515 App Repl Title 3 08
DMV
Application for Replacement Title
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
If there are ANY changes in ownership, you must complete an Application for Title and Registration
(Form 735-226) in addition to this form. Please read the instructions on the back of this form carefully
before completing this application.
DMV USE ONLY
TRANS CODE
VT
TI
MP
PROCESS
EX
MISC
BATCH CODE
5
MEMORANDUM RECEIPT #
DEALER TRANS
PRE CHECKER
TITLE FEE
$
Complete Lines 1 through 1 . The ownership information must reflect what is currently shown on DMV records.
PRESENT OREGON PLATE #
YEAR
MAKE
STYLE
VEHICLE IDENTIFICATION NUMBER (VIN)
TITLE NUMBER
1
EQUIPMENT #
REG WEIGHT / LENGTH
VEHICLE
INFO.
GVWR OVER
YES
GAS
DIESEL
HYBRID
2
26,000 LBS.
NO
ELECTRIC
PROPANE
OTHER:
List additional owners on Lines 6 and 7. (This in no way determines a priority of ownership.)
If any owner listed uses a work address on DMV records, that owner must be shown on Line 3.
PRINT )8// /(*$/ NAME:
OF (check one)
OWNER OR
LESSEE
ODL / ID / CUSTOMER #
DATE OF BIRTH (MM/DD/YYYY)
3
RESIDENCE ADDRESS - (If owner is a business, use business address)
MAILING ADDRESS - (If different from residence)
4
CITY, STATE, ZIP CODE
COUNTY OF RESIDENCE
CITY, STATE, ZIP CODE
COUNTY OF MAILING
5
PRINT )8// /(*$/ NAME:
OF JOINT OWNER OR LESSEE
ODL / ID / CUSTOMER #
DATE OF BIRTH (MM/DD/YYYY)
6
OWNER
PRINT )8// /(*$/ NAME:
OF JOINT OWNER OR LESSEE
ODL / ID / CUSTOMER #
DATE OF BIRTH (MM/DD/YYYY)
7
or LESSEE / ADDRESS
ONE-TIME MAILING ADDRESS (For this transaction only - address will not show on your customer record)
Reg. Only VEHICLE ADDRESS - (Location of vehicle if different from residence)
8
Title Only
Both
CITY, STATE, ZIP CODE
CITY, STATE, ZIP CODE
COUNTY (of vehicle address or use)
9
SECURITY INTEREST HOLDER (Bank, Finance Company, Person, etc.)
ODL / ID / CUSTOMER #
DATE OF BIRTH (MM/DD/YYYY)
10
SECURITY INTEREST HOLDER ADDRESS - INCLUDE STREET / CITY / STATE / ZIP CODE
TELEPHONE #
11
( )
SECONDARY INTEREST HOLDER (Bank, Finance Company, Person, etc.)
ODL / ID / CUSTOMER #
DATE OF BIRTH (MM/DD/YYYY)
12
LESSOR
SECONDARY INTEREST HOLDER ADDRESS - INCLUDE STREET / CITY / STATE / ZIP CODE
TELEPHONE #
13
( )
LESSOR (Complete only if lessee is shown as owner on Line 3 above)
ODL / ID / CUSTOMER #
DATE OF BIRTH (MM/DD/YYYY)
and/or 14
SECURITY INTEREST HOLDER
15
LESSOR ADDRESS - INCLUDE STREET / CITY / STATE / ZIP CODE
TELEPHONE #
( )
The owner must certify by completing all applicable statements and sign the application to apply for title and registration in Oregon. Under
Oregon law, it is a crime to knowingly make any false statement on an application for title or registration (ORS 803.070 / ORS 803.385). Both
offenses are Class A misdemeanors and are punishable by a jail sentence of up to one year, a fine of up to $6,250 or both.
I hereby request a replacement title and certify to the best of my knowledge the title for this vehicle has been lost, destroyed or mutilated, and
CERT.
to the best of my knowledge has not been signed, conveyed or transferred to another party. (If mutilated, the title or what remains of the title is
attached.) If I, as the title holder on DMV records, cannot certify what happened to the title, the additional signature of the person who has this
knowledge appears on Line 18.
PLEASE NOTE: SIGNATURES ON THIS FORM DO NOT RELEASE INTEREST.
SIGNATURE OF OWNER, SECURITY INTEREST HOLDER OR LESSOR
DATE
HOME PHONE #
( )
16
MESSAGE PHONE #
X
( )
SIGNATURE OF OWNER, SECURITY INTEREST HOLDER OR LESSOR
DATE
17
X
SIGNATURE OF PERSON CERTIFYING THE TITLE IS LOST, DESTROYED, OR MUTILATED, IF NOT AN OWNER SHOWN ON DMV RECORDS.
SIGNATURES
SIGNATURE
DATE
COUNTER DATE STAMP / INITIALS
18
X
735-515 (
-0 )
STK# 300164
Keep in your vehicle until registration card is received.
