Free a20070.PDF - Indiana

REASSIGNMENT OF A VEHICLE BY A REGISTERED DEALER
State Form 20070 (R2 / 2-97)

STATE OF INDIANA BUREAU OF MOTOR VEHICLES WE SWEAR OR AFFIRM THAT THE INFORMATION ENTERED ON THIS FORM IS CORRECT. WE UNDERSTAND THAT A FALSE STATEMENT MAY CONSTITUTE THE CRIME OF PERJURY. INSTRUCTIONS This form may only be used by a registered dealer on an Indiana or out of state title that does not have three dealer reassignments. Dealers are warned that the Indiana BMV does not guarantee that this form will be accepted by titling agencies in the other jurisdictions. This form may not be attached to any of the following: Any Indiana title printed after September 1989. A certificate of origin. Any out state title that has three dealer reassignments or specifically states "No Additional Dealer Reassignments" regardless of the number of reassignments. Any title that has a usable reassignment available. Any title for the purposes of replacing a skipped reassignment. For value record, we hereby sell, assign, transfer, and convey the following vehicle:
Vehicle year: Vehicle make:

Vehicle identification number:

Described on the attached certificate of title, number _________________________________ from the State of ____________________ and warrant the title of said vehicle at the time of delivery subject to the following liens or security interests, if any, and none other as specified below:
Name of purchaser(s): Purchaser(s) address (number and street, city, state, ZIP code)

Name of lienholder: Lienholder mailing address (number and street, city, state, ZIP code)

If no lienholder, write "None" here:

ODOMETER STATEMENT I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked: 1. I hereby certify that to the best of my knowledge the odometer reading Miles (no tenths) reflects the amount of mileage in excess of its mechanical limits. 2. I hereby certify that the odometer reading is NOT the actual mileage. WARNING - ODOMETER DISCREPANCY.
Signature of dealer Dealer number Date

Printed name of dealer

Business address