State Form 44049 PDF Details

For individuals or entities in Indiana seeking to secure legal ownership of a vehicle, the State 44049 form, or the Application for Certificate of Title, serves as a crucial document. Governed by the Bureau of Motor Vehicles and sanctioned by the State Board of Accounts in 2002, this form encapsulates essential data verification and legal affirmations required for the transfer of vehicle title within the state. Applicants are mandated to furnish accurate information pertaining to the vehicle's identification number, make, model, year, and type, alongside personal identification details. Notably, the form mandates examination and endorsement by authorized personnel, including police officers, BMV officials, or certified dealers, ensuring the authenticity and integrity of the vehicle's identification. A strict adherence to the stipulation of submitting the application within thirty-one days from the date of vehicle purchase is imposed to avoid penalties, underscoring the form's role in facilitating compliance with state laws. Furthermore, the inclusion of specific sections for lien information and tax affidavits highlights the form's comprehensive approach in addressing the financial aspects tied to vehicle ownership. The obligation to provide a Social Security or Federal I.D. number underscores the legal responsibility of the applicants, emphasizing the seriousness of the transaction and the potential legal consequences of perjury, as indicated in the form’s declaration.

QuestionAnswer
Form NameState Form 44049
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesindiana app title, title application indiana, application for title indiana, indiana title application

Form Preview Example

APPLICATION FOR CERTIFICATE OF TITLE l STATE OF INDIANA l BUREAU OF MOTOR VEHICLES

 

 

State Form 44049 (R4 / 3-02)

 

Approved by State Board of Accounts 2002

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO BE COMPLETED BY A POLICE OFFICER, BMV OFFICIAL OR BMV CERTIFIED DEALER SIGNEE

 

 

I/WE THE UNDERSIGNED SWEAR OR AFFIRM THAT THE INFORMA-

FOR

 

OUT OF

STATE TITLES. I HEREBY CERTIFY THAT I PERSONALLY EXAM-

 

 

TION ENTERED ON THIS FORM IS CORRECT. I/WE UNDERSTAND

INED THE FOLLOWING VEHICLE AND FIND THE IDENTIFICATION NUMBER TO BE AS FOLLOWS.

 

 

THAT MAKING A FALSE STATEMENT ON THIS FORM MAY CONSTI-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

TUTE THE CRIME OF PERJURY. FUTHERMORE, I/WE AGREE TO

 

 

 

 

 

 

 

 

 

 

 

 

INDEMNIFY AND HOLD HARMLESS THE INDIANA BMV FROM ANY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

13

 

 

 

 

 

 

17

 

LIABILITY ARISING FROM THIS TRANSACTION.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YR.

 

MAKE

 

MODEL

 

 

TYPE

 

 

 

DATE

 

 

 

 

 

X __________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X __________________________________________________________

INSPECTOR'S PRINTED NAME & TITLE

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

DATE: ______________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The law requires that you apply for Certificate of Title within thirty-one days from the date of purchase of a

INSPECTOR'S SIGNATURE

 

 

 

BADGE, BRANCH OR

motor vehicle. There is a delinquent fee for failure to do so. Attach Certificate of Title assigned by seller. On en-

 

 

 

 

 

 

 

 

DEALER PLATE NO.

dorsed Titles, liens must be released. Supporting documents surrendered with this application cannot be returned to the appli-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

cant. *In accordance with Federal Code 383.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TITLE NUMBER

BRANCH NO.

INVOICE NO.

BMV USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*SOC. SEC./FEDERAL I.D.NO.

APPLICANT'S NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BMV USE ONLY

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

ZIP CODE

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE I.D. NUMBER

 

 

 

 

 

VEH.YEAR

 

VEH. MAKE

VEH. MODEL NO.

VEH TYPE

ODOMETER

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORMER TITLE NUMBER

PURCHASE DATE

 

 

LIEN

 

 

 

SPEED

 

 

 

PICK UP

MAIL

 

DEALER NO.

 

BMV USE ONLY

 

5.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST LIEN'S NAME OR SPECIAL MAILING ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

BMV USE ONLY

 

 

 

 

 

 

 

 

 

7.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECOND LIEN'S NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

 

 

8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

STATE

ZIP CODE

 

 

LICENSE NUMBER

 

LICENSE

FORMS

 

BMV USE ONLY

 

9.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

 

USED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GROSS RETAIL & USE TAX AFFIDAVIT - I/WE HEREBY CERTIFY THAT SALES OR USE TAX ON THIS VEHICLE WAS PAID AS INDICATED BELOW.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SELLING PRICE

LESS TRADE-IN *

 

 

 

AMOUNT SUBJECT TO TAX

AMOUNT OF TAX

 

DEALER

 

BRANCH

EXEMPT

IF EXEMPT

 

10.

$

 

 

$

 

 

 

 

 

 

$

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

PLACE PARA.#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Your Social Security number / Federal I.D. number is being requested by this agency under IC 4-1-8-1. Disclosure is manadatory and this document cannot be processed without it.

APPLICANT RESPONSIBLE FOR ACCURACY OF INFORMATION

APPLICATION FOR CERTIFICATE OF TITLE l STATE OF INDIANA l BUREAU OF MOTOR VEHICLES

BUREAU - TO BE MAILED WITH TITLE REPORT

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