APPLICATION FOR REGISTRATION AND BONDED CERTIFICATE OF TITLE FOR A VEHICLE

Instructions

To help prevent incomplete applications, please call our office at 515-237-3110 for additional instructions on how to transfer ownership of a vehicle after someone passes.

Section 1: Applicant Information

Indv/Org:

Individual

Organization

Street Address

City

ZIP Code

County

Home/Cell Phone

Work/Alternate Phone

Driver License Number or Social Security Number OR FEIN/Dealer Number

From whom did you acquire the vehicle?

Please provide as much information as possible based on your knowledge.

Seller Full Name

Seller Address

Seller Phone Number

Seller Email

Vehicle Information:

Vehicle Year

Vehicle Make

VIN

Vehicle Model

Vehicle Style

Vehicle Color

Are you registering a trailer?

Yes

Vehicle Cylinders

Fuel Type

Is this a travel trailer?

Yes

Trailer Empty Weight

Travel Trailer Square Footage

Vehicle Purchase Price

Section 2:

1. Is a bill of sale included?

Yes

2. Were the VIN and manufacturer's label located and legible?

Yes

3. What is the location of the public VIN?

4. Is the vehicle operation?

Yes

5. I have knowledge the motor vehicle was previously junked or titled as salvaged, rebuilt, or floor in this or any other state.

Yes

If you selected no to any of the above questions, please explain.

Uploads for Applicant

Photos will be required to be uploaded to complete the application.

Bill of Sale or Document that explains how you acquired the vehicle without a title and the steps you have taken to obtain a title. Please include the names, dates, times, and locations, and personal contacts that you have made to try an obtain a title.

Upload Bill of Sale

Click Here to Upload

Legible Photographs of the vehicle:

Front view
Side view
The public VIN plate affixed to the vehicle
If the vehicle is a 1968 model year or later, the manufacturer’s label that certifies the vehicle meets federal motor vehicle safety standards.

Upload Legible Photographs of the vehicle (Front View)

Click Here to Upload

Upload Legible Photographs of the vehicle (Side View)

Click Here to Upload

Upload Legible Photographs of the vehicle (VIN plate affixed to the vehicle)

Click Here to Upload

Upload Legible Photographs of the vehicle (Manufacturer’s label if 1968 model or later)

Click Here to Upload