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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
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.7 Linearized : Yes Author : ODOT/DMV 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 XMP Toolkit : Adobe XMP Core 5.6-c015 84.159810, 2016/09/10-02:41:30 Producer : Acrobat Distiller 17.0 (Windows) Creator Tool : Designer 6.2 Metadata Date : 2017:11:22 09:16:30-08:00 Format : application/pdf Description : Application For Title Never Received Creator : ODOT/DMV Title : 735-512 Document ID : uuid:62da4373-27dc-4575-b3e3-7bdc6f55332a Instance ID : uuid:1d58ac48-6547-4507-81f5-b48d4bd63935 State : 1 Version : 1.1 Version Ref : /template/subform[1] Page Count : 1EXIF Metadata provided by EXIF.tools