APPLICATION FOR CERTIFICATE OF TITLE FOR A VEHICLE
State Form 205 (R14/4-26)
INDIANA BUREAU OF MOTOR VEHICLES
The legal authority for this form is IC 9-17.
*This agency is requesting disclosure of your Social Security Number/Federal Identification Number in accordance with IC 4-1-8-1; disclosure is mandatory, and this record cannot be processed without it.
*A certificate of title issued by the Indiana Bureau of Motor Vehicles may be possessed in either printed or electronic form. IC 9-17-2-4(d).
"An electronic title is a digital representation of a vehicle's certificate of title, serving as a replacement for a paper title. If no selection is made, an electronic title will automatically be issued.
I swear or affirm that I am authorized to perform this transaction, and I agree to indemnify and hold harmless the Indiana BMV from any and all liability arising from this transaction.
I swear or affirm that the information that I have entered on this form is correct. I understand that making a false statement on this form may constitute the crime of perjury.
Applicant Signature
Printed Name
Date (mm/dd/yyyy):
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Month
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Day
Year
Date
Applicant Signature
Printed Name
Title Format Preference (Select only one option below)
Electronic
Paper
Vehicle Color:
Social Security Number / Federal Identification Number *
*
Name of Applicant
Residence Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vehicle Identification Number
Vehicle Year
Vehicle Make
Vehicle Model
Vehicle Type
Odometer
Former Title Number
Purchase Date (mm/dd/yyyy)
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Month
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Day
Year
Date
Lien (Y/N)
Speed (Y/N)
Dealer Number
BMV Use Only
Electronic Lien and Title (ELT) identification number
Holder of First Lien, Mortgage, or Other Encumbrance / Special Mailing Address
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
BMV Use Only
Electronic Lien and Title (ELT) identification number
Holder of Second Lien, Mortgage, or Other Encumbrance
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
BMV Use Only
License Number
License Year
Forms Used
Gross Retail and Use Tax Affidavit - I/We hereby certify that sales or use tax on this vehicle was paid as indicated below.
Selling Price
Less Trade-In / Discount
Amount Subject to Tax
Amount of Tax
Dealer
Branch
Exempt
Exemption Code
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BILL OF SALE
State Form 44237 (R6/12-24)
INDIANA BUREAU OF MOTOR VEHICLES
The legal authority for this form is IC 9-17-2-4.
INSTRUCTIONS:
1. Complete in blue or black ink or print form.
VEHICLE OR WATERCRAFT INFORMATION
Vehicle or Hull Identification Number
Year
Make
Model
Overall Length of Vessel (Watercraft only)
State of Principal Operation (Watercraft only)
Registration Number (If applicable, watercraft only)
Date of Issuance (mm/dd/yyyy) (Watercraft only)
Propulsion Type (Please check one, watercraft only)
Air Thrust
Manual
Propeller
Sail
Water Jet
Other
SALE INFORMATION
Purchase Price
Date of Sale (mm/dd/yyyy)
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Month
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Day
Year
Date
I do hereby sell, transfer and convey all rights for the above vehicle / watercraft to the purchaser in consideration of the sale payment amount I certify that the vehicle/watercraft is not subject to any liens that are the responsibility of the seller.
I swear or affirm that the information I have entered on this form is correct. I understand that making a false statement may constitute the crime of perjury.
Signature of Seller
Date (mm/dd/yyyy)
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Month
-
Day
Year
Date
Printed Name of Seller (last, first, middle initial or company name)
Signature of Seller
Date (mm/dd/yyyy)
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Month
-
Day
Year
Date
Printed Name of Seller (last, first, middle initial or company name)
Address of Seller (number and street)
City, State, ZIP Code
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I swear or affirm that the information entered on this form is correct. I understand that making a false statement may constitute the crime of perjury.
I understand that this Bill of Sale may serve as a temporary certificate of number for a watercraft. This temporary certificate of number is valid for a period of time not to exceed forty-five (45) days from the date of sale contained within this form.
Signature of Purchaser
Date (mm/dd/yyyy)
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Month
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Day
Year
Date
Printed Name of Purchaser (last, first, middle initial or company name)
Signature of Purchaser
Date (mm/dd/yyyy)
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Month
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Day
Year
Date
Printed Name of Purchaser (last, first, middle initial or company name)
Address of Purchaser (number and street)
City, State, ZIP Code
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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COLLECTION OF PAYMENT INFORMATION
State Form 56163 (R4/8-25)
INDIANA BUREAU OF MOTOR VEHICLES
BUREAU OF MOTOR VEHICLES
Central Office Finance
100 N. Senate Avenue, Room N440
Indianapolis, IN 46204
(888) 692-6841
The legal authority for this form is IC 5-27-3-1
INSTRUCTIONS:
1. Complete in blue or black ink or print form.
2. Enter the amount to be charged and the payment type information in Section 2. Payment may be made by Visa, MasterCard, Discover, or electronic check. If enclosing a check, money order, cashier's check, or certified check, this form is not required.
3. Mail this form to the address that is specified on the application being submitted and for which you are making payment.
4. This form will be destroyed immediately after payment has been processed.
SECTION 1 - ACCOUNT HOLDER INFORMATION
Account Holder (first, middle, last name or company name)
Driver's License Number or Federal Identification Number
Telephone Number
Format: (000) 000-0000.
