Form 768 – Fill Out and Use This PDF

Mark the box if the motor vehicle described on the attached application has not been operated on public roads or the highways of Missouri by myself, or my agent during the period of __ __ /__ __ /__ __ __ __ to __ __ /__ __ /__ __ __ __. Notarization required.

Mark the box if you are giving the unit to the new owner and there is no money or other valuable consideration involved in the transaction. In this instance, this completed affidavit should be given to the new owner along with the assigned title. To notify the Department of Revenue that a transfer of ownership has occurred for a motor vehicle, trailer, all-terrain vehicle (ATV), motorcycle, motortricycle, or autocycle, complete the tear-off Notice of Sale or Transfer (DOR-5049A) attached to the bottom of the Missouri title or a Notice of Sale or Transfer (Form 5049) and submit the completed form to the address indicated on that Notice of Sale or Transfer form. The original owner and the new owner are required to sign the Notice of Sale or Transfer form, even when gifting a motor vehicle, trailer, ATV, motorcycle, motortricycle, or autocycle.

Mark the box if the motor vehicle has not been in the state of Missouri for the 60 day period immediately preceding the date of this application for registration and will be submitted for inspection at an official inspection station within 10 days after entering the state by myself, or my agent.

Mark the box if the abandoned property was abandoned on real estate owned or purchased by me located at (address, city, state, zip code), and enter the approximate retail and or fair market value. Provide a detailed explanation as to the circumstances by which the real estate owner came into possession of the abandoned property and why the real estate owner considers the unit has been abandoned. The seventy-five years box is no part of this box; it is under Certification.

This is not the real estate abandoned property box. Mark the box if you certify that you are seventy-five years old or older and are no longer required to present a physician's statement at the time of renewal for disabled person placards or license plates.

Under Firefighter Plates, mark the box to certify and affirm that I am a director of a fire protection district, or are compensated, partially compensated, or a volunteer member of a fire department, fire protection district, or voluntary fire protection association in Missouri, and enter the Name of Fire District. I further affirm that if I resign, are removed, or otherwise terminate my association with the fire department, I will return my special license plates to the Missouri Department of Revenue within 15 days. Notarization required.

Mark Other and write it on the lines.

Enter the Owner, Year, Make, Model, Vehicle Identification Number, Original Title Number and Current License Number.

Any false statement in this affidavit is a violation of law, and may be punished by fine, imprisonment, or both.

Notary Information: Subscribed and sworn before me, this day of year State County (or City of St. Louis) My Commission Expires (MM/DD/YYYY), Notary Public Signature and Notary Public Name (Typed or Printed), with an Embosser or black ink rubber stamp seal.

The * on License Office notary service is the * on (*Notarization required): License Office notary service is $2.00 (checked October 29, 2026).

Sign on the Signature of Owner line and enter the Date (MM/DD/YYYY).