APPLICATION FOR CERTIFICATE OF OWNERSHIP
Purchase Price $ ______________________
NJ Motor Vehicle Commission
Sales/Use Tax $ ______________________
Special Services Titles P.O. Box 017
Ex. Code__________ Initials_____________
Trenton, NJ 08666-0017
APPLICATION FOR CERTIFICATE OF OWNERSHIP
MAKE OF VEHICLE (PRINT)
MODEL
PLEASE DESCRIBE THE VEHICLE ACCURATELY
YEAR
COLOR
BODY TYPE
COMPLETE VEHICLE IDENTIFICATION NUMBER (NOT THE MOTOR NUMBER)
NO. OF AXLES
I
ODOMETER READING
TENTHS
PLEASE CHECK
"YES" OR " N O "
Does your vehicle now have a lien? (Is your vehicle financed?) Yes
No
LIENHOLDER
If you checked "yes" PRINT name and address of bank or finance company below. If you checked "No", print 'NONE" in the box below.
NAME OF BANK OR FINANCE COMPANY (LIENHOLDER), IF NO LIEN PRINT "NONE"
LIENHOLDER CORPCODE
STREET ADDRESS OF LIENHOLDER
CO-OWNER
OWNER
NAME AND ADDRESS OF OWNER AND CO-OWNER BELOW
NAME N.J. DRIVER LICENSE NO. (IF BUSINESS-CORPCODE) DATE OF BIRTH STREET CITY, STATE, ZIP CODE NAME N.J. DRIVER LICENSE NO. (IF BUSINESS-CORPCODE) DATE OF BIRTH STREET CITY, STATE, ZIP CODE
EYE COLOR EYE COLOR
SEX SEX
STATEMENTOF APPLICANT(S): The undersigned hereby certifies all of the above to be true and correct and that the identification number shown on this form has been compared to the identification number on the motor vehicle and further certifies that they agree in every particular.
SIGN HERE x
OWNER
SIGN HERE x
CO-OWNER (if any)
OS/SS-7 (R2/09)
DATE DATE
SIGN HERE
SIGN HERE
x CO-OWNER (if any)
x CO-OWNER (if any)
DATE DATE
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- sample agreement to purchase real estate
- form st 124 12 15 certificate of capital improvement st124
- loan level price adjustment llpa matrix
- application for certificate of ownership
- form w 9 rev october 2018
- leave request form authorization united states navy
- uniform residential loan application fannie mae
- irs 8300 report of cash payments over 10 000 fincen 8300
- aid codes master chart aid codes medi cal
- chapter 10 credit analysis 7 cfr 3555 151 10
Related searches
- new york life change of ownership form
- vanguard change of ownership form
- vanguard transfer of ownership form
- printable application for birth certificate california
- form of ownership example
- history of ownership of property
- dmv transfer of ownership form
- change of ownership statement
- property change of ownership california
- preliminary change of ownership statement
- statement of ownership template
- change of ownership corporation california