Application For Missouri Title And License
Download a blank fillable Application For Missouri Title And License in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For Missouri Title And License with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Print Form
Reset Form
TRANS TYPE
ANY FALSE STATEMENT IN THIS APPLICATION IS A
ANY FALSE STATEMENT IN THIS APPLICATION IS A
VIOLATION OF THE LAW AND MAY BE PUNISHED BY FINE
VIOLATION OF THE LAW AND MAY BE PUNISHED BY
OR IMPRISONMENT OR BOTH.
FINE OR IMPRISONMENT OR BOTH.
RENEWAL/TRANSFER
PLATES
DOR USE ONLY — REJECT NUMBER
TRANSFER PLATES
NEW PLATES
LICENSE PLATE NO
BRAND CODE
TITLE ONLY
CLICK HERE for instructions before printing this form.
TITLE AND NOTICE OF LIEN
MISSOURI DEPARTMENT OF REVENUE
(No complete change of ownership)
APPLICATION FOR MISSOURI TITLE AND LICENSE
ORIGINAL (1)
DUPLICATE (2) NON-NEGOT. (3) PRIOR SALVAGE CORRECTED (5) MECHANIC LIEN (6)
SALVAGE (9)
DUP. SALVAGE (0)
JUNK (A)
DUP. JUNK (B)
TRANSFER ON
TENANTS
DEATH (TOD)
IN COMMON
OWNER’S NAME - LAST, FIRST, MIDDLE (ONLY FIRST 50 POSITIONS WILL PRINT ON TITLE) INCLUDING TOD
TOD BENEFICIARIES, IF APPLICABLE
STREET ADDRESS (MUST BE A PHYSICAL ADDRESS - CANNOT BE A PO BOX OR RURAL ROUTE)
COUNTY
FLEET NUMBER
L/R NUMBER
F
LR
IN CITY LIMITS
OUTSIDE CITY
TELEPHONE NUMBER
CITY
STATE
ZIP CODE
LIMITS
(
)
DLN OR FEIN NUMBER
PRICE
ENTER 2 LETTER
ABBREVIATION
$
E-MAIL
YEAR
MAKE
VEHICLE IDENTIFICATION NUMBER
(IF TYPING, DISREGARD BLOCK CONSTRAINTS)
BODY STYLE
REBATE
$
IF NO
COLOR
FUEL
CLICK ON FUEL TYPE
GVWR OVER
MILEAGE
CODE
VEHICLE TRADE-IN
IF NEW, LIST GVWR
PURCHASE DATE
ENTER
G - GAS
L=LP - PROPANE
TRADE-IN
16,000 LBS
AMOUNT
D - DIESEL
N - NATURAL
ENTER "0"
$
OR TYPE
YES
E - ELECTRIC
O - OTHER
EXEMPT
KIND OF VEHICLE
SURRENDERED TITLE NO.
STATE
ZONE
CLICK ON
GR. WT. OR SEATING
OTHER CREDIT
CLICK ON KIND OF VEHICLE
B - BEYOND LOCAL
ZONE TYPE
NEW
USED
CAPACITY
ENTER
L - LOCAL S - SHUTTLE
P - PASSENGER
M - MOTORCYCLE
$
(MSO)
(TITLE)
2 LETTER
F - FARM T - TRANSIT
ABBREVIATION
T - TRUCK
C - TRICYCLE
CHECK BOX IF
NET PRICE
K.O.V.
CYL.
H.P.
TAB NUMBER
EXP. MO.
EXP. YR.
SPECIAL
D - TRAILER
R - REC. VEHICLE
PLATE DOES
P
®
B - BUS
A - ATV
$
0.00
NOT EXPIRE
FIRST LIEN
FIRST LIEN
SECURITY AGREEMENT DATE
MAIL TO LIENHOLDER
LIENHOLDER’S PHONE NO.
