735 512

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APPLICATION FOR
TITLE NEVER RECEIVED
(Check Appropriate Box Below)

Never Received Regular Certificate of Title

This application can be made ONLY by the title holder(s). The title holder is the security interest holder with the
••highest
priority; or if none, the lessor; or if none, the registered owner(s). •• This application can be made only
when at least 30 days have elapsed from the date the title was issued to be sure it is not still in transit. •
• If
more than six months have passed from the date the title was issued, an Application for Replacement Title
(Form 735-515) must be used and the replacement title fee paid.

Never Received Salvage Certificate of Title

• This application can be made ONLY by the title holder(s). The title holder is the registered owner(s) shown on
•the
salvage title. •• This application can be made only when at least 20 days have elapsed from the date the
salvage title was issued to be sure it is not still in transit. •• If more than six months have passed from the
date the salvage title was issued, an Application for Replacement Salvage Title (Form 735-230) must be used
and the replacement salvage title fee paid.

ORIGINAL TRANSACTION DATE

DMV OFFICE NAME

PLATE NUMBER

YEAR

BATCH CODE

DMV OFFICE NUMBER

MAKE

STYLE

VEHICLE IDENTIFICATION NUMBER

TITLE NUMBER (IF KNOWN)

PRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE (check one)

REGISTERED OWNER OR

RESIDENCE ADDRESS - (If owner is a business, use business address)

COUNTY OF RESIDENCE

CITY, STATE, ZIP CODE

ODL / ID / CUSTOMER #

LESSEE

DATE OF BIRTH

MAILING ADDRESS - (If different from residence)

CITY, STATE, ZIP CODE

COUNTY OF MAILING

PRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE OF JOINT OWNER OR LESSEE

ODL / ID / CUSTOMER #

DATE OF BIRTH

PRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE OF JOINT OWNER OR LESSEE

ODL / ID / CUSTOMER #

DATE OF BIRTH

ONE-TIME MAILING ADDRESS (For this transaction only - address will not show on your customer record)

VEHICLE ADDRESS - (Location of vehicle if different from residence)

CITY, STATE, ZIP CODE

CITY, STATE, ZIP CODE

COUNTY (of vehicle address or use)

ODL / ID / CUSTOMER #

SECURITY INTEREST HOLDER (Bank, Finance Company, Person, etc.)

DATE OF BIRTH

TELEPHONE #

SECURITY INTEREST HOLDER ADDRESS - INCLUDE STREET / CITY / STATE / ZIP CODE

(
ODL / ID / CUSTOMER #

SECONDARY INTEREST HOLDER (Bank, Finance Company, Person, etc.)

)

DATE OF BIRTH

TELEPHONE #

SECONDARY INTEREST HOLDER ADDRESS - INCLUDE STREET / CITY / STATE / ZIP CODE

(
ODL / ID / CUSTOMER #

LESSOR (Complete only if lessee is shown as owner above)

)

DATE OF BIRTH

TELEPHONE #

LESSOR ADDRESS - INCLUDE STREET / CITY / STATE / ZIP CODE

(

)

I (we) certify the original title for this vehicle was never received.
ALL TITLE HOLDERS MUST SIGN
SIGNATURE OF OWNER

X

CUSTOMER TELEPHONE #

(

)

SHADED AREA FOR
OFFICE USE ONLY

SIGNATURE OF OWNER

NO FEE

X

SIGNATURE OF JOINT OWNER OR LESSEE

TRANSCODE
09
PROCESSING
5

X
SIGNATURE OF SECURITY INTEREST HOLDER AND/OR LESSOR

X
SIGNATURE OF SECURITY INTEREST HOLDER AND/OR LESSOR

MEMORANDUM RECEIPT #

COUNTER DATE STAMP/INITIALS

X
735-512 (11-17)

STK # 300162
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Create Date                     : 2017:10:25 13:36:48-07:00
Modify Date                     : 2017:11:22 09:16:30-08:00
Subject                         : Application For Title Never Received
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