Oshp Inspection Request (Page 6 of 7) in pdf

Oshp Inspection Request Page 6

IN THE COURT OF COMMON PLEAS

LAKE COUNTY OHIO

Case Number:

RE: Certificate of Title for

APPLICATION FOR ORDER TO ISSUE

MAKE

CERTIFICATE OF TITLE

MODEL

VIN

YEAR

Applicant’s name:

STATE OF OHIO

)

Address:

COUNTY OF LAKE )

Telephone:

, being duly sworn according to law, make the following

(Applicant’s name)

statements:

How did you obtain the vehicle?

If you purchased the vehicle, list date of transaction, seller, and purchase price.

Date of transaction:

Purchased from:

Purchase price:

ATTACH A COPY OF THE RECEIPT, CHECK OR OTHER PROOF OF TRANSACTION

Did you obtain a record check by the Bureau of Motor Vehicles?

ATTACH COPY OF THE RESULTS.

State why you do not have a title.

ATTACH A COPY OF THE CERTIFIED LETTER SENT TO THE PREVIOUS OWNER, WITH RETURN

RECEIPT, ASKING FOR THE TITLE.

Did you request a title through the Bureau of Motor Vehicles?

ATTACH COPY OF LETTER FROM THE BUREAU OF MOTOR VEHICLES. If applicable

I hereby respectfully make application for this Court to issue an order directing the Lake County

Clerk of Courts is issue a certificate of title to me for the described vehicle.

Applicant’s signature

Sworn to and subscribed before me on

(Date)

(Notary Public, State of Ohio)

S: APPLICATION FOR ORDER TO ISSUE CERTIFICATE OF TITLE

1/13/15

Oshp Inspection Request Page 6