rOlllpicttd IlduH uJ1I0ILhdJlClllenl

-----------shy- -I ~~II n1 imn R l UIIIl( IH 1 01 II(J 1 OI)O1I1fR nRIlrItAnO

178

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t ifnf lOr-- It ~hH11ltd1 [J fo Liqjl klIi~tgtJIUlI ____ tH~r Ou~llIj 10gt1 t=J hU

_________ I 3shy_______

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1 IJUkl llu 111f lir_~lr mt II mtllf hlI ( JlU~ 1laquo1lt1 1 I1l dlliu41~III(

1(1I1tdn tS ddtrH

I I IIIf I ~c 1uf Iii ~ )tI~ilk lit Ihbullbull ~ffj 4u h II AI rOl I h rvlhIIIl ~ -llr-~~ -J- lPIioImiddotjtllI~)___~ ___ ~____18J Ifulln J ltlil j

19 -ff HI d di~J fI 11 rU-liH h) _

21 h gtIIiltD~ ~llf_~

23 jC~11 i kd I)oPtH (lorA ltl11-li11tmiddot ~~

~ 111 _____ __

Notarize only ifalilines are completely filled out

httpwwweriecountyohgomiddot 5

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

J bullbull lc - bull 1( ~d l

~ 1 L f 5--+ III i-Ir =17 t 1hj 11 bullIlr~ I~liill~ r1lt -- -~ - -_-_ rshy

7~lt~~~ i~~I ~~IL-d

L~ ~~ r ~f ~ I

11111 _ ltl

I ~ f

II middotmiddotI~ I _ ~ to bull

~-- --- ---~------- --__-__-__shy-~ ---~ --shy

~Il bull I~ I~I( u( If hltr~ 1~1t lmllH U 11

1middotr)1 rrll~1 I middotf dllt r ~middot d 1 II ~ IT flInlll iIIlPJ~UI~UI1~d fll( (I Uti Iii Ulaquo lnlll]~j

lul~f ~I hl1l oIllJlII( 1 JxWu 1 l middoti~ 1lt 1 11 r ~IJ r ~I~( ptTitlr If) 1J~middotI~tIImiddotI(r r(quClnl

tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

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I (--J iLl llll~ fl ydk(l pO~iI( K~ f [tIIU( Irll 111~ lIil- )fIVUil iI11tel r~ lite d~I deitJftli 01((11 V(tHJImiddot(lI1IIH Ileodlllfllit- ttllIi-It ttll)IfL~Iilj nIH 0-) tf Iltt kjl~~j [ It

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PU- tllwl fltgtLlMII1 mnlrl 111~hll( (t U~r( 1 IN ) 1Wtrlly (~f 1VlII1IAPJ JuIIH~

tJI1c-j)((~ h1 1 ~V4qc (ltitlf~tt(middot (ie nl Wh In~lltJy O~jiC1c-rltllllcd f lfI(dlCI (middottic pjj(~~nll~ (il n~Jnk~ dl1 ~CU LK I iNf or III nil nWiNq

I II tjl~ i_oll~ my (nlll) kill vlIh~_ UH~ 1)jlllUh1 1Ildll~ 1(1 h lill~ i( IIlltl 1ll11t~~ I he lOhmdt1 I~W~IUI wUn I nk-qp III IX (I d 111(1 11C-I(itUfl ilHlIHllk ll hnJoI or ~ ~rl

11li(

I llt III of my IJUI) kllll--lt1h( lltl OJ-IIIlaquoiC ~dulq l lH~ 11K llllllmitdqmiddot 111ft 1~Jl~d JUj

)1O1llliUf

I (t(lj~) (1ti11 lJt Ihtmtl~Ilf~)liIId 011111101 1H1l1 14 Itl I l if~irJp ii nlj~WHt fililtllil illfln Ie fllit I In(lt

lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 7: Prepared and issued as a public service by the office of

1 O~IJIlI~H) rier _ ~

filled out Notarize onlv jf all lines are com

~~I~~~~1 L8~ middotl~~~~~~~ d~d bullbull Jill N ~_ L_~_ bullbull 111kf Ir 1 s_ Elf 3- xlkr h~~ J 1 J 0

1~IlnnliH~llfltllfilIlUIII(~ ___~_ _________

rrJkli ~ j1 111 UUOUf 11111 II (It 11111 uhltfto i 111111111(11111111 Ill I n(u lit ~If hlH hI fHllridr ill p idllll

11101 11I1f1l1L 1 1(Iiilt III OI4I1ld t1l 11t1IriIl)tIl 5 ~l r~irl

I hod It~li(~ lJ L L IIIJ llri Iu nr 11 t ull llIolniJl- llul Ilk fltf rulltgt

fitlt t~ tlfO nhal lIIilur If f~ dHk f-IltH - J 1 fIrltI~t MliUtrll j rfltOtti

6f 1 tit tllk~f ~I~ i ill (11 III

---~ Ih 141ljr11 hlloi~

10 L- h)n~ilr 111( ttIUlJllr

11 ---_bull__-__-----shyII ~II- (H rrll f ptli bull-d JjoliflH

011middot ~ II blaobpatr allm l I he tUllllIrlfd bdurr dII~ kd~cmcnl

nHI It tIlaquol uIInilltJ III I~ IlfCfiil( 1 t~~ h IJI2 14

il~Hi nf tlli- 1l1 U vIIamp( Ohill ~~i-(I (Mt IHI ~ IIHtliurK( ~ 1 lIutfllh inj~fH~U 1 iKM 01 (Il IIHlltr lito

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_i) t~( 1~U_1JfI~I_~t I~~~~~ _L ~_I~~fI__ ~_J iI~~~~ all~~Liio~_~~_ j~~~ I~___ _

-ll11(middot110 In~ nKIII( IHil middot11111 11 Hmiddot or Prill1in IlIll _ _ ~_

II IH-I)I gtIpoundlrhhJlaquotd [l 101111 (h~k ~_-1 kllJf~1 [J IIItJltliI C 1laquoIvuul tt 0 ih~i(

111I~dfl ______~______ wC_~

11 1lt Ilul 11 irt)ffll1II1011 IlllClI ill Illh 1fUUll1lh 1 1- tnol 111011(1

httpwwweriecountyohgov 3

4

Application for an Ohio Title (Bottom portion of the back of Title)

I Type of Title

2 Buyer(s) legal name

3 Buyer(s) Social Security Number

4 Buyer(s) physical address

5 County of res idence

6 Purchase price

7 NA (Dealer sale only)

8 NA (Dealer sale only)

9 NA (Dealer sale only)

10 If sale is exempt from tax place (X) in box

I I Reason for exemption

12 NiA (Dealer sale only)

13 N A (Dealer sale only)

14 Condition of vehiclewatercraft

IS Lienholders name and address (if applicable)

bull Ifno liens state none

16 Minor (consent form required)

17A Buyer(s) signature

17B Buyers acknowledgment of mileage

18 Choose (X) printed or (X) non-printed

19 Persons name who signed in your presence

20 Notary Date

21 Commission expiration date

22 Signature ofNotary Public

23 Notary Seal

Rev 7113 Title Line 419-627-7626

SSI4N1L I 01 OlItIII1 I hd nih Jwo uhk 1gt IIII rltl 11 gt111 II r ib-j 111 fli 11( lhfHJ ___~ u tw-Imiddot t __ ~ 1 ltUt bull Ijpow i ~( J

- _-__------ ____-------_

1~tflif Ill I III ~ h11jr ~ ~Ifd~ 1i Iw bull 1(1 III 1(

ukl h tlw bullbull bull 1 ~f Hi tik ~ I IIIniltlt flW fJuWgtI ~1lrtMomI ii

---~~~ -t~~ l I III bull bullbull thkl J 1 Mf I ~ 1I11t1IIorl dottl

101(11 dlJ - Ifl(ril JJJ~

ThI wooIl_trr HWllf IIw h1~1 Mlke kli 01011111( r IUmiddotn

01 [ t1~m mc alHHf fllIll bt rOlllpicttd IlduH uJ1I0ILhdJlClllenl

-----------shy- -I ~~II n1 imn R l UIIIl( IH 1 01 II(J 1 OI)O1I1fR nRIlrItAnO

178

1111bullbull ~ h-i fflt ~4Iruf dln JI htU I ~-~IIIf1d ~-II~~IImiddot~~~rIM IHI( -illttftfmiddot rilT ~UIMWltIlI I amp 1 11 ( -tihA ~f1 Ilnf 1h JIll Jotn~l (n(I41 pjuillt ~ lI1IUlhflllptrlIOI~ t~ lIIi It lolnt f~~u4

ulJ~ U h 11 lIIUI1lt1U ~I( IIIoIilrd PI) J lkpaIIlUJrIl N bI~ 1 (11 n4 ltUHI Mlhl 1 ~1lI 1I111lkotl ltqI(IUi

1 tlt~ f_~~-~ 11bull~~~l ~~f ~~ ~Iof~~~L~~~~ ~ il~vd_~ ~_~~~~_

1111(1101 OR l ~~1111lt ~rHH 11111 11u IW fm iorlL I bull gt _ h _

t ifnf lOr-- It ~hH11ltd1 [J fo Liqjl klIi~tgtJIUlI ____ tH~r Ou~llIj 10gt1 t=J hU

_________ I 3shy_______

lil_l 1~r4 Un~4 6 ili 1-7 bullbullbullbullbull bull bullbull8 ____~ P_

lnu( jfKr th l-J I~ _ _ ~

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1 IJUkl llu 111f lir_~lr mt II mtllf hlI ( JlU~ 1laquo1lt1 1 I1l dlliu41~III(

1(1I1tdn tS ddtrH

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19 -ff HI d di~J fI 11 rU-liH h) _

