Application For Certificate Of Title Form

ADVERTISEMENT

STATE OF WYOMING
OUT OF STATE VIN/HIN INSPECTION
APPLICATION FOR CERTIFICATE OF TITLE
INSPECTION and CERTIFICATION of CORRECT VEHICLE /
HULL
IDENTIFICATION NUMBERS
____ Motor Vehicle
____ Mobile Home
____ Snowmobile
_____ Watercraft
_____ Trailer
_____ Branded Title
(Proof of Ownership MUST Accompany Application)
Date Title Issued: ______________
MANUFACTURER
YEAR
VEHICLE /
HULL
IDENTIFICATION NO.
BODY
STYLE/VESSEL TYPE
HULL MATERIAL
PROPULSION
ENGINE DRIVE
FACTORY PRICE
STATE
PRIOR TITLE NO.
SELLER NAME
ODOMETER /
VESSEL LENGTH
PURCHASE DATE
NAME OF OWNER: ____________________________________________________________________________________________
JTWROS _________
ADDRESS: ___________________________________________________________ CITY: __________________ STATE: ______ ZIP: ____________
SELLER ADDRESS: ___________________________________________________ CITY: _________________ STATE: ______ ZIP: ____________
LIEN HOLDER: ____________________________________________________________________________________________________________
ADDRESS: ___________________________________________________________ CITY: __________________ STATE: _____ ZIP: _____________
LIEN TYPE: __________________________________________________
AMOUNT: __________________________ DATE: ____________
I HEREBY SWEAR OR AFFIRM under penalty of perjury that all information on this application form is true and correct and that I
am lawfully applying for a Wyoming Certificate of Title. I further warrant that said vehicle is owned by me (us) and is subject to the
liens shown and none other. I further certify to the best of my knowledge that if the vehicle is a mobile home, all taxes due on the
mobile home for the preceding and current year have been paid and in the event taxes have not been paid, I acknowledge that I/We
may be responsible for the taxes due for the preceding and current year.
Subscribed and sworn to before me by ______________________________________, this _____ day of ______________, 20____.
(Signature of Applicant)
OFFICE OF COUNTY CLERK or NOTARY: _____________________________________. My Commission Expires: ____________________
AFFIDAVIT OF INSPECTION AND CERTIFICATION OF CORRECT “VIN” or
“HIN”
NUMBERS
YEAR: _____________
MAKE: __________________
MODEL: ________________________
TRIM:__________________________
VIN/HIN:_______________________________________________________________________
VALID HIN: (Y / N)
NCIC: (Y / N)
(A valid HIN has 12 alpha-numeric digits, with no spaces or dashes. If invalid, applicant must contact WY Game & Fish @ 307-777-4686 for a State Assigned HIN)
At the request of the applicant for a Wyoming Certificate of Title, I personally inspected the Vehicle
/Hull
Identification Number on
the described vehicle/watercraft and the information entered by me is correct.
_____ County Sheriff’s Office
_____City Police Dept.
_____ Highway Patrol
_____
Game & Fish
_____State DMV
_____ Commissioned Military Officer
_____ Other authorized agent
Officer’s Name: ___________________________________ Badge #: _________
Agency: ____________________________
Signature: ________________________________________
Date: ___________
Phone #: ____________________________
WATERCRAFT CODES FOR CERTIFICATE OF TITLE APPLICATION
Vessel Type
Hull Material
Propulsion Type
Engine Drive Type
1-Canoe/Kayak
6-Houseboat
1-Fiberglass
6-Rigid Hull Inflatable
1-Propeller
1-Outboard
2-Open Motorboat
7-Personal Watercraft (Jet Ski)
2-Aluminum
7-Other
2-Sail
2-Inboard
3-Rowboat
8-Sail Boat
3-Wood
3-Waterjet
3-Inboard / Stern Drive
4-Cabin Motorboat
9-Other
4-Steel
4-Airthrust
5-Pontoon Boat
5-Rubber/Vinyl/Canvas
5-Manual
MV300B (01/10)
*Red Items Designated for Watercraft Applicants/Inspections

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go