Form 735-7116a - Affidavit To Establish Financial Interest In A Vehicle (Page 2 of 2) in pdf

Form 735-7116a - Affidavit To Establish Financial Interest In A Vehicle Page 2

Instructions

Use this form when you have a financial interest in a vehicle and need to obtain the

personal information from DMV’s vehicle record in order to obtain a release of interest or a

signature required for a title transaction.

Do not use this form to request personal information from the record of a vehicle that is

abandoned on your property or that you are required by law to give notice on.

This form and the evidence of interest that you submit do not:

a. guarantee disclosure of the personal information requested, or

b. establish an ownership in the vehicle for title issuance purposes.

1. The form must be complete, notarized, and legible.

The vehicle information must include at least the Oregon plate number or vehicle identification

number.

2. Attach copies of the document(s) that are evidence of your interest in the vehicle.

The documents you submit will not be returned.

The evidence of interest that you submit must:

a. include a description of the vehicle (at least the Oregon plate number or vehicle

identification number),

b. include your name, and

c. show that you have an interest in the vehicle.

3. Send the completed form and copies of your evidence of interest to:

DMV Record Services

1905 Lana Ave NE

Salem OR 97314

4. Your request will be reviewed. If DMV is satisfied that you have financial interest in the vehicle,

the information will be mailed to you.

5. Any correspondence will be sent only to the name and address on the form.

If you have questions, you may contact DMV’s customer assistance unit at: (503) 945-5000 or, in

the Portland area, (503) 299-9999.

Form 735-7116a - Affidavit To Establish Financial Interest In A Vehicle Page 2