21 h gtIIiltD~ ~llf_~

23 jC~11 i kd I)oPtH (lorA ltl11-li11tmiddot ~~

~ 111 _____ __

Notarize only ifalilines are completely filled out

httpwwweriecountyohgomiddot 5

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

J bullbull lc - bull 1( ~d l

~ 1 L f 5--+ III i-Ir =17 t 1hj 11 bullIlr~ I~liill~ r1lt -- -~ - -_-_ rshy

7~lt~~~ i~~I ~~IL-d

L~ ~~ r ~f ~ I

11111 _ ltl

I ~ f

II middotmiddotI~ I _ ~ to bull

~-- --- ---~------- --__-__-__shy-~ ---~ --shy

~Il bull I~ I~I( u( If hltr~ 1~1t lmllH U 11

1middotr)1 rrll~1 I middotf dllt r ~middot d 1 II ~ IT flInlll iIIlPJ~UI~UI1~d fll( (I Uti Iii Ulaquo lnlll]~j

lul~f ~I hl1l oIllJlII( 1 JxWu 1 l middoti~ 1lt 1 11 r ~IJ r ~I~( ptTitlr If) 1J~middotI~tIImiddotI(r r(quClnl

tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

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lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

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llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 8: Prepared and issued as a public service by the office of

4

Application for an Ohio Title (Bottom portion of the back of Title)

I Type of Title

2 Buyer(s) legal name

3 Buyer(s) Social Security Number

4 Buyer(s) physical address

5 County of res idence

6 Purchase price

7 NA (Dealer sale only)

8 NA (Dealer sale only)

9 NA (Dealer sale only)

10 If sale is exempt from tax place (X) in box

I I Reason for exemption

12 NiA (Dealer sale only)

13 N A (Dealer sale only)

14 Condition of vehiclewatercraft

IS Lienholders name and address (if applicable)

bull Ifno liens state none

16 Minor (consent form required)

17A Buyer(s) signature

17B Buyers acknowledgment of mileage

18 Choose (X) printed or (X) non-printed

19 Persons name who signed in your presence

20 Notary Date

21 Commission expiration date

22 Signature ofNotary Public

23 Notary Seal

Rev 7113 Title Line 419-627-7626

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- _-__------ ____-------_

1~tflif Ill I III ~ h11jr ~ ~Ifd~ 1i Iw bull 1(1 III 1(

ukl h tlw bullbull bull 1 ~f Hi tik ~ I IIIniltlt flW fJuWgtI ~1lrtMomI ii

---~~~ -t~~ l I III bull bullbull thkl J 1 Mf I ~ 1I11t1IIorl dottl

101(11 dlJ - Ifl(ril JJJ~

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01 [ t1~m mc alHHf fllIll bt rOlllpicttd IlduH uJ1I0ILhdJlClllenl

-----------shy- -I ~~II n1 imn R l UIIIl( IH 1 01 II(J 1 OI)O1I1fR nRIlrItAnO

178

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t ifnf lOr-- It ~hH11ltd1 [J fo Liqjl klIi~tgtJIUlI ____ tH~r Ou~llIj 10gt1 t=J hU

_________ I 3shy_______

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lnu( jfKr th l-J I~ _ _ ~

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21 h gtIIiltD~ ~llf_~

23 jC~11 i kd I)oPtH (lorA ltl11-li11tmiddot ~~

~ 111 _____ __

Notarize only ifalilines are completely filled out

httpwwweriecountyohgomiddot 5

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

J bullbull lc - bull 1( ~d l

~ 1 L f 5--+ III i-Ir =17 t 1hj 11 bullIlr~ I~liill~ r1lt -- -~ - -_-_ rshy

7~lt~~~ i~~I ~~IL-d

L~ ~~ r ~f ~ I

11111 _ ltl

I ~ f

II middotmiddotI~ I _ ~ to bull

~-- --- ---~------- --__-__-__shy-~ ---~ --shy

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tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

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11li(

I llt III of my IJUI) kllll--lt1h( lltl OJ-IIIlaquoiC ~dulq l lH~ 11K llllllmitdqmiddot 111ft 1~Jl~d JUj

)1O1llliUf

I (t(lj~) (1ti11 lJt Ihtmtl~Ilf~)liIId 011111101 1H1l1 14 Itl I l if~irJp ii nlj~WHt fililtllil illfln Ie fllit I In(lt

lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 9: Prepared and issued as a public service by the office of

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- _-__------ ____-------_

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ukl h tlw bullbull bull 1 ~f Hi tik ~ I IIIniltlt flW fJuWgtI ~1lrtMomI ii

---~~~ -t~~ l I III bull bullbull thkl J 1 Mf I ~ 1I11t1IIorl dottl

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t ifnf lOr-- It ~hH11ltd1 [J fo Liqjl klIi~tgtJIUlI ____ tH~r Ou~llIj 10gt1 t=J hU

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23 jC~11 i kd I)oPtH (lorA ltl11-li11tmiddot ~~

