Application For Certificate Of Title To Watercraft Or Outboard Motor

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APPLICATION(S) FOR CERTIFICATE OF TITLE TO A WATERCRAFT OR OUTBOARD MOTOR
(Type or Print in Ink)
CHECK TYPE OF APPLICATION(S). Fee of $5.00 for failure to apply within 30 days of assignment.
County________________________________
PRIMARY APPLICANT’S NAME________________________________________________________ SSN/EIN___________________________________
PRIMARY APPLICANT’S ADDRESS________________________________________________________________________________________________
SECONDARY APPLICANT’S NAME_____________________________________________________ SSN/EIN___________________________________
SECONDARY APPLICANT’S ADDRESS ____________________________________________________________________________________________
Hereby declares under penalty of perjury that he/she is the lawful (owner/purchaser/lien holder) of the following described watercraft or motor and hereby makes
application for the following:
ORIGINAL CERTIFICATE OF TITLE
_____________________________________
Evidence of ownership
MCO, Previous Title No., Registration, etc.
Applicant acquired said watercraft or outboard motor by (state how acquired) _____________________________________________________
from: Name of Previous Owner _____________________________________________________________________________________
Address of Previous Owner ___________________________________________________________________________________
The following is a full statement of all liens on said watercraft or motor. If no lien state “none”. If more than one lien, attach statement of all additional liens.
Lien Holder _______________________________ Address ________________________________________ E-Code # ______________
DUPLICATE CERTIFICATE OF TITLE
Applicant states that Certificate of Title Number ______________________ has been ____________________; that said watercraft or motor has not
been sold or disposed of except as stated below:
Lost, destroyed
The watercraft is in the possession of __________________________________ residing at ______________________________________ and that
if said Certificate of Title be hereby recovered by this applicant he/she will deliver same to the Clerk of Courts for cancellation
.
The following is a full statement of all liens on said watercraft or motor. If no lien state “none”. If more than one lien, attach statement of all additional liens.
Lien Holder _______________________________ Address ________________________________________ E-Code # ______________
REPLACEMENT CERTIFICATE OF TITLE for Certificate of Title Number ___________________________________________
MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number __________________________________________
SALVAGE CERTIFICATE OF TITLE
Applicant states that the original Certificate of Title Number ____________________________ has been surrendered to the Clerk of Courts.
YEAR
MODEL
LENGTH
WATERCRAFT MAKE
Mfr’s Serial No.
MOTOR MAKE
MOTOR No.
HORSE POWER
VENDOR’S NUMBER
PERMIT NUMBER
SALES CREDIT AMOUNT $
PURCHASE PRICE $
TRADE IN AMOUNT $
SALES/USE TAX $
TAX EXEMPTION:
YES
REASON
Warning: You are required by law to state the true selling price. A false statement is in violation of section 2921.13 of the Ohio Revised Code and is
punishable by six months imprisonment and a fine of up to one thousand dollars or both. All transfers are audited by the Department of Taxation. The
seller and buyer must provide any information requested by the Department of Taxation. The buyer may be assessed any additional tax found to be due.
Applicant’s signature
___________________________________________________________________________________________________________
Sworn to and subscribed in my presence by
this
day of_______________ 20
_______________________________________
__________
________.
Clerk, Deputy Clerk of Courts, Notary
(Seal)
________________________________________________________

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