Form 735-227 - Transitional Ownership Document (Tod) Page 3
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1
2
3
4RECEIPT OF TRANSITIONAL OWNERSHIP
DMV
DOCUMENT ONLY (NOT VALID AS A TOD)
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OR 97314
Instructions:
1.
This part is to be used as a receipt. If the document is presented at a local DMV office, a receipt date will be stamped
on the document and returned to you.
2.
If the document is sent in by mail TYPE or CLEARLY PRINT a name and address in the space provided at the
bottom of
this part will be returned as a receipt. If the space is not completed with a name and
address,
sent to you.
3.
“Receipt Requested”
A receipt will be returned
to you by FAX.
YEAR
MAKE
BODY STYLE
DATE OF SALE OR DATE SECURITY AGREEMENT/CONTRACT WAS SIGNED
1
PLATE NUMBER
VEHICLE IDENTIFICATION NUMBER
OREGON TITLE NUMBER
2
NAME OF OWNER
ODL / ID / CUSTOMER NUMBER
DATE OF BIRTH
3
NAME OF OWNER
ODL / ID / CUSTOMER NUMBER
DATE OF BIRTH
4
NAME OF OWNER
ODL / ID / CUSTOMER NUMBER
DATE OF BIRTH
5
OWNERS RESIDENCE ADDRESS (HOUSE NUMBER, STREET)
CITY, STATE, ZIP CODE
6
SECURITY INTEREST HOLDER
ODL / CUSTOMER NUMBER
DATE OF BIRTH
7
SECURITY INTEREST HOLDER ADDRESS (STREET, CITY, STATE, ZIP CODE)
8
SECONDARY SECURITY INTEREST HOLDER/LESSOR
ODL / CUSTOMER NUMBER
DATE OF BIRTH
9
SECONDARY SECURITY INTEREST HOLDER/LESSOR ADDRESS (STREET, CITY, STATE, ZIP CODE)
10
APPROVED
INVALID
The TOD was not received within thirty (30) days from the date of sale or from the date
the security agreement/contract was signed.
The vehicle identification number (VIN) on the TOD does not match the VIN on either
the primary ownership document or DMV vehicle records.
The TOD submitted was incomplete.
Other: ______________________________________________________________ .
PLEASE MAIL
RECEIPT TO:
NOT VALID AS A RECEIPT
UNLESS DATE STAMPED BY DMV
(NAME
ADDRESS
MUST BE
IN BOX BELOW)
RECEIPT DATE
PAGE 2
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