~ 111 _____ __

Notarize only ifalilines are completely filled out

httpwwweriecountyohgomiddot 5

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

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lul~f ~I hl1l oIllJlII( 1 JxWu 1 l middoti~ 1lt 1 11 r ~IJ r ~I~( ptTitlr If) 1J~middotI~tIImiddotI(r r(quClnl

tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

dO III 111111 IIlIIW I

1 Ak 1-11 W klAi Nit

UKI ~11 )~ I~ I

Iiii)IY (11 Mtlll)l( Nfl

tlIflt1rII(~ NMt1

(II(K liN 111 1111 IplllVlti l1lIMrW_~ rNr tflHUY HldI

I (--J iLl llll~ fl ydk(l pO~iI( K~ f [tIIU( Irll 111~ lIil- )fIVUil iI11tel r~ lite d~I deitJftli 01((11 V(tHJImiddot(lI1IIH Ileodlllfllit- ttllIi-It ttll)IfL~Iilj nIH 0-) tf Iltt kjl~~j [ It

I I ~lLlnll1npIf1ji) 11 Ilumiddot dixiJ lJcui3fd l1Iel Vdlll by (Kitlifill I L PWU1I1 10

Iun jl~l 1O- ~1t1tJ1 41 )(10- 4 1~ III (JI 1 Jt) j4 Ihi~ I~t(~l C)h~_ dl1ft II 11K lilith 11

11(1IIIt l (llt1l1c)Ilp fjf HI1 dljl~ In 1~Hfl d JjkUIL1~ I~ 11t PIIrW~f1 mlt~lIiIIUII~ ~I~l(tl~ (~dft

PU- tllwl fltgtLlMII1 mnlrl 111~hll( (t U~r( 1 IN ) 1Wtrlly (~f 1VlII1IAPJ JuIIH~

tJI1c-j)((~ h1 1 ~V4qc (ltitlf~tt(middot (ie nl Wh In~lltJy O~jiC1c-rltllllcd f lfI(dlCI (middottic pjj(~~nll~ (il n~Jnk~ dl1 ~CU LK I iNf or III nil nWiNq

I II tjl~ i_oll~ my (nlll) kill vlIh~_ UH~ 1)jlllUh1 1Ildll~ 1(1 h lill~ i( IIlltl 1ll11t~~ I he lOhmdt1 I~W~IUI wUn I nk-qp III IX (I d 111(1 11C-I(itUfl ilHlIHllk ll hnJoI or ~ ~rl

11li(

I llt III of my IJUI) kllll--lt1h( lltl OJ-IIIlaquoiC ~dulq l lH~ 11K llllllmitdqmiddot 111ft 1~Jl~d JUj

)1O1llliUf

I (t(lj~) (1ti11 lJt Ihtmtl~Ilf~)liIId 011111101 1H1l1 14 Itl I l if~irJp ii nlj~WHt fililtllil illfln Ie fllit I In(lt

lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 10: Prepared and issued as a public service by the office of

6

When a Power of Attorney form is necessary

for a Certificate of Title transaction it must

always be notarized

bull A power of attorney (POA) form must always

bull accompany the title and becomes part of the

bull permanent title record

bull A power of attorney form may only be used for one -+

transaction

For instance if you are transferring a title to

someone else but have lost the original title--one POA

is required to obtain a duplicate titc A second

separate POA is required to transfer the title out of the

first owners name

bull An executor of an estate or trustee cannot give power

of attorney to someone else to sign on their behalf

Rev 713 Title Line 419-627-7626

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

J bullbull lc - bull 1( ~d l

~ 1 L f 5--+ III i-Ir =17 t 1hj 11 bullIlr~ I~liill~ r1lt -- -~ - -_-_ rshy

7~lt~~~ i~~I ~~IL-d

L~ ~~ r ~f ~ I

11111 _ ltl

I ~ f

II middotmiddotI~ I _ ~ to bull

~-- --- ---~------- --__-__-__shy-~ ---~ --shy

~Il bull I~ I~I( u( If hltr~ 1~1t lmllH U 11

1middotr)1 rrll~1 I middotf dllt r ~middot d 1 II ~ IT flInlll iIIlPJ~UI~UI1~d fll( (I Uti Iii Ulaquo lnlll]~j

lul~f ~I hl1l oIllJlII( 1 JxWu 1 l middoti~ 1lt 1 11 r ~IJ r ~I~( ptTitlr If) 1J~middotI~tIImiddotI(r r(quClnl

tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

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I I ~lLlnll1npIf1ji) 11 Ilumiddot dixiJ lJcui3fd l1Iel Vdlll by (Kitlifill I L PWU1I1 10

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11(1IIIt l (llt1l1c)Ilp fjf HI1 dljl~ In 1~Hfl d JjkUIL1~ I~ 11t PIIrW~f1 mlt~lIiIIUII~ ~I~l(tl~ (~dft

