735 512
User Manual: 512
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APPLICATION FOR
TITLE NEVER RECEIVED
735-512 (11-17) STK # 300162
ALL TITLE HOLDERS MUST SIGN
SIGNATURE OF OWNER SHADED AREA FOR
OFFICE USE ONLY
NO FEE
TRANSCODE
09
PROCESSING
5
COUNTER DATE STAMP/INITIALS
SIGNATURE OF OWNER
SIGNATURE OF JOINT OWNER OR LESSEE
SIGNATURE OF SECURITY INTEREST HOLDER AND/OR LESSOR
SIGNATURE OF SECURITY INTEREST HOLDER AND/OR LESSOR
X
X
X
X
X
I (we) certify the original title for this vehicle was never received.
ORIGINAL TRANSACTION DATE DMV OFFICE NAME
PLATE NUMBER YEAR
VEHICLE IDENTIFICATION NUMBER
DMV OFFICE NUMBER
BATCH CODE
SECURITY INTEREST HOLDER (Bank, Finance Company, Person, etc.)
SECURITY INTEREST HOLDER ADDRESS - INCLUDE STREET / CITY / STATE / ZIP CODE
ODL / ID / CUSTOMER # DATE OF BIRTH
TELEPHONE #
SECONDARY INTEREST HOLDER (Bank, Finance Company, Person, etc.)
SECONDARY INTEREST HOLDER ADDRESS - INCLUDE STREET / CITY / STATE / ZIP CODE
LESSOR (Complete only if lessee is shown as owner above)
LESSOR ADDRESS - INCLUDE STREET / CITY / STATE / ZIP CODE
ODL / ID / CUSTOMER # DATE OF BIRTH
TELEPHONE #
ODL / ID / CUSTOMER # DATE OF BIRTH
TELEPHONE #
( )
( )
( )
PRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE OF JOINT OWNER OR LESSEE
ONE-TIME MAILING ADDRESS (For this transaction only - address will not show on your customer record)
CITY, STATE, ZIP CODE
DATE OF BIRTH
DATE OF BIRTH
PRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE OF JOINT OWNER OR LESSEE ODL / ID / CUSTOMER #
ODL / ID / CUSTOMER #
VEHICLE ADDRESS - (Location of vehicle if different from residence)
COUNTY (of vehicle address or use)
CITY, STATE, ZIP CODE
COUNTY OF RESIDENCE COUNTY OF MAILING
LAST, FIRST, MIDDLE (check one)
RESIDENCE ADDRESS - (If owner is a business, use business address)
CITY, STATE, ZIP CODE
REGISTERED OWNER OR LESSEE ODL / ID / CUSTOMER # DATE OF BIRTH
MAILING ADDRESS - (If different from residence)
CITY, STATE, ZIP CODE
STYLE
TITLE NUMBER (IF KNOWN)
• 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.
• 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.
Never Received Regular Certificate of Title
Never Received Salvage Certificate of Title
MAKE
(Check Appropriate Box Below)
PRINT FULL LEGAL NAME:
CUSTOMER TELEPHONE #
)(
MEMORANDUM RECEIPT #
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