AFFIDAVIT OF OWNERSHIP

Vehicle Title Application Checklist

If you cannot obtain a certificate of title from the seller of your vehicle, and the vehicle is valued at $5,000 or less, according to
NADA average retail or clean retail value, you may apply for a certificate of title by completing an Affidavit of Ownership for a
Vehicle State Form 23037.
Passenger, motorcycle, truck, trailer, off-road vehicle, snowmobile, RV, farm tractor, low speed, semitrailer, watercraft, and
manufactured homes are all eligible for the Affidavit of Ownership process as long as the vehicle value is $5,000 or less.

When submitting paperwork, include the following:

☐ Application for Certificate of Title for a Vehicle – State Form 205

☐ Application for Certificate of Watercraft Title - State Form 38529
☐ Affidavit of Ownership for a Vehicle - State Form 23037
☐ Bill of Sale. Must include the vehicle year, make, VIN, seller, purchaser, purchase price, and purchase date.
☐ A lien release is required for all vehicles where the most current title on record has a lienrecorded.
☐ An unopened and unclaimed certified letter mailed to the seller’s (and lien holder, if applicable) last known
address requesting the title. If the envelope is opened, your application will be rejected.
☐ A copy of the certified letter you mailed to the seller’s (and lien holder, if applicable) last known address.
☐ Physical Inspection of a Vehicle or Watercraft – State Form 39530. Must be completed by a law enforcement officer or
an employee of a BMV license branch.
☐ Odometer Disclosure Statement – State Form 43230. All trailers and motor vehicles weighing over 16,000 pounds
are exempt. Mileage will be branded as “Not Actual” unless a completed and signed odometer statement from the
owner of record is provided.
☐ One proof of address. A driver’s license or identification card may be accepted as proof if the address on the
credential is correct. If the address is not correct, any document from the approved BMV documentation list that is
dated within the last 60 days may be used as proof. To view the approved documentation list, click on the link
provided or visit myBMV.com.
☐ Submit payment for the following vehicle or watercraft (as applicable) title application fees and taxes. Payable
by MasterCard or Visa, check, electronic check, or money order.
☐ $15 title application fee.
☐ $30 additional administrative penalty will be assessed if the title application packet is not received
within 45 days after the purchase date.
☐ $25 speed title fee. This optional fee is in addition to the $15 title application fee. Paying the optional
speed title fee ensures that the title is processed in a period of time that is substantially shorter than the
normal processing period.
☐ If the vehicle/watercraft is transferring ownership, include 7% sales tax of the dollar amount listed on the Bill
of Sale or provide proof of sales tax paid on an ST108 – Certificate of Gross Retail or Use Tax Paid – State
Form 48842. If exempt from sales tax, include an ST108E – Certificate of Gross Retail or Use Tax
Exemption – State Form 48841.
☐ Vehicle color: (List color on line)
☐ Vehicle fuel type (select one):
☐ Gasoline ☐ Diesel ☐ Hybrid
☐ Electric ☐ Other
For your convenience, the required forms are included with this checklist. The forms are also available at myBMV.com. Mail the
completed packet to:

Indiana Bureau of Motor Vehicles

Central Office Title Processing
100 North Senate Avenue, Room N411
Indianapolis, IN 46204

If the BMV determines that sufficient credible evidence exists to substantiate the applicant’s claim of ownership, a title will be
issued. If all required documents are not submitted or information is incomplete, the entire application will be returned.

Please include this checklist with your application.

 APPLICATION FOR CERTIFICATE OF TITLE FOR A VEHICLE
State Form 205 (R10 / 11-18)
INDIANA BUREAU OF MOTOR VEHICLES

*This agency is requesting disclosure of your Social Security Number / Federal Identification Number in accordance with IC 4-1-8-1; disclosure is mandatory, and this record cannot be
processed without it.

To be completed by a police officer, BMV official, or BMV certified dealer I swear or affirm that I am authorized to perform this transaction, and I agree
signee for out-of-state titles. I hereby certify that I personally examined the to indemnify and hold harmless the Indiana BMV from any and all liability
following vehicle and find the identification number to be as follows. arising from this transaction.

Vehicle Identification Number I swear or affirm that the information that I have entered on this form is
correct. I understand that making a false statement on this form may
constitute the crime of perjury.