PU- tllwl fltgtLlMII1 mnlrl 111~hll( (t U~r( 1 IN ) 1Wtrlly (~f 1VlII1IAPJ JuIIH~

tJI1c-j)((~ h1 1 ~V4qc (ltitlf~tt(middot (ie nl Wh In~lltJy O~jiC1c-rltllllcd f lfI(dlCI (middottic pjj(~~nll~ (il n~Jnk~ dl1 ~CU LK I iNf or III nil nWiNq

I II tjl~ i_oll~ my (nlll) kill vlIh~_ UH~ 1)jlllUh1 1Ildll~ 1(1 h lill~ i( IIlltl 1ll11t~~ I he lOhmdt1 I~W~IUI wUn I nk-qp III IX (I d 111(1 11C-I(itUfl ilHlIHllk ll hnJoI or ~ ~rl

11li(

I llt III of my IJUI) kllll--lt1h( lltl OJ-IIIlaquoiC ~dulq l lH~ 11K llllllmitdqmiddot 111ft 1~Jl~d JUj

)1O1llliUf

I (t(lj~) (1ti11 lJt Ihtmtl~Ilf~)liIId 011111101 1H1l1 14 Itl I l if~irJp ii nlj~WHt fililtllil illfln Ie fllit I In(lt

lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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  33. 21 21
Page 11: Prepared and issued as a public service by the office of

Ohio Bureau of Motor Vehicles

POWER OF ATTORNEY

Know all men by these presents that the undersigned does hereby make constitute and appoint

FIRST NAME LAST NAME IMI

STREET ADDRESS CITY ISTATE IZIPCODE

My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit

IMAKE I YEAR I SERIAL NO

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof

In Witness whereof the undersigned has caused his name to be subscribed hereto this _________

day of _______ 20 __shy

x SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYEROWNER

ACKNOWLEDGEMENT

State of Ohio County of __________-- Subscribed and sworn to before me a Notary Public in

and for said County personally appeared ________________________who

acknowledged the Signing of the foregoing instrument and that such signing is his free act and deed

In Testimony Whereof I have hereunto set my hand and affixed my official seal

this day of 20__in the county of_________ State of Ohio

x NOTARY PUBLIC

My commission expires __________

BMV 3771 404

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

J bullbull lc - bull 1( ~d l

~ 1 L f 5--+ III i-Ir =17 t 1hj 11 bullIlr~ I~liill~ r1lt -- -~ - -_-_ rshy

7~lt~~~ i~~I ~~IL-d

L~ ~~ r ~f ~ I

11111 _ ltl

I ~ f

II middotmiddotI~ I _ ~ to bull

~-- --- ---~------- --__-__-__shy-~ ---~ --shy

~Il bull I~ I~I( u( If hltr~ 1~1t lmllH U 11

1middotr)1 rrll~1 I middotf dllt r ~middot d 1 II ~ IT flInlll iIIlPJ~UI~UI1~d fll( (I Uti Iii Ulaquo lnlll]~j

lul~f ~I hl1l oIllJlII( 1 JxWu 1 l middoti~ 1lt 1 11 r ~IJ r ~I~( ptTitlr If) 1J~middotI~tIImiddotI(r r(quClnl

tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

dO III 111111 IIlIIW I

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(II(K liN 111 1111 IplllVlti l1lIMrW_~ rNr tflHUY HldI

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PU- tllwl fltgtLlMII1 mnlrl 111~hll( (t U~r( 1 IN ) 1Wtrlly (~f 1VlII1IAPJ JuIIH~

tJI1c-j)((~ h1 1 ~V4qc (ltitlf~tt(middot (ie nl Wh In~lltJy O~jiC1c-rltllllcd f lfI(dlCI (middottic pjj(~~nll~ (il n~Jnk~ dl1 ~CU LK I iNf or III nil nWiNq

I II tjl~ i_oll~ my (nlll) kill vlIh~_ UH~ 1)jlllUh1 1Ildll~ 1(1 h lill~ i( IIlltl 1ll11t~~ I he lOhmdt1 I~W~IUI wUn I nk-qp III IX (I d 111(1 11C-I(itUfl ilHlIHllk ll hnJoI or ~ ~rl

11li(

I llt III of my IJUI) kllll--lt1h( lltl OJ-IIIlaquoiC ~dulq l lH~ 11K llllllmitdqmiddot 111ft 1~Jl~d JUj

)1O1llliUf

I (t(lj~) (1ti11 lJt Ihtmtl~Ilf~)liIId 011111101 1H1l1 14 Itl I l if~irJp ii nlj~WHt fililtllil illfln Ie fllit I In(lt

lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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Page 12: Prepared and issued as a public service by the office of

ODOMETER STATEMENT

The seller of a motor vehicle is statutorily required to state the true mileage of the vehicle at the time the title is assigned to the buyer (see feature 5)

Mileage stated as in excess of its mechanical limits should only apply to a 5-digit odometer (sec feature 6) (For addishytional information refer to assignment of title p2)

Vehicles that register 6 digits on the odometer should not be in excess of their meehanieallimils

