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AUTO TITLE MANUAL - Franklin County, Ohio

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tax.ohio.gov<br />

Affidavit Regarding Sale of a Motor Vehicle,<br />

Off-Highway Motorcycle or All-Purpose Vehicle to an Out-of-State Resident<br />

The undersigned hereby certifies that on<br />

Date of sale<br />

the following motor vehicle, off-highway motorcycle or all-purpose vehicle was purchased from:<br />

Name of vendor/seller Vendor's license number, if any<br />

Purchaser's name Street address<br />

City, state, ZIP code<br />

Motor Vehicle, Off-Highway Motorcycle or All-Purpose Vehicle<br />

Driver's license issued by state of License number Expiration date<br />

Year Make Model Body type<br />

Vehicle identification number (VIN) Name of state to be titled in<br />

Purchase price $ Trade in $ Tax base $ Tax due, if any $<br />

Purchaser’s signature<br />

Sworn before me and subscribed in my presence this day of ,<br />

Notary public<br />

To be prepared in triplicate. Original to be retained by vendor with two copies to the Clerk of Courts.<br />

STEC NR<br />

Rev. 3/04<br />

The purchaser further certifies that the purchaser is a nonresident of this state, that possession of the motor vehicle, offhighway<br />

motorcycle or all-purpose vehicle is taken in this state for the sole purpose of immediately removing it from the state<br />

of <strong>Ohio</strong>. Further, that the motor vehicle, off-highway motorcycle or all-purpose vehicle will be permanently titled and registered<br />

in another state, and that the motor vehicle, off-highway motorcycle or all-purpose vehicle will not be used in the state of <strong>Ohio</strong>.<br />

Month Year

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