DMV
Notice of Transaction
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
Submitted
If there are ANY changes in ownership, you must complete an Application for Title and Registration
(Form 735-226) in addition to this form. Please read the instructions on the back of this form carefully
before completing this application.
TRANS CODE
VT
TI
MP
PROCESS
EX
MISC
BATCH CODE
5
MEMORANDUM RECEIPT #
DEALER TRANS
PRE CHECKER
TITLE FEE
$
Complete Lines 1 through 1. The ownership information must reflect what is currently shown on DMV records.
PRESENT OREGON PLATE #
YEAR
MAKE
STYLE
VEHICLE IDENTIFICATION NUMBER (VIN)
TITLE NUMBER
1
EQUIPMENT #
REG WEIGHT / LENGTH
GVWR OVER
YES
GAS
DIESEL
HYBRID
2
26,000 LBS.
NO
ELECTRIC
PROPANE
OTHER:
List additional owners on Lines 6 and 7. (This in no way determines a priority of ownership.)
If any owner listed uses a work address on DMV records, that owner must be shown on Line 3.
PRINT FULL LEGAL NAME:
OF (check one)
OWNER OR
LESSEE
ODL / ID / CUSTOMER #
DATE OF BIRTH (MM/DD/YYYY)
3
RESIDENCE ADDRESS - (If owner is a business, use business address)
MAILING ADDRESS - (If different from residence)
4
CITY, STATE, ZIP CODE
COUNTY OF RESIDENCE
CITY, STATE, ZIP CODE
COUNTY OF MAILING
5
PRINT FULL LEGAL NAME:
OF JOINT OWNER OR LESSEE
6
PRINT FULL LEGAL NAME:
OF JOINT OWNER OR LESSEE
7
ONE-TIME MAILING ADDRESS (For this transaction only - address will not show on your customer record)
Reg. Only VEHICLE ADDRESS - (Location of vehicle if different from residence)
8
Title Only
Both
CITY, STATE, ZIP CODE
CITY, STATE, ZIP CODE
COUNTY (of vehicle address or use)
9
● WHEN TO USE THIS FORM ●
Use this form if your title has been lost, destroyed, or mutilated.
To apply for a replacement title with NO CHANGE in ownership:
1. Complete the front of this application. See instructions below for required signatures.
2. Submit the completed application to DMV with a fee of $90 for a trailer over 8,000 pounds loaded weight or a
motor vehicle with GVWR over 26,000 pounds (except motor homes). IRU DOO RWKHU YHKLFOHV
CERTIFICATIONS / SIGNATURES
These sections on the application must be completed to request a replacement title and to certify that the last title issued
for the vehicle was lost, destroyed, or mutilated.
All security interest holders or lessors shown on DMV records must sign the application for a replacement title. If DMV
records show no security interest holders or lessors, then all owners shown on DMV records must sign, even if they have
released interest.*
*Note: DMV will accept a replacement title transaction with a change in ownership, without the owner of record’s signature
(Lines 16 and 17), only when no odometer disclosure is required and all ownership releases are provided. In this case,
DMV still requires
signature
.
To apply for a replacement title with ANY CHANGE in ownership:
You must first determine whether an odometer disclosure is required with the transfer. (See exemptions below.)
Transfers exempt from odometer disclosure:
• Any transfer only to add or remove a security interest holder.
• Any transfer where at least one owner is remaining the same.
• Any transfer of:
Vehicles ten years old or older (for example, a 1995 vehicle is exempt as of January 1, 2005);
Vehicles with a manufacturer's gross vehicle weight rating of more than 16,000 pounds;
Snowmobiles;
Class I All-terrain vehicles;
Trailers; and
Vehicles not equipped with an odometer at the time of manufacture.
If an odometer disclosure is required:
A replacement and transfer with a complete change in ownership is not allowed.
•
You must first obtain a replacement title with at least one owner remaining on the title. The owner must then
complete the odometer disclosure on the back of the title. (See instructions above for required signatures.)
•
If the change in ownership does not require an odometer disclosure (for example, removing a security interest
holder), follow instructions below for a transfer of ownership.
If an odometer disclosure is NOT required:
A replacement title with a complete transfer of ownership is allowed.
1. Complete the replacement application. See instructions above for required signatures.
2. Attach a release of interest from all parties shown on DMV records who will not be shown on the new title.
3. Complete an Application for Title (Form 226) showing how the new title is to be issued.
4. Submit both applications, the releases, and a fee to DMV.
Application for transfer of title must be submitted to DMV within 30 days of purchase or you may be
subject to additional fees. To obtain release forms, information on fees, or if you have any questions
about how to apply for a replacement title, please call DMV's Customer Information Center at (503)
945-5000, (Portland Area call (503) 299-9999), or visit our web site at www.oregondmv.com.
