Reg 262
Reg 262
Reg 262
Application for Duplicate Title. For Car Buyer's Bill of Rights, visit www.dmv.ca.gov.
VEHICLE/VESSEL ID
If this was a gift, indicate relationship: (e.g., parents, spouse, friend, etc.) $
(GIFT VALUE)
reflects the ACTUAL mileage unless one of the following statements is checked.
WARNING - ODOMETER DISCREPANCY
Odometer reading is NOT the actual mileage Mileage EXCEEDS the odometer mechanical limits
Explain odometer discrepancy:
SECTION 4 - BUYER AND SELLER (MUST hand print his or her name, date and sign this section.)
BUYER'S SECTION
I acknowledge the odometer reading and the facts of the transfer. I certify (or declare) under penalty of perjury under
the laws of the State of California that the foregoing is true and correct.
PRINT BUYER'S NAME SIGNATURE DATE DL/ID OR DEALER/DISM #
x
BUYER
x
PRINT BUYER'S NAME SIGNATURE DATE DL/ID OR DEALER/DISM #
x
BUYER'S MAILING ADDRESS CITY STATE ZIP CODE DAYTIME TELEPHONE NO
SELLER'S SECTION
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
PRINT SELLER'S NAME SIGNATURE DATE DL/ID OR DEALER/DISM #
x
SELLER
x
PRINT SELLER'S NAME SIGNATURE DATE DL/ID OR DEALER/DISM #
x
SELLER'S MAILING ADDRESS CITY STATE ZIP CODE DAYTIME TELEPHONE NO
x
SIGNATURE REQUIRED BY PERSON APPOINTING POWER OF ATIORNEY DATE
x
REG 262 (REV. 10/2011)