bmv 3772 4/17 [17601081] ohio department of public safety bureau of motor vehicles application for dealer assignment power of attorney to transfer own...
MASSACHUSETTS REGISTRY OF MOTOR VEHICLES. APPLICATION FOR DEALER REASSIGNMENT. The . Dealer Reassignment of Title . portion of the Massachusetts Registry of Motor
2 of 2 FOR OFFICIAL USE ONLY: This report contains information that is privacy and business sensitive. Any misuse or unauthorized disclosure of privacy and business
14. APPLICANT HISTORY A. Have any of the applicants listed in Item 8 been refused the issuance of a vehicle dealer, vehicle wholesaler, salvage dealer,
N E W. D E A L E R. A P P L I C A T I O N I N S T R U C T I O N S. We are happy to extend the opportunity for your business to establish an account with Tucker Rocky and Biker's Choice®. Our general policy states that we sell only to legitimate motor
14) If selling, provide an original (not a copy) Surety Bond pursuant to RSA 261:98 in the amount of $25,000.00 with a raised seal on the bond and original signatures
r Wholesale MV Dealer. Based on the type of unit(s) sold above, request the number of plate(s) based on previous sales or sales estimates. Motor Vehicle ( MV) ______ Boat Trailer ______. Driveaway Plate (Trailer Dealer Only) ______. Recreational Vehi
GUIDELINES FOR ASSIGNMENT REPORT WRITING LGR Page 1 of 6 This document provides guidelines on the expected format of the assignment report. All
School of Economics, The University of Queensland GUIDE FOR ASSIGNMENT PRESENTATION An assignment should be regarded as a piece of academic writing
Cybersecurity Best Practices Guide For IIROC Dealer Members 2 Table of Contents Executive Summary
Dear Vehicle Dealer: You recently requested an application to file a change of owner, partner, or officer for your dealer license, or we have determined that such a
1 APPLICATION FOR ADMISSION FOR 2018 (For more information visit our website: www.univen.ac.za) This is only an application for admission and therefore binding upon
FORM 1 APPLICATION FOR ITALIAN CITIZENSHIP JURE SANGUINIS THE UNDERSIGNED Last/First/Middle Name: _____ City of Birth:
APPLICATION FOR EMPLOYMENT . Exempt Classification . RETURN TO: Address on Announcement. GENERAL INSTRUCTIONS (TYPE OR PRINT CLEARLY IN BLUE OR BLACK INK)
University of Pune Application form for Bonafide Certificate N.B. (1) Fee for each of Bonafide Certificate is Rs. 50/-. It should be paid in the Bank
Any individual or business who has made a payment directly to the Florida Department of Revenue or a county tax collector, which was not owed, was made in error, or was an overpayment, may apply for a refund. This form can be used to apply for a refu
Use this application Who can use this What you may Why do we ask DRAFT 01.16.13 . Application for . Health Insurance (and to ind out if you can get help with
Pg 3 of 2 PERSON RESPONSIBLE FOR ALL AMOUNTS PAYABLE IN RESPECT OF THIS AGREEMENT (hereinafter referred to as the “Account Holder”) ID number
Revised 10/25/16 APPLICATION FOR REGULAR MEMBERSHIP American Angus Association, 3201 Frederick Avenue, Saint Joseph, Missouri 64506 (816) 383-5100 Fax: (816) 233-9703
4 SESECCTITON 1 ION– 1 P –r iPmRIaryM AARYpplica APnt PInLfoICANTrmatio nI NF ORMATION First Name: Middle Name or Initial: Last Name: Alternate/Maiden Name:
APPLICATION FOR ASSISTANCE A. Please tell us about who you are and where you live. Full Legal Name: Primary Language: Current Place of Residence: Own home
1.844.280.0100 [email protected] westgatech.edu SECTION 9: erification of afu Presence in te nited States re ou apin for In -State Tuition
1 Application for Assistance The American Airlines Family Fund is a public, nonprofit 501(c)(3) organization that provides financial assistance to employees of
Supplemental Nutrition Assistance Program (SNAP) benefits ... application. If you are eligible for RMA, benefits start the first of the month in which you applied or the date your refugee/asylee status was granted, whichever is .... Individuals who a
