State Form 20070 – Fill Out and Use

REASSIGNMENT OF A VEHICLE BY A REGISTERED DEALER

State Form 20070 (R4 / 3 -14)

INDIANA BUREAU OF MOTOR VEHICLES

INSTRUCTIONS: 1. Complete in blue or black ink or print form.

2.This form can be used with an Indiana or an out-of-state title that does not have three dealer reassignments.

3.This form CANNOT be included with transactions containing: (1) any Indiana title printed after September 1989, (2) a certificate of origin, (3) any out-of-state title that has three dealer reassignments or specifically states “No Additional Dealer Reassignments” regardless of the number of reassignments, (4) any title that has a usable reassignment available, (5) any title for the purposes of replacing a skipped reassignment, or (6) Certificate of Salvage Vehicle titles.

4.The Indiana BMV does not guarantee that this form will be accepted by titling agencies in the other jurisdictions.

SECTION 1- TO BE COMPLETED BY A REGISTERED DEALER

Vehicle Identification Number

Vehicle Year

Vehicle Make

The dealer listed below hereby sells, assigns, transfers, and conveys the above vehicle described on the attached certificate of title, number

	_________________________from the State of _____________________and warrant the title of said vehicle at the			time of delivery subject to the
	following liens or security interests if any, and none other as specified below.
	Name of Dealer				Dealer Number
	Dealer Business Address (number and street)
	City		State		ZIP Code
	Date of Sale (mm/dd/yyyy)	Selling Price
	Name of Purchaser(s) (last, first, middle initial or company name)
	Purchaser Address (number and street)
	City		State		ZIP Code
	Name of Lienholder (if no lienholder write “None”)
	Lienholder Mailing Address (number and street)
	City		State		ZIP Code

ODOMETER STATEMENT

Federal and State law requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines, imprisonment, or both.

I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked:

		Miles (no tenths)	1.	I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its
				mechanical limits.
			2.	I hereby certify that the odometer reading is NOT the actual mileage. WARNING – ODOMETER DISCREPANCY.
				SECTION 2- AFFIRMATION
				Must be signed by dealer and purchaser
		I swear or affirm that the information I have entered on this form is correct. I understand that making a false statement may constitute the crime
		of perjury.

Signature of Dealer Representative	Printed Name	Position	Date Signed (mm/dd/yyyy)
I am aware of the above odometer certification made by the seller.
Signature of Purchaser	Printed Name		Date Signed (mm/dd/yyyy)