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APPLICATION FOR DEALER ASSIGNMENT

BMV 3772 4/18 [17601081] OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES APPLICATION FOR DEALER ASSIGNMENT POWER OF ATTORNEY TO TRANSFER OWNERSHIP AND ATTESTATION OF MILEAGE AND IDENTITY FOR THE TRANSFER OF OWNERSHIP OF A VEHICLE OR WATERCRAFT TO OR FROM A MOTOR VEHICLE OR WATERCRAFT DEALER LICENSED BY CHAPTERS 4517/1547 PURSUANT TO OHIO REVISED CODE AND APPLICATION FOR CERTIFICATE OF TITLE. ASSIGNMENT OF OWNERSHIP I (we) certify the vehicle or watercraft or outboard motor described in this statement was delivered on for the price of $ to: Is Seller a Minor? Yes No TRANSFEREE S / BUYER S PRINTED NAME TRANSFEREE S / BUYER S PRINTED ADDRESS Warning to transferor and transferee (seller and buyer). You are required by law to state the true selling price.

bmv 3772 4/17 [17601081] ohio department of public safety bureau of motor vehicles application for dealer assignment power of attorney to transfer ownership and attestation of mileage and identity for the transfer of ownership

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