Revised 6-2019 MVC Application for Oklahoma Certificate of ...

Form 701-6 Revised 8-2019

MVC Application for Oklahoma Certificate of Title for a Vehicle

Model Year and Make: ___________________________ Body Type: ___________________________ Identification Number: _________________________________________________________________

Place Motor Vehicle Tax Stamp Here

Model: ________________________________________ Color*:______________________________

* Choose Color from: Black, Blue, Bronze, Brown, Copper, Cream, Dark Blue, Dark Green, Gold, Gray, Green, Lavender, Light Blue, Light Green, Maroon, Orange, Pink, Purple, Red, Silver, Tan, Turquoise, White, and Yellow.

If a previously titled vehicle being brought into Oklahoma by an Oklahoma resident, list the date the vehicle entered Oklahoma. If a previously titled vehicle being brought into Oklahoma by a new resident, list the date of the new resident's employment in this state:

Entry Date: _________________________________

Employment Date: ________________________________

Owner Name: _____________________________________________________________________________________

Address: _________________________________________________________________________________________

City: _______________________________________________ State: ___________ ZIP: ________________________

Daytime Phone Number: _________________________ Email Address: ______________________________________

Drivers license number of owner or, if owner is not an individual, the owner's Federal Employer Identification Number: ________________________________

This vehicle is subject to a lien in favor of:

Name: ___________________________________________________________________________________________ Address: _________________________________________________________________________________________ City: _______________________________________________ State: __________ ZIP: ________________________ Date of Lien: ___________________________________

I, the undersigned, under the penalties of perjury do solemnly swear (or affirm) that I am the owner or legal agent of the owner of the above described vehicle and that the statements contained herein are true.

Owner or Legal Agent of Owner

State of __________________________ , County of _________________________________

Subscribed and sworn to before me this _________ day of ___________________ , ________.

My commission expires ________________ ,_____________ .

________________________________________________________ , Notary Public

Notary Seal

Oklahoma Tax Commission, Motor Vehicle Division Mailing Address:

Oklahoma Tax Commission Motor Vehicle Division 2501 North Lincoln Boulevard Oklahoma City, OK 73194-0013

Telephone: (In-state toll free) 1-800-522-8165 or (direct) (405) 521-3221

Visit the Oklahoma Tax Commission website @ tax. for a listing of all Oklahoma Tag Agents and their locations and contact information.

Form 701-6 Page 2

Used Tire Recycling Fee

Used tire recycling fees are assessed upon the initial titling or registration of vehicles in this state.

Automobile (defined as used in the Oklahoma Used Tire Recycling Act) means every motor vehicle of the type constructed and used for the transportation of ten persons or less, including the driver, or used for the transportation of property. Provided, however, that the automobile's gross vehicle weight rating does not exceed sixteen thousand (16,000) pounds.

Motor Vehicles: Enter Number of Tires for Each Rim Size (including spare):

Tire Rim Size:

19.5" or less ______________________ Motorcycle______________________

Vehicles other than Automobile, Tire Rim Size Over 19.5" ______________________

If Motor Vehicle Registering Under IRP (International Registration Plan), Check here: Commercial Trailers: If Tire Rim Size 19.5" or Less, Enter Number of Tires: ______________________

If Tire Rim Size is in Excess of 19.5", Check here:

Declaration of Damage or Theft

The owner/legal agent of owner of a vehicle 10 years old or newer must complete the following Declaration, unless surrendering a branded certificate of title issued by another state.

(1) Has the vehicle been damaged by collision or other occurrence?...................Yes

........... No

(2) Has the vehicle been recovered from a theft?.................................................Yes

........... No

If the answer to either of the above questions is yes, the owner/legal agent declares, to the best of his/her knowledge:

(3) The cost of repairing the vehicle to a roadworthy condition amounted to ______________ % (percent) of its fair market value at the time of loss.

Flood Damage Disclosure

The owner/legal agent of owner of any vehicle, regardless of age, is to complete the following Flood Damage Disclosure.

(F1) Has the vehicle suffered water and/or flood damage?...................................Yes

........... No

If the answer to question (F1) above is Yes, the owner/legal agent of owner is to review the following Oklahoma statutory definition and answer question (F2) below:

47 O.S. Section 1105 defines "Flood-damaged vehicle" as follows:

Flood-damaged vehicle means a salvage or rebuilt vehicle which was damaged by flooding, or a vehicle which was submerged at a level to or above the dashboard of the vehicle and on which an amount of loss was paid by the insurer.

(F2) Did the flood/water damage to your vehicle meet the above criteria?............Yes

........... No

___________________________________________________ Owner or legal agent of owner

__________________________ Date

Vehicle Inspection

Vehicle Identification Number: ________________________________________________________________________ Odometer Reading: ________________________________________________________________________________ I, the undersigned, hereby certify that I have physically inspected the vehicle identification number and odometer reading of the described vehicle, confirming each as entered directly above.

__________________________________________________________________________ Inspector and Title or Position

___________________ Date

________________________________________ ____________

City

State

____________________________________ Motor License Agent Number

(if applicable)

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