Transfer of Ownership Form - DataDot USA

1 Transfer of Ownership form REMIT FORMS TO: Attn: Registration Administrator DataDot Technology USA, Inc. PO Box 6323. Spokane, WA 99217-0906. This Transfer of Ownership form is intended to change the owner/seller's registered information and update it with the new owner/buyer's information. The seller may Transfer his/her registration to the buyer of the vehicle by mailing in the following three items: (1) a completed Transfer of Ownership form ; (2) documentation of sale of vehicle/item which contains the name and address of the new owner and any other pertinent information; and (3) a check for $15 payable to DataDot for the Transfer fee. VIN or Serial No: (for vehicles only). DataDot PIN ID: Example: D N A 1 2 3 4 5 6 7 8 9. Seller's Information Name: Address: City, State, Zip Code: Phone Number: Email Address: Buyer's Information Name: Address: City, State, Zip Code: Phone Number: Email Address: Seller's Signature (if available) Date Buyer's Signature Date DataDot Technology USA PRIVACY POLICY.

2 Personal information provided is stored by DataDot Technology USA Inc. for the purpose of product registration, and law enforcement use only. DataDot cooperates with law enforcement inquires and may be required to disclose information to law enforcement or other government officials in connection with an investigation. A customer's personal information will not be disclosed to any other person or organization without the express consent of the customer or unless required by law. All information will be held in the strictest of confidence. Questions or Concerns? Contact or