Provide the signature of the legal owner and the authorized agent’s countersignature.Įnter the following information, if applicable:Įnter the month, date, and year the new owner purchased or acquired the vehicle or vessel.Įnter the amount the vehicle or vessel was purchased for. Title of Authorized Agent Signing for CompanyĮnter the job title of the signing representative of the company. Printed Name of Authorized Agent Signing for CompanyĮnter the name of the signing representative of the company. Section 5 - Legal Owner of Record Release of Ownership and/or Interest For a vehicle or vessel that is owned by a company or business, the name of the company or business and an authorized representative’s countersignature are required. For a vehicle or vessel that has multiple owners, each owner is required to sign. If there are multiple owners, use the additional spaces provided.īy signing Section 4, the owner releases interest in the described vehicle or vessel. Section 4 - Registered Owner(s) Release of Ownership and/or InterestĮnter the date the owner signed the section. He or she certifies or declares under the laws of the State of Califonia that the foregoing is true and correct. Provide the signature of the lienholder or titleholder.Įnter the date when the owner signed the section.īy signing the missing title statement section, the signatory agrees to indemnify and save harmless the Director of Motor Vehicles for any loss suffered resulting from the issuance of the said duplicate Certificate of Title. Not Received from DMV - If you select this option, allow 30 days from the issue date.Illegible/Mutilated - If you select this option, attach the old title. Mark the box to determine the condition of the Certificate of Title of the vehicle or vessel. Issuance of a duplicate title cancels the original one. Take note that this section verifies that the title is missing. Name of Bank, Finance Company, or Individual Having a Lien on This VehicleĮnter the full legal name of the lienholder or titleholder.Įnter the full business or residence address of the lienholder or titleholder. Section 2 - Legal Owner or Record (Lienholder/Title Holder) Use the following format: Last, First, Middle, Suffix.Įnter the driver’s license or identification card number of the registered owner.Įnter the name of the registered co-owner as it appears on the title or registration., if applicable Use the following format: Last, First, Middle, Suffix.Įnter the driver’s license or identification card number of the registered co-owner, if applicable.Įnter the full physical address or business address of the registered owner.Ĭounty of Residence or County Where Vehicle/Vessel is Principally GaragedĮnter the county where the vehicle or vessel is primarily garaged.Įnter the full mailing address of the registered owner, if different from the physical residence or business address. Section 1 - Registered Owner(s) of RecordĮnter the name of the registered owner as it appears on the title or registration.
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