Bmv 3772 Form PDF Details

In order to register your car in the state of Ohio, you will need to complete Form BMV 3772. This form can be found online or at any local Bureau of Motor Vehicles (BMV). The form is used to provide information about your vehicle, such as its make, model, and VIN number. Completing the form accurately is important, as it helps ensure that your registration is processed quickly and without errors. If you have any questions about how to complete the form or what information is required, contact the BMV directly.

QuestionAnswer
Form NameBmv 3772 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names3772 form bmv, bmv 3772, 3772 form, app assignment dealers

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OHIO DEPARTMENT OF PUBLIC SAFETY

BUREAU OF MOTOR VEHICLES

APPLICATION FOR DEALER ASSIGNMENT

POWER OF ATTORNEY TO TRANSFER OWNERSHIP AND ATTESTATION OF MILEAGE AND IDENTITY FOR THE TRANSFER OF OWNERSHIP OF A VEHICLE OR WATERCRAFT TO OR FROM A MOTOR VEHICLE OR WATERCRAFT DEALER LICENSED BY CHAPTERS 4517/1547 PURSUANT TO OHIO REVISED CODE 4505.032/1548.032 AND APPLICATION FOR CERTIFICATE OF TITLE.

ASSIGNMENT OF OWNERSHIP

 

 

 

 

 

 

I (we) certify the vehicle or watercraft or outboard motor described in this statement was delivered on

 

for the price of

$

 

 

to:

 

 

Is Seller a Minor?

Yes No

TRANSFEREE’S / BUYER’S PRINTED NAME

TRANSFEREE’S / BUYER’S PRINTED ADDRESS

 

 

 

 

 

 

 

 

 

 

Warning to transferor and transferee (seller and buyer). 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.

PICTURE ID ISSUED FROM STATE OF

OPERATOR LICENSE NUMBER OR ID NUMBER

CURRENT TITLED OWNER(S) NAME

 

 

 

 

 

 

 

CONTROL NUMBER

YEAR

MAKE

MODEL

 

BODY TYPE

LENGTH

 

 

 

 

 

 

 

TITLE NUMBER

HP

CURRENT TITLE TYPE

 

THIS VEHICLE WAS A (IF APPLICABLE)

 

 

REGULAR

 

FORMER LAW ENFORCEMENT

 

 

 

SALVAGE

 

FORMER TAXI

 

VIN/WIN/MIN

 

 

 

 

 

OFF ROAD

 

FLOOD VEHICLE

 

 

 

 

 

 

 

 

Federal and State laws require that you state the mileage in connection with transfer of ownership. Failure to complete or providing false information may result in fines and/or imprisonment.

 

 

I (we) certify to the best of my (our) knowledge that the odometer now reads

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

NO TENTHS MILES

 

 

and is the actual mileage of the vehicle unless one of the following statements is checked.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The mileage stated is in excess of the mechanical limits.

The odometer reading is not the actual mileage. WARNING–ODOMETER DISCREPANCY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICATION FOR CERTIFICATE OF TITLE (Type or Print in Ink) Fee of $5.00 for failure to apply for title within 30 days of assignment.

 

 

 

CHECK TYPE OF APPLICATION(S):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOTOR VEHICLE

 

MEMORANDUM

 

 

 

 

WATERCRAFT

 

 

 

 

 

DUPLICATE (Check One)

 

 

OUTBOARD MOTOR

 

SALVAGE

 

 

 

 

REPLACEMENT

 

 

 

 

 

Lost

 

 

 

Stolen

Destroyed

 

 

APPLICANT’S PRINTED NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SSN/EIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT’S PRINTED STREET ADDRESS

 

 

CITY

 

 

 

 

 

 

STATE

 

ZIP CODE

 

 

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PURCHASE PRICE

 

TRADE IN ALLOWANCE

 

 

GROSS TAX DUE

 

 

 

 

 

VENDOR’S

DISCOUNT

 

$

 

$

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

TAX PAID

TAX EXEMPTION:

 

YES

 

 

 

 

 

 

 

 

 

 

DEALER’S PERMIT NUMBER

 

 

$

REASON

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VENDOR’S NUMBER

 

 

CONDITION OF VEHICLE OR WATERCRAFT OR OUTBOARD MOTOR (CHECK ONLY ONE):

 

 

 

 

 

GOOD

FAIR

 

 

POOR

 

WRECKED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIEN INFORMATION: If no lien, state “none”. If more than one lien, attach statement of all additional liens.

 

 

 

 

 

 

 

 

 

LIENHOLDER PRINTED NAME/E CODE #

 

ADDRESS

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I (we) state that all information contained in this application is true and correct.

 

 

 

 

IS APPLICANT A MINOR?

YES

NO

 

 

APPLICANT’S SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRINTED

 

NON PRINTED

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANSFEREE’S / BUYER’S ACKNOWLEDGEMENT OF ABOVE ODOMETER CERTIFICATION AND/OR DUPLICATE TRANSACTIONS

 

 

 

TRANSFEREE’S / BUYER’S OR APPLICANT’S PRINTED NAME

TRANSFEREE’S / BUYER’S SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I/We, the current titled owner or applicant, appoint

 

 

 

 

 

 

 

 

 

as my true and lawful attorney-in-fact to execute any

 

 

 

 

 

 

 

 

 

 

 

 

and all application for assignment of Certificate of Title for the motor vehicle listed above. I attest to the above odometer reading.

 

 

 

 

 

I warrant the title to be free of all liens.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANSFEROR’S / SELLER’S PRINTED NAME

 

 

 

TRANSFEROR’S / SELLER’S SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANSFEROR’S / SELLER’S PRINTED ADDRESS

 

CITY

 

 

 

 

 

STATE

 

 

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: All blank spaces above must be completed before acknowledgement. If not applicable, insert NA or NONE in the space provided.

Sworn to and subscribed in my presence by

 

this

 

day of

 

yr

.

 

 

 

 

 

 

 

 

 

 

 

 

 

My commission expires

 

 

 

year

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(seal)

X

 

X

 

 

 

 

 

 

 

 

CLERK, DEPUTY CLERK OF COURTS NOTARY

 

 

WITNESS BY DEALER OR SALESPERSON

 

BMV 3772 7/21 [17601081]

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ohio form bmv 3772 writing process shown (step 1)

2. The third part is usually to fill out the following blanks: APPLICANTS PRINTED NAME APPLICANTS, TAX EXEMPTION REASON, TRADE IN ALLOWANCE , GROSS TAX DUE , VENDORS DISCOUNT , YES, DEALERS PERMIT NUMBER, VENDORS NUMBER, CONDITION OF VEHICLE OR WATERCRAFT, GOOD, FAIR, POOR, WRECKED, LIEN INFORMATION If no lien state, and ADDRESS.

FAIR, ADDRESS, and DEALERS PERMIT NUMBER inside ohio form bmv 3772

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