SECOND LIEN
MAIL TO ALTERNATE ADDRESS BELOW. DO NOT USE
(B)
IF SECOND LIEN OR SUBJECT TO FUTURE ADVANCES.
(
)
YES
NO
YES
NO
1
2
FIRST LIEN
SECOND LIEN/MAIL TO
SECURITY AGREEMENT DATE
STFA
FEES
STREET ADDRESS, R.R. OR P.O. BOX NUMBER
STREET ADDRESS, R.R. OR P.O. BOX NUMBER
LICENSE FEE
$
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
RESERVATION FEE
FIRST LIENHOLDER AUTHORIZES SECOND LIEN
$
YEAR
MAKE
LICENSE NUMBER
EXP. YEAR
TRADE-IN
BY SIGNING HERE: ®
ADDITIONAL HP/DR/DRX
LICENSE
TRANSFER
$
VEHICLE IDENTIFICATION NUMBER
H.P.
TITLE NUMBER
OTHER
TRANSFER FEE
CREDIT
SIGNATURE OF ONE OWNER REQUIRED
$
If this motor vehicle is registered at the time application for title is made, my signature shall certify that
“I CERTIFY UNDER PENALTY OF PERJURY THAT THE FACTS
I have and will maintain, during the period of registration, financial responsibility with respect to each
FAILURE TO TRANS/RENEW
HEREIN ARE TRUE TO THE BEST OF MY KNOWLEDGE.”
motor vehicle that I own, license, or operate on the streets or highways.
$
DATE
You must present your insurance card or other acceptable proof of financial responsibility.
®
RENEWAL PENALTY
Any false affidavit is a crime under Section 575.050 of Missouri law.
$
MO DEALER NUMBER
DEALERSHIP NAME
CITY, STATE, ZIP CODE
TELEPHONE NUMBER
(
)
TITLE PENALTY
SIGNATURE OF DEALER OR REPRESENTATIVE
TRADE-IN
“I CERTIFY UNDER PENALTY OF PERJURY THAT THE FACTS HEREIN ARE
®
$
TRUE TO THE BEST OF MY KNOWLEDGE.”
YES
NO
ENTER TOTAL OF DEDUCTIONS IN GREEN BOX.
DUPLICATE TITLE ONLY - COMPLETE REASON AND NOTARIZE. NOTARY INFORMATION APPLIES TO APPLICANT’S SIGNATURE.
FUND DONATIONS
$1 BLIND FUND
$1 ORGAN FUND
WWI MEMORIAL FUND
$
LOST
STOLEN
MUTILATED (ATTACH MUTILATED TITLE)
NEVER RECEIVED - LOST IN MAIL
$1
$10
OTHER
NOTARY PUBLIC EMBOSSER OR BLACK
STATE
COUNTY (OR CITY OF ST. LOUIS)
TITLE/QUICK FEE
IF EXEMPT FROM STATE OR
RUBBER STAMP SEAL
LOCAL TAXES, ENTER
$
EXEMPTION CODE HERE:
SUBSCRIBED AND SWORN BEFORE ME, THIS
STATE TAX
DAY OF
$
NOTARY PUBLIC SIGNATURE
MY COMMISSION EXPIRES
FOR OFFICE USE ONLY
LOCAL TAX
NOTARY PUBLIC NAME (TYPED OR PRINTED)
WGT. OF PLATES FORM 2290
FHVUT
$
DIST. AMT.
PP
INS
SUBTOTAL
OFFICE VALIDATION
APPROVE
FEIN
$
$
0.00
REJECT
Y E
SAFETY
SITE CODE
PROCESSING OR AGENT FEE
Y E
EMISSION
$
MILEAGE DATE
NOL PROCESSING FEE
PROCESSED BY
$
SURRENDERED PLATE NUMBER
TOTAL
CLICK HERE for information regarding state and local taxes.
SURRENDERED PLATE CREDIT
$
0.00
TITLE WITHIN THIRTY DAYS TO AVOID PENALTY
DOR-108 (09-2013)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business