Affidavit Change Of Motor Vehicle Title Form

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GERALD E. FUERST
Cuyahoga County Fiscal Officer
Clerk of Courts Cuyahoga County
AFFIDAVIT
CHANGE OF MOTOR VEHICLE TITLE
Off highway or self-assembled motorcycles: must be two or three wheeled motor
DATE _______________ 20__
vehicles with the following equipment to be titled as a motorcycle.
STATE OF OHIO _________________________COUNTY SS:
1.
Brakes
NAME _________________________________________________________
2.
Headlight, tail light, license plate light
ADDRESS ______________________________________________________
3.
Rearview mirror
being first duly sworn, says that he or she is the owner in possession of the following
4.
Muffler – with baffles
described motor vehicle.
5.
Horn
Year ___________________
VIN _____________________
6.
Saddle type seat
Make __________________
Model ___________________
7.
Handle bars
Body Type ______________
Motor No. ________________
That this aforesaid motor vehicle was changed or altered as follows or is a
OFF HIGHWAY VEHICLE OR SELF-ASSEMBLED PASSENGER OR
newly assembled motor vehicle. I further affirm that this change to the
COMMERCIAL VEHICLES. Must be equipped as listed to be titled as a motor
aforesaid, motor vehicle complies with the attached criteria for that type of vehicle, or
vehicle either commercial or passenger.
the requirement as listed for a newly assembled motor vehicle.
This motor vehicle is now a
1.
Brakes (Section 4513.20 Ohio Revised Code)
2.
Horn (Section 4513.21 Ohio Revised Code)
____________________________________________________________
NOTICE: Falsifying affidavit punishable by fine and imprisonment.
3.
Rearview mirror
4.
Muffler (Section 4513.22 Ohio Revised Code)
X______________________________
Signature of Affiant/Owner
5.
Safety glass (Section 4513.26 Ohio Revised Code)
6.
Directional signal (Section 4513.261 Ohio Revised Code)
Sworn to before me and subscribed in my presence this _______________
day of ________________________ 20___.
7.
Seat Belt anchorage in passenger cars (Section 4513.262 Ohio Revised Code)
_______________________________
8.
Head lights and tail lights (Section 4513.30; 4513.04; 4513.05 Ohio Revised
Clerk of Courts
Code)
_______________________________
9.
Windshield wipers
Deputy/Notary Public
10. Commercial vehicles, clearance lights of over 80 inches wide.
NOTE: In effecting a title change form one type of motor to another, or In titling a
11. Commercial vehicles, two red reflectors on rear (Section 4513.06 Ohio Revised
self-assembled motor vehicle, the flowing criteria must be met before a title change
Code)
will be made or a title is issued.
12. License plate light (Section 4513.05 Ohio Revised Code)
1.
NON-COMMERCIAL OR COMMERCIAL VAN TO STATON WAGON:
13. The motor vehicle is in such a condition that it can be operated on the public
permanent forward facing seats must be Installed so as a commercial
load cannot be hauled.
highway in a safe condition so as not to endanger any person.
2.
MOTOR HOME OR TRAVEL TRAILER TO COMMERCIAL VEHICLE OR
COMMERICAL TRAILER: facilities for human habitation must be removed.
3.
STATION WAGON TO NON-COMMERCIAL OR COMMERCIAL VAN:
additional forward facing seat must removed.
BMV 3803 04/07
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