An odometer that is broken inoperable or replaced should he marked as non actual (see feature 7) For additional inforshymation refer to assignment of title p 2

middot1- 11 1 HI ( I middotmmiddotmiddot J ( Y r

J bullbull lc - bull 1( ~d l

~ 1 L f 5--+ III i-Ir =17 t 1hj 11 bullIlr~ I~liill~ r1lt -- -~ - -_-_ rshy

7~lt~~~ i~~I ~~IL-d

L~ ~~ r ~f ~ I

11111 _ ltl

I ~ f

II middotmiddotI~ I _ ~ to bull

~-- --- ---~------- --__-__-__shy-~ ---~ --shy

~Il bull I~ I~I( u( If hltr~ 1~1t lmllH U 11

1middotr)1 rrll~1 I middotf dllt r ~middot d 1 II ~ IT flInlll iIIlPJ~UI~UI1~d fll( (I Uti Iii Ulaquo lnlll]~j

lul~f ~I hl1l oIllJlII( 1 JxWu 1 l middoti~ 1lt 1 11 r ~IJ r ~I~( ptTitlr If) 1J~middotI~tIImiddotI(r r(quClnl

tIL I~ 11 I iI Ij i J I PJ j 1 J ( ~ --I 1 JImiddot l i lind bull ] f I1C

Rev 713 Title Line 419-627-7626

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

dO III 111111 IIlIIW I

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PU- tllwl fltgtLlMII1 mnlrl 111~hll( (t U~r( 1 IN ) 1Wtrlly (~f 1VlII1IAPJ JuIIH~

tJI1c-j)((~ h1 1 ~V4qc (ltitlf~tt(middot (ie nl Wh In~lltJy O~jiC1c-rltllllcd f lfI(dlCI (middottic pjj(~~nll~ (il n~Jnk~ dl1 ~CU LK I iNf or III nil nWiNq

I II tjl~ i_oll~ my (nlll) kill vlIh~_ UH~ 1)jlllUh1 1Ildll~ 1(1 h lill~ i( IIlltl 1ll11t~~ I he lOhmdt1 I~W~IUI wUn I nk-qp III IX (I d 111(1 11C-I(itUfl ilHlIHllk ll hnJoI or ~ ~rl

11li(

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)1O1llliUf

I (t(lj~) (1ti11 lJt Ihtmtl~Ilf~)liIId 011111101 1H1l1 14 Itl I l if~irJp ii nlj~WHt fililtllil illfln Ie fllit I In(lt

lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
  2. blank
  3. blank2
  4. Page 1 Page 1
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  6. Page 3 Page 3
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  27. 4 4
  28. 5-6 5-6
  29. 7-8 7-8
  30. 9-10 9-10
  31. 11 11
  32. 12-19 12-19
  33. 21 21
Page 13: Prepared and issued as a public service by the office of

Additional Forms

The following pages contain samples of other title-related forms that may be required to transfer an Ohio Certificate of Title

If used these forms must also be completed entirely and notarized

httpwwweriecountyohgov 9

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

dO III 111111 IIlIIW I

1 Ak 1-11 W klAi Nit

UKI ~11 )~ I~ I

Iiii)IY (11 Mtlll)l( Nfl

tlIflt1rII(~ NMt1

(II(K liN 111 1111 IplllVlti l1lIMrW_~ rNr tflHUY HldI

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I II tjl~ i_oll~ my (nlll) kill vlIh~_ UH~ 1)jlllUh1 1Ildll~ 1(1 h lill~ i( IIlltl 1ll11t~~ I he lOhmdt1 I~W~IUI wUn I nk-qp III IX (I d 111(1 11C-I(itUfl ilHlIHllk ll hnJoI or ~ ~rl

11li(

I llt III of my IJUI) kllll--lt1h( lltl OJ-IIIlaquoiC ~dulq l lH~ 11K llllllmitdqmiddot 111ft 1~Jl~d JUj

)1O1llliUf

I (t(lj~) (1ti11 lJt Ihtmtl~Ilf~)liIId 011111101 1H1l1 14 Itl I l if~irJp ii nlj~WHt fililtllil illfln Ie fllit I In(lt

lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
  2. blank
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  33. 21 21
Page 14: Prepared and issued as a public service by the office of

DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES

APPLICATION(S) FOR CERTIFICATE OF rl1LE TO A MOTOR VEHICLE (Type OJ Print In Inkl

CHECK TYPE OF APPLICATION(S) Fee of $500 for failure to apply for tille within 30 days of assignment

COUNTY

PRIMARY APPLICANTS NAME SSNIEIN

PRIMARY APPLICANTS ADDRESS

SECONDARY APPLICANTS NAME SSNIEIN

SECONDARY APPLICANTS ADDRESS

Hereby declares under penalty of perjUry thai heShe IS the lawful (ownerpurchaserhen holder) of the following descnbed motor vehicle and hereby makes application for the following

D ORIGINAL CERTIFICATE OF TITLE Evidence of ownership MCO Previous Tille No Registration etc