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SECTION 2 - PAYMENT INFORMATION
Description of the service / application to which the payment is related
Amount to be Charged:
CREDIT CARD PAYMENT
Type of Credit Card:
Visa
MasterCard
Discover
American Express
Expiration Date (mm/yy):
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Month
-
Day
Year
Date Picker Icon
ELECTRONIC CHECK PAYMENT
Routing Number
Account Number
SECTION 3 - AFFIRMATION STATEMENT
I hereby authorize the Indiana Bureau of Motor Vehicles to charge the account indicated above.
Signature of Account Holder / Authorized User
Printed Name
Date Signed (mm/dd/yyyy)
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Month
-
Day
Year
Date
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LIMITED POWER OF ATTORNEYVEHICLE AND WATERCRAFT TRANSACTIONS
State Form 1940 (R7/11-24)
INDIANA BUREAU OF MOTOR VEHICLES
The legal authority for this form is IC 9-17 and IC 30-5.
INSTRUCTIONS
1. Complete in blue or black ink. If more than one customer's signature is required, each customer must complete their own Limited Power of Attorney section below.
2. Individuals must enter their residential address; companies must enter their principal place of business.
3. The Limited Power of Attorney form must be notarized to be valid.
4. The Notary Certificate may be notarized on the front of this form or by attaching a separate notary certificate.
SECTION ONE: CUSTOMER AND VEHICLE INFORMATION
Customer Name (first, middle initial, last, or company name)
First Name
Last Name
Telephone Number
Format: (000) 000-0000.
Address (number and street)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
City
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
State
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
ZIP Code
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vehicle or Hull Identification Number
Make of Vehicle / Watercraft
Year
Title Number (if known)
SECTION TWO: ATTORNEY-IN-FACT INFORMATION
Attorney-in-Fact Name (first, middle initial, last)
First Name
Last Name
Telephone Number
Format: (000) 000-0000.
Address (number and street)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
City
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
State
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
ZIP Code
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SECTION THREE: AFFIRMATION
I hereby authorize the attorney-in-fact to complete transactions involving the certificate of title and/or registration for the vehicle or watercraft listed above.
SECTION FOUR: AUTHORIZING SIGNATURE
Signature of Customer Requiring Representative
Printed Name
Date (mm/dd/yyyy)
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Month
-
Day
Year
Date
SECTION FIVE: NOTARY CERTIFICATE
STATE OF:
SS:
(SEAL)
COUNTY OF:
Sworn to before me, a Notary Public, in and for said County, this
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Month
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Day
Year
Date
day of
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Month
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Day
Year
Date
20
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Month
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Day
Year
Date
Signature of Notary Public
Printed Name of Notary Public
Date Commission Expires (mm/dd/yyyy)
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Month
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Day
Year
Date
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Indiana Department of RevenueCertificate of Gross Retail or Use TaxEXEMPTION for the Purchase of aMotor Vehicle or Watercraft
Form
ST-108E
State Form 48841
(R6 / 5-23)
NAME OF DEALER
Dealer's Registered Retail Merchant Certificate (RRMC) Number
TID (10 digits)
LOC (3 digits)
Dealer's Federal Employer Identification Number (FEIN) (9 digits)
Dealer's License Number (7 digits)
Address of Dealer
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
NAME OF PURCHASER(S) (PRINT OR TYPE)
*
SSN, TID, or FEIN
*
Address of Purchaser
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vehicles Identification Information of Purchase
Vehicle Identification Number (VIN) or Hull Identification Number (HIN)
Year
Make
Model/Length
Calculation of Purchase Price
Calculation of Purchase Price lines 1, 2, and 3 must be completed for all exempted purchases.
1. Total Purchase Price
2. Trade-Allowance (Like-kind exchanges only).
3. Net Purchase Price (Line 1 minus Line 2).
Trade In Information
Vehicle Identification Number (VIN) or Hull Identification Number (HIN)
Year
Make
Model/Length
New Resident Statement - Must be completed if Exemption 8 is claimed (see reverse side).
I certify that I became a resident of INDIANA on (mm/dd/yyyy)
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Month
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Day
Year
Date Picker Icon
My previous State of Residence was
I hereby certify that the above statement is true and correct.
Date
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Month
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Day
Year
Date
Signature of Owner
Sales/Use Tax Worksheet - To be completed if Sales and/or Use Tax was paid to a state other than Indiana, Exemption 15. See reverse side.
Date of Purchase:
1. Purchase price of property subject to sales/use tax.
2. Indiana sales/use tax due: Multiply Line 1 by sales/use tax percentage (7%).
3. Credit for sales tax previously paid to another state(Do not include flat fees, local, and/or excise taxes.)
In what state was the tax paid?
4. Total amount due: Subtract Line 3 from Line 2 (Line 3 can not exceed Line 2)
Direct Relative Identification Exemption - Must be completed if Exemption 11 is claimed (see reverse side).
Name(s) on original title
Relationship of above parties
Name(s) being added/deleted
Public Transportation Exemption - Must be completed if Exemption 6 is claimed and you are not a school bus operator.
U.S. Department of Transportation (USDOT) Number
I certify that the above vehicle or watercraft is exempt from sales/use tax under exemption number ____________________ (enter the corresponding exemption number from the reverse side). I also certify that any sales tax credit shown as paid to an out of state dealer using Exemption 15 was actually collected by the dealer and the dealer has not provided the buyer with a check to be paid to the BMV. I understand that making a false statement on this form may constitute the crime of perjury.
Date
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Month
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Day
Year
Date
Signature of Purchaser
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