Form 761A – Fill Out and Use This PDF

	Form 761A	OKLAHOMA TAX COMMISSION - MOTOR VEHICLE DIVISION
	Revised 9-2011
		AFFIDAVIT OF ASSEMBLY AND OWNERSHIP FOR AUTOMOBILE / TRUCK / TRAVEL TRAILER
	MVC

State of Oklahoma, County of ________________________________________

I hereby attest to the following facts and information. I understand that any false statement submitted in this afidavit subjects me to prosecution pursuant to 47 OS Section 4-108.

Please refer to the reverse for instructions and information on proper usage of this Afidavit.

Original receipts/bills of sale are required for each of the following components (see reverse). Each column must be completed.

		Ownership Documentation	Serial Number
Description of Major Components	Purchased From	(i.e. Assigned Title, Bill of Sale)
Body and/or Cab:			List Serial Number/VIN of Body/Cab
			In None, ChecK Box
Frame:

Front End Clip:

Rear End Clip:

Engine:

Transmission:

Total purchase price of all components utilized to assemble this vehicle: $.

(Total Purchase Price is to relect the total cost you paid for all parts utilized to construct this vehicle, less the cost of those parts on which sales tax was paid.)

I, the undersigned, state that to the best of my knowledge, there are no liens or claims on this assembled vehicle, or any of its component parts. I further agree to indemnify and save harmless the State of Oklahoma, its agencies, and subsequent purchasers of said property, for any loss they may suffer resulting from titling and registering the above assembled vehicle and to agree to warrant and defend title to this vehicle against any and all claims.

Form 761A - Page 2

AFFIDAVIT OF ASSEMBLY AND OWNERSHIP FOR AUTOMOBILE / TRUCK / TRAVEL TRAILER

PURPOSE / USE OF AFFIDAVIT

This afidavit is to be utilized in applying for an Oklahoma certiicate of title for a vehicle that has been constructed from major components (normally displaying vehicle identiication/serial numbers) taken from two (2) or more separate vehicles, or from a combination of new major components (identiied by Manufacturers Statements of Origin) and used components taken from an existing vehicle.

•Replacement of a motor or transmission alone does not constitute using this Afidavit.

•Utilize Form 761MC in applying for title to a motorcycle/trike.

DOCUMENTARY REQUIREMENTS FOR VEHICLES AND TRAVEL TRAILERS

Original receipts bills of sale and/or invoices should be supplied for all used numbered components such as frames, bodies, cabs, front/rear clips,

transmissions and engines.

New numbered components should have original Manufacturer’s Statements of Origin (M.S.O.’s), which should be properly assigned to the individual building the vehicle.

FOR ASSEMBLY OF A KIT:

Both the Manufacturer’s Statement of Origin (M.S.O.) and invoice issued at time of purchase must be submitted with this form. The invoice will aid in determining the content of the kit (frame, etc). The applicant is to provide either an assigned title OR a separate notarized bill of sale for the donor vehicle (vehicle which is used for parts only) if the frame, engine and transmission are not listed on the invoice as part of the kit.

SUBMISSION / CONTACT INFORMATION

Submit this completed form and required documentation to:	Oklahoma Tax Commission
	Motor Vehicle Division Title Section
	2501 North Lincoln Boulevard
	Oklahoma City, OK 73194
In state toll free telephone: 1-800-522-8165 ext 13221	Direct Telephone: (405) 521-3221	Website: www.tax.ok.gov

NOTICE

Approval of this Afidavit and issuance of an Oklahoma title and registration is not a conirmation of the roadworthiness of this vehicle.

It is the applicant’s responsibility to ensure compliance with all applicable federal and state safety requirements.