Form Rv F1310401 – Fill Out and Use This PDF

Under Applicant/Vehicle Information, enter the Name, Phone, Email, Street Address, City, State and Zip.

Enter the Vehicle Identification Number, Make, Year Model, Model, Body Type and Mobile Home Length and Width.

Under Purchase Information, fill in "The above described vehicle was purchased on" and "from", then "whose address is" with the Street Address, City, State, Zip and Phone, and "for $".

For the Lien Holder, enter the Lien Holder, Street Address, City, State, Zip and Phone.

By signing you certify the described vehicle is free and clear of all liens except those identified herein and will guarantee title to any future owner. You also certify the fair market value of the described vehicle is less than or equal to $3,000 or the vehicle is at least 30 years old. (checked November 7, 2026)

Under C. STATEMENT OF FACTS, write the reason(s) the applicant cannot furnish proper documents.

If the vehicle is less than 30 years old, and the purchase price was more than $3,000, but the fair market value is now $3,000 or less, certify the market value is $3,000 or less and write the reason(s). (checked November 7, 2026)

By signing under the penalties of perjury, you swear that the information is true and correct to the best of your knowledge, information and belief, and this document correctly state the total amount of consideration for the transfer of this vehicle.

If the vehicle is less than 30 years old the following items are required.

Notification: If the owner(s) is known to the applicant - certified letters with return receipt requested must be sent to all known parties with a legal interest in the vehicle, requesting an assigned certificate of title, and the green return receipt cards must be submitted with the certification of ownership.

If the previous owner is unknown to the applicant - evidence of a notification in a publication of general circulation in the county in which the application is being made, of the intent of the applicant to apply for the title on the vehicle.

The notification shall contain a description of the vehicle, including make, model, year and vehicle identification number, and a request to any and all parties holding an interest in the vehicle to contact the person in possession of the vehicle by certified mail, return receipt requested, within ten (10) business days of the date of the publication.

Verification of the Vehicle Identification Number (VIN) by a law enforcement officer or licensed dealer. This can be a pencil tracing of the actual Vehicle Identification Number (VIN) plate or a statement verifying the actual Vehicle Identification Number (VIN).

A notarized bill of sale from the last registered owner or a notarized statement from the seller stating why the vehicle was not titled or registered in the seller's name.

In the absence of a notarized bill of sale or notarized statement as indicated in #3, submit a licensed motor vehicle dealer appraisal of the value of the vehicle.

For Rebuilt Vehicles only: photographs of the vehicle in its pre-repaired state.

If these are not available, then post-repair photographs must be submitted, along with a notarized statement from the applicant that the pre-repair photographs are not available, and that the applicant was unaware that such photographs were required prior to the repairs being made. If no repairs were made, that fact should be reflected in the statement.

If the vehicle is new and has never been titled, and the manufacturer's statement of origin (MSO) has been lost, and a duplicate is not available, then a complete copy of the MSO that is certified as true and exact must be submitted. This can be certified as true and exact via an attached letter on manufacturer letterhead or via a stamped certification statement by the manufacturer.

The application must be completed in its entirety and returned to the applicants local county clerk office. Additional steps are required on page 2 of the application if the vehicle is less than 30 years old.