Applicant Signature:
Year Make Model Type Date (mm/dd/yyyy)
Printed Name:
Inspector’s Printed Name and Title City
Applicant Signature:

Printed Name:
Inspector’s Signature Badge, Branch, or Dealer Plate Number
Date (mm/dd/yyyy):

Transaction Number Branch Number Invoice Number BMV Use Only

Social Security Number / Federal Identification Number * Name of Applicant BMV Use Only

Residence Address (number and street) City State ZIP Code

Vehicle Identification Number Vehicle Year Vehicle Make Vehicle Model Vehicle Type Odometer

Former Title Number Purchase Date (mm/dd/yy) Lien (Y/N) Speed (Y/N) Dealer Number BMV Use Only

ELT ID Holder of First Lien, Mortgage, or Other Encumbrance / Special Mailing Address Mailing Address (number and street)

City State ZIP Code BMV Use Only

ELT ID Holder of Second Lien, Mortgage, or Other Encumbrance Mailing Address (number and street)

City State ZIP Code License Number License Year Forms Used BMV Use Only

Gross Retail and Use Tax Affidavit – I/We hereby certify that sales or use tax on this vehicle was paid as indicated below.
Selling Price Less Trade-In / Discount Amount Subject to Tax Amount of Tax Dealer Branch Exempt Exemption Code

$ $ $ $
 APPLICATION FOR CERTIFICATE OF WATERCRAFT TITLE
State Form 38529 (R9 / 03-20)
INDIANA BUREAU OF MOTOR VEHICLES

* This agency is requesting disclosure of your Social Security Number / Federal Identification Number in accordance with IC 4-1-8-1; disclosure is mandatory, and this record cannot be
processed without it.

I swear or affirm that I am authorized to perform this transaction, and I agree

To be completed by a police officer, BMV official, or BMV certified dealer to indemnify and hold harmless the Indiana BMV from any and all liability
signee for out-of-state titles. I hereby certify that I personally examined the arising from this transaction.
following watercraft and find the identification number to be as follows.
I swear or affirm that the information that I have entered on this form is
Hull Identification Number correct. I understand that making a false statement on this form may
constitute the crime of perjury.

Applicant Signature:
Year Make Registration Number Date (mm/dd/yyyy)
Printed Name:
Inspector’s Printed Name and Title City
Applicant Signature:

Inspector’s Signature Badge, Branch, or Dealer Plate Number Printed Name:

Date (mm/dd/yyyy):
Transaction Number Branch Number Invoice Number BMV Use Only

Registration Number Former Title Number Purchase Date (mm/dd/yyyy) Make

Series or Model Hull Identification Number Length Year Hull Type

Watercraft Type Watercraft Use Propulsion Type Fuel Type

Social Security Number / Federal Identification Number * Horsepower Applicant’s County of Residence

Name of Applicant Street Address (number and street)

City State ZIP Code

ELT ID Holder of First Lien, Mortgage, or Other Encumbrance / Special Mailing Address Mailing Address (number and street)

City State ZIP Code BMV Use Only

ELT ID Holder of Second Lien, Mortgage, or Other Encumbrance Mailing Address (number and street)

City State ZIP Code Dealer Number

Gross Retail and Use Tax Affidavit – I/We hereby certify that sales or use tax on this watercraft was paid as indicated below.
Selling Price Less Trade-In / Discount Amount Subject to Tax Amount of Tax Dealer Branch Exempt Exemption Code

$ $ $ $
 AFFIDAVIT OF OWNERSHIP FOR A VEHICLE BUREAU OF MOTOR VEHICLES
State Form 23037 (R7 / 4-11) 100 North Senate Avenue, N411
INDIANA BUREAU OF MOTOR VEHICLES Indianapolis, IN 46204

* This agency is requesting disclosure of your Social Security Number in accordance with IC 4-1-8; disclosure is mandatory and this record cannot be
processed without it.

