Fillable Form Reg 227 - Application For Duplicate Or Paperless Title printable pdf download

STATE OF CALIFORNIA

DMV USE ONLY

APPLICATION FOR DUPLICATE

DL/ID #

STATE

TECH. INITIALS

OR PAPERLESS TITLE

DEPARTMENT OF MOTOR VEHICLES

A Public Service Agency

Duplicate Title (Complete Sections 1 - 3)

Paperless Title Certification (Complete Sections 1 - 3)

Transfer of Title with Duplicate or Paperless Title (Seller completes Sections 1 - 4, New Owner completes Sections 6 and 7 , as needed.)

VEHICLE LICENSE PLATE OR VESSEL CF NUMBER

VEHICLE/HULL IDENTIFICATION NUMBER

YEAR/MAKE OF VEHICLE OR VESSEL BUILDER

SECTION 1 — REGISTERED OWNER(S) OF RECORD — Please print name as it appears on the Title/Registration.

TRUE FULL NAME (LAST, FIRST, MIDDLE, SUFFIX), BUSINESS NAME, OR LESSOR

DRIVER LICENSE/ID CARD NUMBER

STATE

CO-OWNER TRUE FULL NAME (LAST, FIRST, MIDDLE, SUFFIX)

DRIVER LICENSE/ID CARD NUMBER

STATE

PHYSICAL RESIDENCE OR BUSINESS ADDRESS (INCLUDE ST., AVE., ETC.) APT./SPACE/STE. #

CITY

STATE

ZIP CODE

COUNTY OF RESIDENCE OR COUNTY WHERE VEHICLE/VESSEL IS PRINCIPALLY GARAGED

MAILING ADDRESS (IF DIFFERENT FROM ABOVE)

APT./SPACE/STE. #

CITY

STATE

ZIP CODE

SECTION 2 — LEGAL OWNER OF RECORD (LIENHOLDER/TITLE HOLDER) — Do not enter name of owners above.

NAME OF BANK, FINANCE COMPANY, OR INDIVIDUAL HAVING A LIEN ON THIS VEHICLE

ELECTRONIC LIENHOLDER ID NUMBER

ELT #

BUSINESS OR RESIDENCE ADDRESS

APT./SPACE/STE. #

CITY

STATE

ZIP CODE

SECTION 3 —MISSING TITLE STATEMENT — WARNING: Issuance of a duplicate title cancels the original title.

If your address is different than what appears in the Department’s records, you must file this application in person, bring the original or facsimile copy of

proof of ownership (i.e. Registration Card or Registration Renewal Notice), and your Driver License or Identification Card. If the title has been replaced

within the last 90 days, a CHP vehicle verification is required.

The Certificate of Title issued for this vehicle/vessel is (check box):

Lost

Stolen

Paperless Title

Not Received from Prior Owner

Not Received from DMV (Allow 30 days from issue date)

Illegible/Mutilated (Attach old title)

I agree to indemnify and save harmless the Director of Motor Vehicles for any loss suffered resulting from the issuance of said duplicate

Certificate of Title. I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

PRINTED NAME OF OWNER

SIGNATURE OF OWNER

DATE

DAYTIME TELEPHONE NUMBER

(

)

SECTION 4 — REGISTERED OWNER(S) RELEASE OF OWNERSHIP AND/OR INTEREST

I/we release interest in the described vehicle/vessel. NOTE: The signature of EACH owner is required if co-owners are joined by AND (shown by /

on DMV records). The signature for a company or business MUST include the printed name of the company/business and an authorized representative’s

countersignature on the signature line (e.g., ABC CO., by JOHN SMITH - or - JOSEPH SMITH for ABC CO).

PRINTED NAME OF OWNER

SIGNATURE OF OWNER

DATE

DAYTIME TELEPHONE NUMBER

(

)

PRINTED NAME OF OWNER

SIGNATURE OF OWNER

DATE

DAYTIME TELEPHONE NUMBER

(

)

SECTION 5 — LEGAL OWNER OF RECORD RELEASE OF OWNERSHIP AND/OR INTEREST — Must be notarized.

The undersigned lienholder (legal owner of record) certifies release of interest in the vehicle/vessel. For vehicles 2 model years old and newer,

the legal owner (i.e., bank, finance company, etc.) of record must apply for a duplicate title first, and then release interest on the actual title. This section

and the Lien Satisfied (REG 166) form cannot be used.

PRINTED NAME OF AUTHORIZED AGENT SIGNING FOR COMPANY

TITLE OF AUTHORIZED AGENT SIGNING FOR COMPANY

DAYTIME TELEPHONE NUMBER

(

)

SIGNATURE OF LEGAL OWNER (COMPANY NAME AND AUTHORIZED AGENT’S COUNTERSIGNATURE)

DATE

NOTARY USE ONLY

A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,

and not the truthfulness, accuracy, or valididty of that document.

State of California

County of

before me,

(HERE INSERT NAME AND TITLE OF THE OFFICER)

personally appeared

, who proved to

me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the

within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized

capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon

behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing