North Carolina Division of Motor Vehicles
DEALER'S REASSIGNMENT OF TITLE TO A MOTOR VEHICLE
YEAR
MAKE
BODY STYLE
VIN
Transferred to - Name and Address
Odometer Reading
Printed Name and Signature of Dealer
Printed Firm Name
Dealer #
Date
/
Month
/
Day
Year
Date
County
State
Hand Printed Name and Signature(s) of Buyer(s)
Submit
Should be Empty: