Wisconsin Manufactured Home Certificate Of Title Application printable pdf download

WISCONSIN MANUFACTURED HOME

CERTIFICATE OF TITLE APPLICATION

Section A – Owner Information

PLEASE PRINT CLEARLY. OWNER INFORMATION WILL BE PRINTED ON THE TITLE.

Is the home placed on land owned

Buyer/Owner Legal Name – Last

First

Middle Initial

(Area Code) Phone Number

by the owner of the home?

(Check one)

Co-Owner (if any) – Last Name

First

Middle Initial

(Area Code) Phone Number

AND

____YES

____ NO

Mailing Address

City

State

Zip Code

Section B – Manufactured Home Information

Manufactured Home (Serial) Identification Number

Model Year

Manufacturer/Trade Name

Body Width X Body Length [w/hitch]

HUD Numbers

________________________________

Manufactured Home located in County

Address for location of manufactured home

Manufactured Home Community Name

________________________________

And State License Number

OF:

Section C – Loan Information

If no

List all SECURED PARTY NAME(S) (lienholders)

Street Address, City, State, Zip Code

(Area Code) Phone Number

secured

party

check

None

Section D – Fees – See Section D on back of form for instructions

Title Method – One of the following must be attached.

__ Certificate or Statement of Origin

Heir (Check one) Fee $23.00

Title

Original

Transfer

$_____________

__ Previous Dept of Commerce/ SPS Title

__ Previous Dept. of Transportation Title

(OR) Title Replacement Fee $8.00

$_____________

__ Indemnity Form – Bill of Sale-SBD-10688

__ Indemnity Form – Supporting Documents-SBD-10688

(OR) Surviving Spouse Title Fee $15.50

$_____________

__ Abandoned to Landlord-SBD-10702

__ Repossession-SBD-10699

(OR) Surviving Domestic Partner under ch 770 Title Fee $15.50

$_____________

__ Court Order

$____________

Loan Filing Fee (Lien) $4.00 (pay fee for each new loan in section C)

Plus Applicable Forms

__ Trustee Form- SBD-10700

Requests for Fast Service Fee $15.00 (Per Application)

$____________

__ Transfer to Surviving Spouse, Domestic Partner or Heir

10693

Form- SBD-

for Home/Property < $50,000

Junked (Check One)

$____________

No Fee for

Salvage

Flood Damage

ENTER FEE TOTAL

......................................................................

$_____________

For value received I hereby sell, assign or trade the home described on this document to

Section E – Seller’s or Licensed Dealer’s Statement of Sale and Warranty

the purchaser(s) named in Section “A” and I certify that all liens shown on the Certificate of

(Completed only if purchased through a dealer)

Title and all applicable sales taxes are paid.

SALESPERSON or DEALER Name

Dealer License Number

Date Dealer License Expires

(Area Code) Phone Number

Wisconsin Dealer Signature also serves as evidence of application for title and payment of fees.

(Print Name of Salesperson or Dealer’s Authorized Agent)

(Signature of Salesperson or Dealer’s Authorized Agent)

(Date)

WISCONSIN DEPARTMENT OF REVENUE SELLER’S PERMIT NUMBER: ________________________

Section F - CERTIFICATION –

I (we) certify that the information and statements on this application are true and correct. If an owner is under 18 years old,

a separate completed Consent to Purchase form must be included with this application. s In accordance with Wis. Stat. s. 101.9204 (2) Any person who knowingly

makes a false statement in an application for a certificate of title is guilty of a Class H felony. I understand that a home subject to a recorded mortgage should not

be titled.

(Owner Signature shown in Section A)

(Date)

(Co-Owner Signature)

(Date)

Did you:

Send application and payment to: State of Wisconsin, Department of

• Enclose a signed check made out to

Safety & Professional Services- Manufactured Homes, P.O. Box 8935,

“State of WI – DSPS”?

Madison, WI 53708-8935

• Enclose your original title if needed?