TI-021A: SCDMV Affidavit of Ownership for a Motor Vehicle, Trailer, or Mobile Home

Under Section 1 - Vehicle Information, enter the Vehicle Identification Number, Make, Year, Body & Style, Model, Empty Weight and Gross Vehicle Weight (GVW).

Under Section 2 - Owner Information, your complete name must be used on all title and registration documents.

Under New Primary Owner, enter the Complete Name (Last, First, Middle), the SC Customer No.; DL No.; SSN, or FEIN, and the Date of Birth.

Under New Co-Owner, enter the Complete Name (Last, First, Middle), the SC Customer No.; DL No.; SSN, or FEIN, and the Date of Birth, and check the Shared Ownership (Required, if applicable) AND or OR box.

Enter the Primary Owner's Residence Street Address (Apt. No. if applicable), City, State, ZIP Code and County.

I understand the Department will send mail to the residence address above unless I have specified a mailing address below; fill in the Mailing Address (If Different From Above), City, State, ZIP Code and County.

Enter the Daytime Telephone Number and Email Address.

Unless you indicate otherwise, the addresses above will be used by the State Election Commission to update your voter registration; check Do not update my residence address and Do not update my mailing address to indicate otherwise.

Under Section 3 - Odometer Mileage and Lien Information, enter the mileage in miles, not kilometers.

State that the odometer now reads (no tenths) miles and to the best of my knowledge that it reflects the ACTUAL MILEAGE of the vehicle described herein, UNLESS one of the following statements is checked.

Do not check one of the following unless it applies: The mileage stated is in-excess of its mechanical limits. (The odometer started at zero again.) or The odometer reading is not the ACTUAL mileage. Warning: Odometer Discrepancy.

Under Lien information (if applicable), an ELT provider must include ELT customer Number; enter the Customer No. or FEIN, Lienholder Name, Date of Lien, Contact Person, Phone Number, Mailing Address, City, State and ZIP Code.

Under Section 4 - Facts and Indemnification Agreement, enter the Purchase Price and the Date of Purchase.

Explain why previous certificate of title was not obtained, and explain in detail how, where, and when you acquired the vehicle, who was involved, the condition of the vehicle, and any other information regarding the vehicle.

Under penalties of perjury, I declare that to the best of my knowledge and belief, this statement is true, correct, and complete. I further state that to the best of my knowledge, the vehicle is free and clear of any liens, encumbrances, lawful claims, demands of any person, and is not involved in any existing or pending litigation. I agree to indemnify the South Carolina Department of Motor Vehicles and all persons acting under direction of the Department, from any and all liability and shall defend all litigation that may arise as a result of the issuance of a South Carolina certificate of title in my name.

All listed owners must sign on the Signature of Applicant(s) line, and write the Date.

To receive a title for a vehicle, trailer, or mobile home where no previous title is available, the current owner of the vehicle, trailer, or mobile home must submit the following: Affidavit of Ownership for a Motor Vehicle, Trailer, or Mobile Home (Form TI-021A), to include the vehicle, current owner information, and a statement detailing how, where, and when the owner acquired the vehicle, who were the seller(s) and/or lien holder(s), the condition of the vehicle and any other information regarding the vehicle.

Attach photographs of the vehicle from all four sides (photos will not be returned).

Attach a copy of the owner's out of state credential, passport, employment authorization document or permanent residency card along with a completed Statement of Vehicle Operation in South Carolina (Form TI-006).

Attach Vehicle Identification Verification for Title without Previous Title (Form TI-021B), from a SCDMV official.

The vehicle must be inspected by a Dealer License and Audit Agent a member of Law Enforcement.

If a unique identifying number is not affixed to the vehicle, before proceeding with this request, the customer will be required to apply for an assigned serial number from the Department by completing Application for an Assigned Serial Number (Form 401-A).

Attach the title fee and the applicable Infrastructure Maintenance Fee (IMF) or sales tax.

Additional Requirements for Mobile Homes: a letter or receipt from the county treasurer's office indicating property taxes are current for the mobile home; Seven (7) years of property tax statements in the current owner's name; or, Insurance company records indicating the home has been insured in the owner's name for the previous seven (7) years or more. The insurance documents or property tax statements may also be used to indicate ownership rights of prior owners or the person(s) selling the vehicle, as well as former deeds or installment sales contracts or bills of sale identifying the mobile home by make, model year, and VIN.

Mail the completed form to the South Carolina Department of Motor Vehicles, P.O. Box 1498, Blythewood, S.C. 29016-0039.

Federal and state law requires that you state the mileage in connection with the transfer of ownership; failure to complete or providing a false statement may result in fines and/or imprisonment. Warning: Fraudulent application and falsification of documents is a felony under South Carolina law.