411007: Application for Certificate of Title and/or Registration

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APPLICATION FOR CERTIFICATE OF TITLE AND/OR REGISTRATION

Application Title

OWNER INFORMATION

Ownership

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Checkbox_2

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New/Used

Empty Weight

Security Interest Holders

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Checkbox_7

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Application is to be made to the County Treasurer designated by the owner below. If owner(s) is not in Iowa, then primary user shall be identified on Page 2 to establish Iowa residency.

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VEHICLE INFORMATION

List any additional trade-in vehicles on page 3 of this form.

Iowa title must be obtained within 30 days of purchase or move-in or penalties may apply.

SECURITY INTEREST INFORMATION

If more than one, provide information on page 3 of this form.

PURCHASE PRICE

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UT02

UT03

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UT08

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New Field

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