Transcription of DMV - oregon.gov
1 NOTICE OF SALE ORTRANSFER OF A VEHICLE(THIS IS NOT A BILL OF SALE)This form must be submitted to DMV within 10 days of the date of saleor transfer of interest (ORS ). Full completion of this form onlyplaces a notation on the vehicle record. This form cannot be used as abill of sale. Owner name(s) on DMV records cannot change until the titleis submitted for transfer. Purchaser must apply for title to the vehiclewithin 30 days of purchase or pay a late penalty fee (ORS ).735-6890 ( - 6)This notification is for informational purposes only and doesnot constitute an assignment or release of any interest in thevehicle. ORS (5)See back for more # 300440 DEPARTMENT OF TRANSPORTATIONDRIVER AND MOTOR VEHICLE SERVICES1905 LANA AVE NE, SALEM oregon 97314 DMVPLATE NUMBERVEHICLE IDENTIFICATION NUMBERTITLE NUMBERYEARMAKEThe vehicle was sold or ownership transferred to:ADDRESSCITYSTATENAME OF BUYER OR TRANSFEREE (PLEASE PRINT)ODL/CUSTOMER NUMBER (IF AVAILABLE)NAME OF BUYER OR TRANSFEREE (PLEASE PRINT)ZIP CODEBUYER / TRANSFEREESELLER / TRANSFERORSIGNATURE OF BUYER OR TRANSFEREE (IF AVAILABLE)DATE OF PURCHASEXSIGNATURE OF BUYER OR TRANSFEREE (IF AVAILABLE)DATE OF PURCHASEXNAME OF SELLER OR TRANSFEROR (PLEASE PRINT)NAME OF SELLER OR TRANSFEROR (PLEASE PRINT)SIGNATURE OF SELLER OR TRANSFERORXSIGNATURE OF SELLER OR TRANSFERORXDATE OF SALEDATE OF SALEODL/CUSTOMER NUMBER (IF AVAILABLE)4O NOTIFY $-6 THAT A VEHICLE IS IN DEALER STOCK USE $-6 &ORM $EALER.
2 OTICE OF 6 EHICLE 0 URCHASE If you prefer to print and mail your form, please PRINT THIS FORM &ORM FILL IT OUT AND MAIL TO To Fill and Submit Online: Please visit our website at: 1905 Lana Ave NE Salem, OR 97314$EALERS 2 ETAIN A COPY OF THIS FORM FOR YOUR RECORDS $O NOT SUBMIT THIS FORM &ORM WHEN TRANSFERRING THE VEHICLE TO ANOTHER DEALER OR WHEN SUBMITTING AN APPLICATION FOR TITLE TO THE VEHICLE ON BEHALF OF THE BUYER OF THE VEHICLE /23