INSTRUCTIONS: 1. An applicant who is unable to obtain a properly executed title for a vehicle may present the below form to obtain a
certificate of title.
2. Please complete in blue or black ink or printform.
3. The retail value of the vehicle must meet the requirements as determined by theBureau.
4. The purchaser must have a notarized Bill of Sale or a Bill of Sale signed under penalty of perjury which indicates the vehicle’s
year, make, VIN, seller, purchaser, and purchase price. Sales tax will be assessed by the amount indicated on the Bill of Sale.
5. An unopened, unclaimed certified letter to the seller’s (and lien holder, if applicable) last known address requesting the title must
be presented with this affidavit. A copy of the unopened letter should be included to confirm the request for the title to the vehicle
in question. Do not open the original letter.
6. Include a lien release, if necessary.
7. A VIN inspection completed by law enforcement is required.
8. Include an Odometer Disclosure Statement, if applicable

PURCHASER INFORMATION

Purchaser’s Name (last, first, middle initial or company name) Social Security Number* or Federal Identification Number

Purchaser’s Legal Address (number and street) City State ZIP Code

VEHICLE INFORMATION

Vehicle Identification Number Vehicle Vehicle Make Vehicle Vehicle Vehicle License Plate
Year Model Type Color Number

SELLER INFORMATION

Sellers’s Name (last, first, middle initial or company name)

Seller’s Legal Address (number and street) City State ZIP Code

Date of Sale (mm/dd/yyyy) Purchase Price

$

This affidavit is submitted to request the State of Indiana, Bureau of Motor Vehicles to issue an Indiana Certificate of Title.

I warrant and agree to defend this claim and to indemnify and hold harmless the Indiana Bureau of Motor Vehicles from any liability
arising from this transaction.

I swear or affirm that the information that I have entered on this form is correct. I understand that making a false statement may
constitute the crime of perjury.

Signature of Purchaser Printed Name Date Signed (mm/dd/yyyy)

 BILL OF SALE
State Form 44237 (R4 / 7-17)
INDIANA BUREAU OF MOTOR VEHICLES

INSTRUCTIONS: 1. Complete in blue or black ink or print form.

VEHICLE OR WATERCRAFT INFORMATION

Vehicle or Hull Identification Number

Year Make Model Registration Number

(If applicable, watercraft only)

SALE INFORMATION
Purchase Price Date of Sale (mm/dd/yyyy)

I do hereby sell, transfer and convey all rights for the above vehicle / watercraft to the purchaser in consideration of the
sale payment amount. I certify that the vehicle / watercraft is not subject to any liens that are the responsibility of the
seller.

I swear or affirm that the information I have entered on this form is correct. I understand that making a false statement may
constitute the crime of perjury.
Signature of Seller Date (mm/dd/yyyy)

Printed Name of Seller (last, first, middle initial or company name)

Signature of Seller Date (mm/dd/yyyy)

Printed Name of Seller (last, first, middle initial or company name)

Address of Seller (number and street)

City State ZIP Code

I swear or affirm that the information entered on this form is correct. I understand that making a false statement may
constitute the crime of perjury.
Signature of Purchaser Date (mm/dd/yyyy)

Printed Name of Purchaser (last, first, middle initial or company name)

Signature of Purchaser Date (mm/dd/yyyy)

Printed Name of Purchaser (last, first, middle initial or company name)

Address of Purchaser (number and street)

City State ZIP Code

 ODOMETER DISCLOSURE STATEMENT
State Form 43230 (R3 / 5-13)
INDIANA BUREAU OF MOTOR VEHICLES

INSTRUCTIONS: 1. In accordance with federal and state law, the seller of a motor vehicle must disclose the current mileage to a purchaser in
writing upon transfer of ownership. The disclosure must be signed by the seller, including the printed name. If more than one
person is a seller, only one seller is required to sign the written disclosure.
2. The purchaser must sign the disclosure statement, including printed name and address, and return a copy to the seller.
3. Complete this form in its entirety, in blue or black ink.

Federal and State law requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false
statement may result in fines, imprisonment, or both.

I, residing at:
Printed name(s) of Seller(s)

certify to the best of my knowledge that the

Address of Seller(s) (number and street, city, state, and ZIP code)

odometer reading is the actual mileage of the vehicle described below unless one of the following statements is checked:

Miles (no tenths) 1. I hereby certify that to the best of my knowledge the odometer reading reflects the amount of
mileage in excess of its mechanical limits.
2. I hereby certify that the odometer reading is NOT the actual mileage and should not be relied upon.
WARNING - ODOMETER DISCREPANCY.