3 of 8 name, relationship and birth date in the table on Page 3. We check the immigration status of immigrants you apply for through the Systematic Alien Verification
OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES
APPLICATION FOR DEALER ASSIGNMENT POWER OF ATTORNEY TO TRANSFER OWNERSHIP AND ATTESTATION OF MILEAGE AND IDENTITY FOR THE TRANSFER OF OWNERSHIP OF A VEHICLE OR WATERCRAFT TO OR FROM A MOTOR VEHICLE OR WATERCRAFT DEALER LICENSED BY CHAPTERS 4517/1547 PURSUANT TO OHIO REVISED CODE 4505.0323/1548.032 AND APPLICATION FOR CERTIFICATE OF TITLE. ASSIGNMENT OF OWNERSHIP for the price of $ I (we) certify the vehicle or watercraft or outboard motor described in this statement was delivered on Is Seller a Minor? TRANSFEREE’S / BUYER’S PRINTED ADDRESS
to: TRANSFEREE’S / BUYER’S PRINTED NAME
Yes
No
Warning to transferor and transferee (seller and buyer). You are required by law to state the true selling price. A false statement is in violation of section 2921.13 of the Ohio Revised Code and is punishable by six months imprisonment and a fine of up to one thousand dollars or both. All transfers are audited by the Department of Taxation. The seller and buyer must provide any information requested by the Department of Taxation. The buyer may be assessed any additional tax found to be due. PICTURE ID ISSUED FROM STATE OF OPERATOR LICENSE NUMBER OR ID NUMBER CURRENT TITLED OWNER(S) NAME CONTROL NUMBER
YEAR
MAKE
TITLE NUMBER
HP
CURRENT TITLE TYPE REGULAR SALVAGE OFF ROAD
VIN/WIN/MIN
MODEL
BODY TYPE
LENGTH
THIS VEHICLE WAS A (IF APPLICABLE) FORMER LAW ENFORCEMENT FORMER TAXI FLOOD VEHICLE
Federal and State laws require that you state the mileage in connection with transfer of ownership. Failure to complete or providing false information may result in fines and/or imprisonment.
,
I (we) certify to the best of my (our) knowledge that the odometer now reads
NO TENTHS MILES
and is the actual mileage of the vehicle unless one of the following statements is checked. The mileage stated is in excess of the mechanical limits.
The odometer reading is not the actual mileage. WARNING–ODOMETER DISCREPANCY
APPLICATION FOR CERTIFICATE OF TITLE (Type or Print in Ink) Fee of $5.00 for failure to apply for title within 30 days of assignment. CHECK TYPE OF APPLICATION(S): MOTOR VEHICLE MEMORANDUM WATERCRAFT DUPLICATE (Check One) OUTBOARD MOTOR SALVAGE REPLACEMENT Lost Stolen Destroyed APPLICANT’S PRINTED NAME SSN/EIN APPLICANT’S PRINTED STREET ADDRESS
CITY
ZIP CODE
COUNTY
TRADE IN ALLOWANCE GROSS TAX DUE VENDOR’S DISCOUNT $ $ $ TAX EXEMPTION: YES DEALER’S PERMIT NUMBER REASON CONDITION OF VEHICLE OR WATERCRAFT OR OUTBOARD MOTOR (CHECK ONLY ONE):
PURCHASE PRICE $ TAX PAID $ VENDOR’S NUMBER
GOOD
FAIR
POOR
WRECKED
LIEN INFORMATION: If no lien, state “none”. If more than one lien, attach statement of all additional liens. LIENHOLDER PRINTED NAME/E CODE # ADDRESS CITY I (we) state that all information contained in this application is true and correct. APPLICANT’S SIGNATURE
STATE
IS APPLICANT A MINOR? PRINTED
X
ZIP CODE YES
NO
NON PRINTED
TRANSFEREE’S / BUYER’S ACKNOWLEDGEMENT OF ABOVE ODOMETER CERTIFICATION AND/OR DUPLICATE TRANSACTIONS TRANSFEREE’S / BUYER’S OR APPLICANT’S PRINTED NAME TRANSFEREE’S / BUYER’S SIGNATURE
X I/We, the current titled owner or applicant, appoint as my true and lawful attorney-in-fact to execute any and all application for assignment of Certificate of Title for the motor vehicle listed above. I attest to the above odometer reading. I warrant the title to be free of all liens. TRANSFEROR’S / SELLER’S PRINTED NAME
TRANSFEROR’S / SELLER’S SIGNATURE
X TRANSFEROR’S / SELLER’S PRINTED ADDRESS
CITY
STATE
ZIP CODE
NOTE: All blank spaces above must be completed before acknowledgement. If not applicable, insert NA or NONE in the space provided. Sworn to and subscribed in my presence by this day of yr . My commission expires (seal)
