APPLICATION(S) FOR CERTIFICATE OF TITLE TO A WATERCRAFT OR OUTBOARD MOTOR
 Type or Print in Ink
 CHECK TYPE OF APPLICATION(S) Fee of $5.00 for failure to apply for title within 30 days of assignment

Applicant's Name_____________________________________________________ SSN/EIN ___________________________

Applicant's Address _____________________________________________________________________________________
hereby declares under penalty of perjury that he/she is the lawful (owner/purchaser/lienholder) of the following described watercraft or outboard motor and hereby makes application(s) for the following:
ORIGINAL CERTIFICATE OF TITLE                 Evidence of Ownership_____________________________
                                                                                                                                      MCO, Previous Title No. Registration, etc

Applicant acquired said watercraft or outboard motor by (state how acquired)____________________________________
from:                 Name of Previous Owner__________________________________________________________________
                         Address of Previous Owner________________________________________________________________
The following is a full statement of all liens on said watercraft or outboard motor, If no lien, state "none". If more than one lien, attach statement for all additional liens.
Lienholder_______________________________________________________________________________________
Address_________________________________________________________________________________________
DUPLICATE CERTIFICATE OF TITLE
Applicant states that Certificate of Title Number___________________ has been (lost, stolen, destroyed)__________________; that said watercraft or outboard motor has not been sold or disposed of except as stated below.  The watercraft or outboard motor is in the possession of _______________________________________________ residing at________________________________________________________________ and that if said Certificate of Title be hereby recovered by this applicant he will deliver same to the Clerk of Courts for cancellation.
MEMORANDUM CERTIFICATE OF TITLE for Certificate of Title Number___________________________
 SALVAGE CERTIFICATE OF TITLE
YEAR MODEL LENGTH:                          feet                                inches
WATERCRAFT SERIAL NUMBER
MOTOR MOTOR SERIAL NUMBER
PURCHASE PRICE
$		 TRADE IN AMOUNT
$		 SALES CREDIT AMOUNT
$
Condition of watercraft or outboard motor (Check only one)      Good  Fair  Poor  Wrecked
Tax Exemption  Yes  Reasons ______________________________________________________

WARNING You are required by law to state the true selling price. A false statement is in violation of section 2921.13 of the Ohio Revised Code and is punishable by six months imprisonment and a fine of up to one thousand dollars or both. All transfers are audited by the Department of Taxation. The seller and buyer must provide any information requested by the Department of Taxation. The buyer may be assessed any additional tax found to be due.

Applicant's signature________________________________________________
Sworn to and subscribed in my presence by__________________ this________ day of_______, 20___
My commission expires______________________________, 20___
    SEAL                                (Clerk, Deputy Clerk of Courts - Notary)____________________

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