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AUTO TITLE MANUAL - Franklin County, Ohio

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OHIO BUREAU OF MOTOR VEHICLES<br />

UNCLAIMED AND ABANDONED JUNK MOTOR VEHICLE AFFIDAVIT<br />

Sections 4513.60, 4513.61, 4513.62 and 4513.63 of the <strong>Ohio</strong> Revised Code<br />

(PLEASE TYPE OR PRINT)<br />

THIS IS TO CERTIFY THAT THE FOLLOWING DESCRIBED MOTOR VEHICLE WAS ORDERED IMPOUNDED BY:<br />

NAME OF OFFICER/RANK<br />

LAW ENF. ADDRESS<br />

NAME OF VEHICLE OWNER, IF KNOWN<br />

Yr. of Vehicle<br />

Make<br />

Model<br />

STREET<br />

ADDRESS<br />

Body Type<br />

LAW ENF. AGENCY<br />

VIN<br />

P.D. AREA CODE/PHONE #<br />

( )<br />

CITY<br />

CITY<br />

License No.<br />

STATE<br />

OH<br />

STATE<br />

DATE IMPOUNDED<br />

COUNTY<br />

ZIP CODE<br />

State and Yr. of Registration<br />

Section 4513.60 <strong>Ohio</strong> Revised Code (Vehicle left unclaimed on private property) A SEARCH OF THE STATE’S RECORDS IS REQUIRED.<br />

Section 4513.61 <strong>Ohio</strong> Revised Code (Vehicle left unclaimed on public property) A SEARCH OF THE STATE’S RECORDS IS REQUIRED.<br />

Section 4513.63 <strong>Ohio</strong> Revised Code (Vehicle left abandoned as junk on private or public property) NO <strong>TITLE</strong> ISSUED, NO SEARCH REQUIRED.<br />

NAME OF OWNER<br />

NAME OF LIEN HOLDER<br />

( ) NO RECORD AVAILABLE<br />

FOR BUREAU USE ONLY<br />

ADDRESS<br />

ADDRESS<br />

<strong>TITLE</strong> NUMBER<br />

IMPORTANT NOTICE TO OFFICER – NOT TO BE COMPLETED UNTIL RETURNED BY THE OHIO BUREAU OF MOTOR VEHICLES<br />

The above named law enforcement agency shall notify by certified mail, with return receipt requested; the OWNER, if known, MORTGAGEE or<br />

LIENHOLDER if any; where the unclaimed motor vehicle is impounded, the VALUE of the unclaimed motor vehicle and that unless such OWNER,<br />

MORTGAGEE or LIENHOLDER shall claim such unclaimed motor vehicle within ten (10) days after notice, ownership shall be forfeited and mortgage or lien<br />

shall be invalid.<br />

hereby certifies that all the requirements of Sections 4513.60, 4513.61 or 4513.63 of the <strong>Ohio</strong> Revised<br />

Code necessary to authorize the issuance of the title or consign the above abandoned junk vehicle to salvage, have been met.<br />

Signed X<br />

Sworn to before and subscribed to in my presence, This day of 20 . My Commission Expires 20 .<br />

X<br />

Clerk or Deputy Clerk of Courts-Notary Public<br />

ASSIGNMENT BUYER<br />

The undersigned, being the owner and custodian of the motor vehicle described in the Unclaimed and Abandoned Junk Vehicle Affidavit, declares under<br />

penalty and perjury and warrants that there are no mortgages, liens or encumbrances on said motor vehicle hereby sells and assigns all his right, title and<br />

interest in and to said Unclaimed and Abandoned Junk Vehicle Affidavit and the motor vehicle described therein for<br />

$ was delivered on 20 to:<br />

NAME OF ASSIGNEE-BUYER<br />

STREET ADDRESS CITY STATE ZIP CODE<br />

SIGNATURE OF ASSIGNOR-SELLER<br />

X<br />

AGENCY OF ASSIGNOR-SELLER<br />

Sworn to before and subscribed by assignor, in my presence this day of 20<br />

My Commission Expires 20 X<br />

copy - Clerk of Courts<br />

copy – Custodian<br />

copy – Law Enforcement<br />

copy – BMV<br />

Employee Initials<br />

BMV 3701A 12/06<br />

(SEAL)<br />

Clerk or Deputy Clerk of Courts-Notary Public

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