Vehicle Make Vehicle Model Vehicle Year Vehicle Body Type

Vehicle Identification Number (VIN) Transfer Date (month, day, year)

I will not hold the Bureau of Motor Vehicles or the Bureau of Motor Vehicles Commission responsible for any discrepancy shown on
the odometer reading. I, the undersigned, swear or affirm that the information entered on this form is correct. I understand that
making a false statement may constitute the crime of perjury.
Signature(s) of Seller(s) Date (month, day, year)

PURCHASER’S INFORMATION

I am aware of and acknowledge the above odometer certification made by the seller(s).
Signature(s) of Purchaser(s) Date (month, day, year)

Printed Name(s) of Purchaser(s)

Address of Purchaser(s) (number and street)

City State ZIP Code

 PHYSICAL INSPECTION OF A VEHICLE OR WATERCRAFT BUREAU OF MOTOR VEHICLES
State Form 39530 (R8 / 6-21) 100 N. Senate Avenue, Room N440
INDIANA BUREAU OF MOTOR VEHICLES Indianapolis, IN 46204
(888) 692-6841
www.bmv.in.gov

INSTRUCTIONS: 1. Approved inspector must complete information in blue or black ink or print form.
2. The vehicle identification number (VIN) or hull identification number (HIN) must be inspected to verify the existence and
condition of the number. An ownership document is not required to be submitted for inspection.
3. Inspections may be performed by an employee of a dealer licensed under IC 9-32, a military policeman assigned to a military post
in Indiana, a police officer, a designated employee of the BMV, an employee of a qualified person operating under a contract with
the commission, or an employee of a dealer that is licensed as a motor vehicle dealer in a state other than Indiana and approved by
the bureau.
4. Police officers completing this form may charge a fee of not more than $5.00 for this inspection under IC 9-17-2-12.

OWNER INFORMATION
Name (last, first, middle initial or company name)

Address (number and street)

City State ZIP Code

VEHICLE OR WATERCRAFT INFORMATION

Identification Number NONE (Select if no identification number found.)

Watercraft Registration
Year Make Model Type Plate Number / State
Number, if applicable

For assembled vehicles or watercraft include serial numbers for major component parts if present:
Engine / Motor Transmission

Body Chassis Front Assembly

Rear Clip Frame

Other (specify):

*IDACS / NCIC Check (Required if form is completed by a police officer)

Date Check Performed (mm/dd/yyyy) Comments

I swear or affirm that the information I have entered on this form is correct. I understand making a false statement may constitute
the crime of perjury.
Signature of Inspector Printed Name Title Date (mm/dd/yyyy)

Badge/ Branch/ Dealer Number Police Department / Branch / Dealership City State ZIP Code

Telephone Number E-mail

( )
 COLLECTION OF PAYMENT INFORMATION BUREAU OF MOTOR VEHICLES
State Form 56163 (R2 / 6-19) Central Office Finance
INDIANA BUREAU OF MOTOR VEHICLES 100 N. Senate Avenue, Room N440
Indianapolis, IN 46204
(888) 692-6841

INSTRUCTIONS: 1. Complete in blue or black ink, or print form.

2. Enter the amount to be charged and the payment type information in Section 2. Payment may be made by Visa, MasterCard,
Discover, American Express, or electronic check. If enclosing a check, money order, cashier’s check, or certified check, this
form is not required.
3. Mail this form to the address that is specified on the application being submitted and for which you are making payment.
4. This form will be destroyed immediately after payment has been processed.

SECTION 1 - ACCOUNT HOLDER INFORMATION

Account Holder (first, middle, last name or company name) Driver’s License Number or Federal Identification Number Telephone Number

Billing Address (number and street) City State ZIP Code

SECTION 2 - PAYMENT INFORMATION

Description of the service / application to which the payment is related

Amount to be Charged: $ .

CREDIT CARD PAYMENT

Type of Credit Card: ☐ Visa ☐ MasterCard ☐ Discover ☐ American Express

Credit Card Number ---------------------------------------------------------------------- Expiration Date (mm/yy): /

ELECTRONIC CHECK PAYMENT

Routing Number

Account Number

SECTION 3 - AFFIRMATION STATEMENT

I hereby authorize the Indiana Bureau of Motor Vehicles to charge the account indicated above.
Signature of Account Holder / Authorized User Printed Name Date Signed (mm/dd/yyyy)