Form BMV3774 "Application(S) for Certificate of Title to a Motor Vehicle" - Ohio

What Is Form BMV3774?

This is a legal form that was released by the Ohio Department of Public Safety - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2018;
  • The latest edition provided by the Ohio Department of Public Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form BMV3774 by clicking the link below or browse more documents and templates provided by the Ohio Department of Public Safety.

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Download Form BMV3774 "Application(S) for Certificate of Title to a Motor Vehicle" - Ohio

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OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
APPLICATION(S) FOR CERTIFICATE OF TITLE TO A MOTOR VEHICLE
(Type or Print in Ink)
CHECK TYPE OF APPLICATION(S) Fee of $5.00 for failure to apply for title within 30 days of assignment.
COUNTY
PRIMARY APPLICANT’S NAME
SSN / EIN
PRIMARY APPLICANT’S ADDRESS
SECONDARY APPLICANT’S NAME
SSN / EIN
SECONDARY APPLICANT’S ADDRESS
Hereby declares under penalty of perjury that he / she is the lawful (owner / purchaser / lien holder) of the following described motor vehicle and hereby
makes application for the following:
ORIGINAL CERTIFICATE OF TITLE
Evidence of ownership
MCO, Previous Title No., Registration, etc.
Applicant acquired said motor vehicle by (state how acquired)
from:
Name of Previous Owner
Is Seller a Minor?
Yes
No
Address of Previous Owner
The following is a full statement of all liens on said motor vehicle. If no lien state “none”, if more than one lien, attach statement of all additional liens.
Lien Holder
/E Code #
Address
DUPLICATE CERTIFICATE OF TITLE
;
Appli
has been
cant states that Certificate of Title Number
lost, stolen, destroyed
that said motor vehicle has not been sold or disposed of except as stated below:
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 additional liens.
Lien Holder
/E Code #
Address
REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number
MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number
SALVAGE CERTIFICATE OF TITLE
Applicant states that the original Certificate of Title Number
has been surrendered to the Clerk of Courts.
YEAR
VIN
MODEL
BODY TYPE
MAKE
CONVERSION
PURCHASE PRICE
TRADE IN AMOUNT
SALES / USE TAX
$
$
$
VENDOR’S NUMBER
PERMIT NUMBER
SALES CREDIT AMOUNT
$
CONDITION OF VEHICLE (Check only one)
GOOD
FAIR
POOR
WRECKED
TAX EXEMPTION
REASON
YES
Warning: You are required by law to state the true selling price. A false statement is in violation of section 2921.13 of the Ohio Revised Code and is punishable by
six months imprisonment and a fine of up to one thousand dollars or both. All transfers are audited by the Department of Taxation. The seller and buyer must
provide any information requested by the Department of Taxation. The buyer may be assessed any additional tax found to be due.
Applicant’s signature
X
Is Applicant a Minor?
Yes
No
Sworn to and subscribed in my presence this
day of
, 20
in
County,
State of
.
(Notary Seal)
Signature of Notary Public X
My commission expires
BMV 3774 4/18 [17601081]
OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
APPLICATION(S) FOR CERTIFICATE OF TITLE TO A MOTOR VEHICLE
(Type or Print in Ink)
CHECK TYPE OF APPLICATION(S) Fee of $5.00 for failure to apply for title within 30 days of assignment.
COUNTY
PRIMARY APPLICANT’S NAME
SSN / EIN
PRIMARY APPLICANT’S ADDRESS
SECONDARY APPLICANT’S NAME
SSN / EIN
SECONDARY APPLICANT’S ADDRESS
Hereby declares under penalty of perjury that he / she is the lawful (owner / purchaser / lien holder) of the following described motor vehicle and hereby
makes application for the following:
ORIGINAL CERTIFICATE OF TITLE
Evidence of ownership
MCO, Previous Title No., Registration, etc.
Applicant acquired said motor vehicle by (state how acquired)
from:
Name of Previous Owner
Is Seller a Minor?
Yes
No
Address of Previous Owner
The following is a full statement of all liens on said motor vehicle. If no lien state “none”, if more than one lien, attach statement of all additional liens.
Lien Holder
/E Code #
Address
DUPLICATE CERTIFICATE OF TITLE
;
Appli
has been
cant states that Certificate of Title Number
lost, stolen, destroyed
that said motor vehicle has not been sold or disposed of except as stated below:
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 additional liens.
Lien Holder
/E Code #
Address
REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number
MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number
SALVAGE CERTIFICATE OF TITLE
Applicant states that the original Certificate of Title Number
has been surrendered to the Clerk of Courts.
YEAR
VIN
MODEL
BODY TYPE
MAKE
CONVERSION
PURCHASE PRICE
TRADE IN AMOUNT
SALES / USE TAX
$
$
$
VENDOR’S NUMBER
PERMIT NUMBER
SALES CREDIT AMOUNT
$
CONDITION OF VEHICLE (Check only one)
GOOD
FAIR
POOR
WRECKED
TAX EXEMPTION
REASON
YES
Warning: You are required by law to state the true selling price. A false statement is in violation of section 2921.13 of the Ohio Revised Code and is punishable by
six months imprisonment and a fine of up to one thousand dollars or both. All transfers are audited by the Department of Taxation. The seller and buyer must
provide any information requested by the Department of Taxation. The buyer may be assessed any additional tax found to be due.
Applicant’s signature
X
Is Applicant a Minor?
Yes
No
Sworn to and subscribed in my presence this
day of
, 20
in
County,
State of
.
(Notary Seal)
Signature of Notary Public X
My commission expires
BMV 3774 4/18 [17601081]