Form Itd 3337 - Application For Certificate Of Title

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Application for Certificate of Title
ITD 3337 (Rev 03-16)
itd.idaho.gov
Idaho Transportation Department
Before starting form, see instructions on Page 2.
Previous Idaho Title Number
1st Vehicle or Hull Identification Number (VIN or HIN)
2nd VIN If Assigned
Year
Make
Body Type
Model
Description
Color (Primary/Secondary) Fuel Type
Wheel Base
Weight
Length
Width
Hull Material
Horsepower
Propulsion
Odometer Reading
Odometer Status
Reading Date
Previous State Previous State Brand
Previous State Title No.
Rebuilt Salvage
Actual
In Excess
Mi
(no tenths)
Reconstruct
Repaired
Not Actual
No Device
Km
Other
Exempt
Owner #1 Full Legal Name (Last, First, Middle) or Business Name
Driver’s License Number or SSN / EIN if Business
Or
And
LSR
DBA
Owner #2 Full Legal Name (Last, First, Middle) or Business Name
Driver’s License Number or SSN / EIN if Business
Or
And
LSE
DBA
Owner #3 Full Legal Name (Last, First, Middle) or Business Name
Driver’s License Number or SSN / EIN if Business
Or
And
LSE
DBA
Owner’s Legal Physical Address
City
State Zip+4
Mailing Address if Different from Physical Address
City
State Zip+4
Primary Lienholder Name
Mailing Address
City
State
Zip+4
Secondary Lienholder Name
Mailing Address
City
State
Zip+4
Idaho Sellers Permit No. (required for leasing or rental companies) Purchase Date
Lease
Rental
Tax Not Included
Tax Exempt Sale (Enclose Tax Form)
Gross Sales Price ..................................... $
Qualifying Rebates ..................... $
Dealer Sales
Additional
Net Idaho Sales Tax Due ......................... $
Trade-In Allowance .................... $
Information
Net Idaho Sales Tax Collected ................. $
Adjusted Gross Sales Price ........ $
Trade-In Information
Year
Make
Body Type
Model
Vehicle Identification No. (VIN)
For Tax Purposes, Trade-Ins are
Allowed on Dealer Retail Sales Only
Agency/Dealer Name
Authorized Representative's Name Printed
Title
Agency/Dealer Address
City
State Zip Code
Phone No.
Fax Number
E-Mail Address
(
)
(
)
By checking this box, I certify that I am a financial institution registered in the state of Idaho or an out of state dealership authorized by the state of Idaho,
have physically inspected the vehicle/vessel described in Section 1, and that the VIN/HIN shown on this form is correct.
I certify that all information on this application is correct and that I have witnessed the signature(s) of the person(s) signing this application. I also release all
interest in this vehicle/vessel unless I am listed as lienholder or owner on this application for Title.
Authorized Signature
Date
Title documents will be submitted to the
county office
located in
X
(City)
Do Not Send Cash - Make payment by check or credit card CREDIT CARD purchases are subject to service fees
14 • 00
Credit Card
Visa
MasterCard
Title Fee ........................................................ $
Card Number
Print name as shown on front of credit card
Sales Tax ...................................................... $
Rush Fee (Optional) - Additional $26.00 ....... $
Total Fees ......................................................... $
Expiration Date
Security Code
I, the undersigned, certify that the vehicle/vessel described above is owned by me and this vehicle/vessel will not be the subject of a lien prior to receipt of
the title unless indicated in Section 3. I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct to the
best of my knowledge and belief, and that the signature below is my true and legal signature.
Applicant’s Signature
Daytime Phone Number
Date
X
Applicant’s Signature
Daytime Phone Number
Date
X
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