Applicant acquired said motor vehicle by (state haw acquired)

from Name of Previous Owner

Address af Previous Owner

The following is a full statement of all liens on said motor vehicte If no lien stale none if more than one lien attach statement of all additional liens

Lien Holder IE Code Address

D 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

has been 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 additionaillena

Lien Holder IE Code Address

D REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number

D MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number

D SALVAGE CERTIFICATE OF TITLE

Applica nt states that the original Certificate of Title Number

has been surrendered to the Clerk of Courts YEAR

BODY TYPE

PURCHASE PRICE $

VENDORS NUMBER

CONDITION OF VEHICLE (Check only one)

VIN

MAKE

TRADE IN AMOUNT $

PERMIT NUMBER

o GOOD o FAIR

MODEL

CONVERSION

SALESUSE TAX $

SALES CREDIT AMOUNT $

o POOR o NRECKED

TAX EXEMPTION REASON DYES

Warning You are reqUired by law to state the true seiling pnce A false statement IS

In Violation of section 292113 of the OhiO ReVised Code and IS

punishable by six months imprisonment and a fine 01 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

Sworn to and subscribed in my presence by _______________________________

this ______ day of 20

(Seal) Clerk Deputy of Clerk of Courts - Notary _X__________________ BMV 3774 12107

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

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I II tjl~ i_oll~ my (nlll) kill vlIh~_ UH~ 1)jlllUh1 1Ildll~ 1(1 h lill~ i( IIlltl 1ll11t~~ I he lOhmdt1 I~W~IUI wUn I nk-qp III IX (I d 111(1 11C-I(itUfl ilHlIHllk ll hnJoI or ~ ~rl

11li(

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)1O1llliUf

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lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
  2. blank
  3. blank2
  4. Page 1 Page 1
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  6. Page 3 Page 3
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  29. 7-8 7-8
  30. 9-10 9-10
  31. 11 11
  32. 12-19 12-19
  33. 21 21
Page 15: Prepared and issued as a public service by the office of

_________ s

OIO~ COliSEliT FORM SCf (131 OR C

rf~ d ~(i I-Jifl Cltt1 r~~yeni 1~lt1 fur rn1( ~f~ ) il1~ )f

llI~~M (f J rmiddot(r ntli -I) t)t r~

~ -------shylCX11 ryo _______

Minor Consent Form

httpwwweriecountyohgov 11

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

flll(1 IlllIIlirIlNII()IiIIltIIIIL~IIIH IIII ~()IAIII lltlqIlIIHIIlYIIW I INllii ~Ii INi(lI~MlliIN 1~II)IltIllII1IIIN (llliJl1l1l III ()I)~IIIH 1111I11NI I 1i1MliflltVlllnIINIIII AlIIIWiil IMWIIIAIIIYlillliliIN 1111 MAKIN 01 IfdSI IAIIMINI IlNIIIII 1lt111 t)il iIIlIMAIIlN I~ IN VlllllllilN Ii gt11ljoN 1)1 n II 1111 III VHi ((ll~ M 1 1liNIIi~lli IlY IX MilI 1 IMI~OINMI N ANIlA IINIII 1111111)111 l1l)NlllhXIIII 1llllfl

dO III 111111 IIlIIW I

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11li(

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)1O1llliUf

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lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
  2. blank
  3. blank2
  4. Page 1 Page 1
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  6. Page 3 Page 3
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  28. 5-6 5-6
  29. 7-8 7-8
  30. 9-10 9-10
  31. 11 11
  32. 12-19 12-19
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Page 16: Prepared and issued as a public service by the office of

12

AfFIOAIIH FO~ DESIGNATION OF eENE~IClIoAY 011 BfHEFIClloAlES By THE SOLE OWNER FOR MoIOTOR VEHICLE WATERCRAFT OR OVTeOARO WTOR CERmlCATE

OF nTLE ORC 11311~A)

tlI-oIlitlOrltdltrf~14 dpltIutWlrd y~________ I1kF _______

_____________ TIIII- NII1tVll ____________

x__________

Affidavit for Designation of Beneficiary

Rev 713 Title Line 419-627-7626

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

milOgt o To Ihlt nest j my QJO kno1C$t u~c Odcrneter r~adllg IS nct the actual mlcaQe and Shoold

not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

COCmiddotA1MV03IRev 6lt]1J

Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

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SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

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Surviving Spouse Affidavit

httpwwweriecountyohgov

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DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

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WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
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  33. 21 21
Page 17: Prepared and issued as a public service by the office of

DO NOT DETACH FROM TITLE ERASUR ES ampALTERATIONS VOID THIS STAT EMENT

STATE OF OHIO SELLERS AFFIDAVIT

ODOMETER READING DISCLOSURE STATEMENT (TYPE OR PRINT IN INK)

