Form 5177 at a glance
What it is: Form 5177 is the Missouri Department of Revenue Motor Vehicle Bureau Title Assignment Correction Form.
Who signs: Add the Signature of all Purchaser(s) with a Date, and the Signature of all Seller(s) with a Date. The applicant/buyer or authorized agent prints the business name, name and position, then signs and dates. Print the seller's name, then add the seller's signature and the date.
A filled-in Form 5177 example: a dealer corrects a title assignment
How to fill out Form 5177, box by box
Year, Make and Vehicle Identification Number
Enter the Year, the Make and the Vehicle Identification Number.
Purchaser(s) Name, Address and Odometer reading
Enter the Purchaser(s) Name, the Purchaser(s) Address and the Odometer reading (No Tenths) at the time of purchase.
Signature of all Purchaser(s) and Seller(s)
Add the Signature of all Purchaser(s) with a Date, and the Signature of all Seller(s) with a Date.
Sale Price and Date of Sale
Enter the Sale Price and the Date of Sale. Sellers signature required when mileage is needed at the time of purchase.
Acknowledgement - signature required
Declare under penalties of perjury that you have completed the missing information on the form or had the seller complete the information as required by law. By signing, you certify that the information listed is true, accurate, and complete to the best of your knowledge and belief.
The applicant/buyer or authorized agent prints the business name, name and position, then signs and dates.
Common questions about Form 5177
Where do I file it?
Make sure this form is signed and dated and then return it to the Department of Revenue at MOTOR VEHICLE BUREAU, P.O. BOX 3111, JEFFERSON CITY, MO 65109.
Sources
[1] Form 5177 (7-2011), Title Assignment Correction Form, Missouri Department of Revenue (the Official source link on this page).
