![]() ![]() TRUE FULL NAME OF NEW OWNER (LAST, FIRST, MIDDLE, SUFFIX), BUSINESS NAME, OR LESSOR For vehicles 2 model years old and newer, the legal owner (i.e., bank, inance company, etc.) of record must apply for a duplicate title irst, and then release interest on the actual title.This section and the Lien Satisfied (REG 166) form cannot be used. The undersigned lienholder (legal owner of record) certiies release of interest in the vehicle/vessel. SECTION 5 - LEGAL OWNER OF RECORD RELEASE OF OWNERSHIP AND/OR INTEREST - Must be notarized. ![]() The signature for a company or business MUST include the printed name of the company/business and an authorized representative’s countersignature on the signature line (e.g.,ABC CO., by JOHN SMITH - or - JOSEPH SMITH for ABC CO). NOTE: The signature of EACH owner is required if co-owners are joined by AND (shown by / on DMV records). I/we release interest in the described vehicle/vessel. SECTION 4 - REGISTERED OWNER(S) RELEASE OF OWNERSHIP AND/OR INTEREST I agree to indemnify and save harmless the Director of Motor Vehicles for any loss suffered resulting from the issuance of said duplicate Certiicate ofTitle.I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Not Received from DMV (Allow 30 days from issue date) The Certiicate of Title issued for this vehicle/vessel is (check box): If the title has been replaced within the last 90 days, a CHP vehicle veriication is required. Registration Card or Registration Renewal Notice), and your Driver License or Identiication Card. ![]() If your address is different than what appears in the Department’s records, you must ile this application in person, bring the original or facsimile copy of proof of ownership (i.e. SECTION 3 -MISSING TITLE STATEMENT - WARNING: Issuance of a duplicate title cancels the original title.
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