IIOTICE TO TR~~poundROR VOtJARE RpoundOUIREDBY IAW TO OHpoundR All mIlI4ATON REOUIRIDHEREIN NCUQwG fHI OOOMpoundTER READ~ Of THE WOIOR VEHICLE iN HiE AHfOAVn ~MpoundD1ATElY

fOlLOiIINC Tl1e IIAKtG OF AfgtLSe STMeMENT UNDER OgtTH OR AHIRNATION IS IN IOLATION OF SECTION 2921 130~ Tgt1f REVItO CODE ANOIPUNIHAIllE BY SIX MONTHS PRSClNMENT ANOA FtlEOflJPTOONE HiOUSANOOOLLARSQR 8011lt

STATEQFQI-tIQ COUNTYSS DATE 20

YEAR MFRS SERIAL NO

MAKE MODEL

BODY TYPE

PURCHASERS NAME

I (_) cerlJfy 10JT Ire mlOag regslltred On Ihs nd al ~h 1 01 ~Slgnmlnt Il

miles

CHECK ONE OF THE FOLLOWING STATEMENTS I (WE) CERTIFY THAT o To be of my Iom Knoo1dg Ih Qdo readlfl9 feleds 1M oetuBI trile ageo The Odorne rudln~ reft~cts bullbullge In excess of the deSigned chaniCa Ollt 01 09999

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not be r~led upon

CHECK ONE Of THE fOlLDWlNG t (WE) CERTIfY THAT WHILE IN MY (OUR) POSSESSION

o Th Odometer oIlhls vehICle was n(t altered set bBCllt 01 ocmcteo o The Odon1ltllaquo r1lhs vohcie wa flared 01 replaceo

X (TRANSFERORSSIGNATURE

SEAL My ComrsslOn expires

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Sellers Odometer Affidavit

bttpllwwweriecountyohgovl 13

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

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)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

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Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

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DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
  2. blank
  3. blank2
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Page 18: Prepared and issued as a public service by the office of

14

ERASURES amp Al TERATIONS VOID THIS STATEMENT STATE OF OHIO

APPLICANTS AFFIDAVIT ODOMETER READING DISClOSURE STATEMENT

(TYPE OR PRINT IN INK)

httpvwwcriecounly ohgovl

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lOll I hi lIftl 1111 lhL~j III 111 plLl( hy Ir d(~ 01 III

)11

SEAL

APPLICANTS AffiDAVIT

Applicants Odometelt A rfidavij

Rev 713 Title Line 419~27-7626

11

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

ttf+

utIT1 middotjqf tt t~ ~rlftigtff le 1- bulli-dt~l

AVln Allin l Ya[ Yfa MIll ~()[If tI Mtlti ~~f~)ll n Mlil Mlhr

llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
  2. blank
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Page 19: Prepared and issued as a public service by the office of

IN THE COURT OF COMMON PIEAS COUNTY OHIO

CIERK OF COURTS

BfELDA V1I SrCnON 10(1 Ifl

~~frlL Of C)tliU

~Injri)nq ~JI JiI) tlthVI 1-1 jU

fVfIj

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llml Iyp( Bodv ryp~

Mniltll MnI 1 Ohic (11 of ll~ 11 C(t el lIt1i) q Apnr Jrniht Vll~j $ APtVfWli1~ tlUf $

Surviving Spouse Affidavit

httpwwweriecountyohgov

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
  2. blank
  3. blank2
  4. Page 1 Page 1
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  30. 9-10 9-10
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  32. 12-19 12-19
  33. 21 21
Page 20: Prepared and issued as a public service by the office of

fhll ntOIt1

DflPlvtttI(Jllt of Nfltutill Rtlfgt(UJU~pound

DIVISION OF WATEHcrIAfT 4l4lJf nrtnlln ~Quru Orfy-~

Golmbulgt OhIO nl4 00

WATERCRAFT OR OUTBOARD MOTOR AFFIDAVIT OF OWNERSHIP

Tgto ~ Indlvllly1 lolling fI duly w~rn Y hOI h or I 11 fIIt 0_ fI~ of 111 101111 M(lrlt~ watrCJft Qr 9utbQud motor

Watercraft or Outboard Motor Affidavit of Ownership

Rev 713 Title Line (419) 627-7626

This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

  1. Text1 wwweriecountyohgov
  2. blank
  3. blank2
  4. Page 1 Page 1
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This booklet is intended to serve as a general guideline for notarizing Ohio Title Documents

Please contact us at our Title Line at (419) 627-7626 if you have specific inquiries not addressed in this booklet

httpwwweriecountyohgov

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

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Page 22: Prepared and issued as a public service by the office of

Rev 713

Erie County Clerk of Courts Administration Offices

323 Columbus Ave Sandusky OH 4870

(419) 627-7705

Title Locations Main Branch - Title

247 Columbus Ave Room 131 Sandusky Ohio 44870

(419) 627-7626

Please direct all auto-title related mailings and correspondence to this address

Title Line (419) 627-7626

Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

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Erie County Clerk of Courts Auto Title Divisionshy247 Col umbus Ave Room 131 Sandusky Ohio 44870 419-627-7626

Revised 713

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