Fillable Form 44605 - Title Name Change Procedure

TITLE NAME CHANGE PROCEDURE - FORM 241 (continued)

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State Form 44605 (R4 / 5-07)

CERTIFICATION OF MOTOR VEHICLE TITLE NAME CHANGE

Check the case that is involved in this transfer (Please read the reverse side before completing this form.)

Individual to Company (transfers between the same legal entity)

Company to Individual (transfers between the same legal entity)

Individual to Corporation, in exchange for stock: VERIFICATION: Certified copy of your corporate minutes, signed by a corporate officer and

NOTARIZED, proving the vehicle(s) to be part of the CONTRIBUTED CAPITAL (no assumption of loans) OR minutes signed by a corporate

officer and NOTARIZED, detailing CONSIDERATION involved in the transfer of the vehicle(s) (no assumption of loans).

Individual to Limited Liability Corporations (LLC), in exchange for ownership interest: VERIFICATION: Letter signed by a corporate officer and

NOTARIZED, proving the vehicle(s) concerned to be CONTRIBUTED CAPITAL in exchange of ownership interest of the LLC (no assumption

of loans) OR minutes signed by a corporate officer and NOTARIZED, detailing CONSIDERATION involved in the transfer of the vehicle(s)

(no assumption of loans).

Corporation Name Change Only: VERIFICATION: Certified copy of your corporate minutes, signed by a corporate officer and NOTARIZED,

detailing specifics of the name change, or a copy or the Article of Amendment from the Secretary of State.

Wholly Owned Subsidiary Formerly Titled by Parent Corporation: VERIFICATION: Certified copy of your corporate minutes, signed by a corporate

officer and NOTARIZED, that clearly indicates the ownership of the subsidiary corporation (no assumption of loans).

Merger of Two Corporations: VERIFICATION: Certified copy of your corporate minutes, signed by a corporate officer and NOTARIZED, detailing

the board of directors' vote to accept the merger, or a copy of the Article of Merger from the Secretary of State.

Corporate Dissolution, in exchange for the canceled stock: VERIFICATION: Certified copy of your corporate minutes, signed by a corporate

officer and NOTARIZED, detailing the dissolution and the exchange of the canceled stock for the vehicle(s) (no assumption of loans).

Other: EXPLAIN: _____________________________________________________________________________________________________

___________________________________________________________________________________________________________________

New name

Social Security Number *

Address (number and street, city, state, and ZIP code)

County / Township

Federal Identification number

Telephone number

Fax number

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)

(

)

The above named wishes to change the name on the Ceritifcate(s) of Title(s) and the corresponding license plate registration(s) for the following

vehicle(s) (including all others noted on a separate attachment).

VEHICLE YEAR

VEHICLE MAKE

VEHICLE IDENTIFICATION NUMBER

The vehicle(s) noted above (including those on attachment, if any) are currently or formally titled and registered in the name of:

Current or former name

Social Security Number *

Address (number and street, city, state, and ZIP code)

Federal Identification number

Telephone number

Fax number

(

)

(

)

The affiant hereby certifies, under penalty of perjury, that the above information is complete and correct, and that the ownership capital investors and/or the

stockholders and/or the partners of the former enterprise have remained substantially unchanged during the four months preceding the execution of affidavit.

The affiant understands that making a false statement on this form may constitute the crime of perjury.

Signature

Printed name

Date (month, day, year)

Mail / Fax to:

BUREAU OF MOTOR VEHICLES

241 Name Change

IGCN, Room N440

100 North Senate Avenue

Indianapolis, IN 46204

Telephone: (317) 232-0237

FAX: (317) 233-0053