Dmv Form Reg 343 – Fill Out and Use This PDF

VEHICLE IDENTIFICATION NUMBER

VEHICLE MAKE

YEAR MODEL

FUEL TYPE

CALIFORNIA LICENSE PLATE NUMBER

MODEL OR SERIES

BODY TYPE MODEL

MOTORCYCLE ENGINE NUMBER

TYPE OF VEHICLE (CHECK ONE BOX)

FOR TRAILER COACHES ONLY

Auto

Commercial

Motorcycle

Off Highway

Trailer Coach

LENGTH

IN. WIDTH

IN.

(includes truck or pickup)

FOR COMMERCIAL VEHICLES ONLY

Actual

Number of axles:

Unladen weight:

Estimated (Vehicles over 10,001 lbs. only)

TRUE FULL NAME OF OWNER (LAST, FIRST MIDDLE, SUFFIX), BUSINESS NAME, OR LESSOR

DRIVER LICENSE/ID CARD NUMBER

STATE

TRUE FULL NAME OF CO-OWNER OR LESSEE (LAST, FIRST, MIDDLE, SUFFIX)

DRIVER LICENSE/ID CARD NUMBER

STATE

AND

OR

TRUE FULL NAME OF CO-OWNER OR LESSEE (LAST, FIRST, MIDDLE, SUFFIX)

DRIVER LICENSE/ID CARD NUMBER

STATE

AND

OR

PHYSICAL RESIDENCE OR BUSINESS ADDRESS (INCLUDE ST.,AVE., CT., ETC.)

APT./SPACE/STE. NO. CITY

STATE

ZIP CODE

COUNTY OF RESIDENCE OR COUNTY WHERE VEHICLE/VESSEL IS PRINCIPALLY GARAGED

EQUIPMENT NUMBER (OPTIONAL)

MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ADDRESS ABOVE)

APT./SPACE/STE. NO. CITY

STATE

ZIP CODE

LESSEE ADDRESS (IF DIFFERENT FROM ABOVE)

APT./SPACE/STE. NO. CITY

STATE

ZIP CODE

TRAILER COACH ONLY - ADDRESS WHERE LOCATED (IF DIFFERENT FROM PHYSICAL ABOVE)

CITY

STATE

ZIP CODE

SECTION 3 — LEGAL OWNER (LIEN HOLDER/TITLE HOLDER)

if none, must write “none”.

PHYSICAL RESIDENCE OR BUSINESS ADDRESS (INCLUDE ST.,AVE., CT., ETC.)

APT./SPACE/STE. NO.

CITY

STATE

ZIP CODE

MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ADDRESS ABOVE)

APT./SPACE/STE. NO.

CITY

STATE

ZIP CODE

Odometer reading is NOT the actual mileage

Mileage EXCEEDS the odometer mechanical limits

Explain odometer discrepancy:

.

REG 343 (REV. 4/2021) CORRECTED WWW

DATE VEHICLE ENTERED OR WILL ENTER CALIFORNIA (CA):

If vehicle was previously registered in CA, then registered or located

Month

Day

Year

out-of-state and has now returned to CA, enter most recent date vehicle

entered CA. If you did not own vehicle at time of entry, check this box:

DATE VEHICLE FIRST OPERATED IN CALIFORNIA:

Or enter date vehicle will be operated, if it has not been operated

Month

Day

Year

yet.

Month

Day

Year

this box:

DATE VEHICLE WAS PURCHASED OR ACQUIRED:

AND WAS (CHECK BOX):

AND WAS PURCHASED (CHECK BOX):

Month

Day

Year

New

Used

Inside CA

Outside CA

MUST CHECK ONE BOX ONLY, AND ENTER REQUIRED INFORMATION FOR THAT ONE BOX:

VEHICLE WAS PURCHASED OR ACQUIRED FROM:

PURCHASE – I purchased the vehicle for the price of $

.

Dealer

Private Party

Dismantler

GIFT – I acquired the vehicle as a gift. Its current market value is $

.

Immediate Family Member – State

A Statement of Facts (REG 256) form must be completed.

Relationship:

TRADE – I acquired the vehicle as a trade. Its value when I acquired it was $

.

FOR ALL VEHICLES:

etc.) made to this vehicle? If yes, a Statement of Construction (REG 5036) form must be completed

Yes

No

FOR REVIVED JUNK OR REVIVED SALVAGE VEHICLES:

labor is $

.

SECTION 7 — FOR OUT-OF-STATE OR OUT-OF-COUNTRY VEHICLES

For vehicles which enter the state within 1 year of purchase, was Sales Tax paid to another state?

N/A

Yes

No

If yes, enter amount of tax paid $

(this amount will be credited toward any Use Tax in CA). If your vehicle was last

For commercial vehicles (including pickups), this vehicle was last registered as a:

Commercial Vehicle

Non-commercial Automobile in

the last state of registration.

PRINTED NAME

OWNER’S SIGNATURE

DATE

DAYTIME TELEPHONE NUMBER

X

(

)

PRINTED NAME

CO-OWNER’S SIGNATURE

DATE

DAYTIME TELEPHONE NUMBER

X

(

)

PRINTED NAME

CO-OWNER’S SIGNATURE

DATE

DAYTIME TELEPHONE NUMBER

X

(

)