Transcription of DMV Application for Replacement / Duplicate Title
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DMV Application for Replacement / Duplicate Title
PROPANEGASELECTRICOTHER:DIESELHYBRIDGVWR OVER26,000 #TELEPHONE #( )( )735-515 (1-18)STK# 300164 XXXSIGNATURE OF OWNER, SECURITY INTEREST HOLDER OR LESSORSIGNATURE OF OWNER, SECURITY INTEREST HOLDER OR LESSORDATEDATE1617 SIGNATURE OF PERSON CERTIFYING THE Title IS LOST, DESTROYED, OR MUTILATED, IF NOT AN OWNER SHOWN ON DMV DATE STAMP / INITIALSDATEI hereby request a Replacement Title and certify to the best of my knowledge the Title for this vehicle has been lost, destroyed or mutilated, andto 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 isattached.) If I, as the Title holder on DMV records, cannot certify what happened to the Title , the additional signature of the person who has thisknowledge appears on Line NOTE: SIGNATURES ON THIS FORM DO NOT RELEASE owner must certify by completing all applicable statements and sign the Application to apply for Title and registration in Oregon.
At least one current owner listed on DMV records must sign lines 16 or 17, or if there is a release from the owner(s) on DMV records, the new owner may sign line 18. New owner, complete an Application for Title and Registration, Form 735-226. Submit forms, releases from all previous owners and security interest holders, and fees to DMV.
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