OR Application for Title and Registration 1

Application for Title and Registration for Manufactured Structures, Travel Trailers, or Special Use Trailers

Remarks:

___________________________

___________________________

___________________________

___________________________

Batch Code _____ Title Fee _____ Reg/Ren Fee _____ Vin Fee _____

Late Title Fee _____ Replacement Fee _____ Plate Transfer _____ Total Fees _____

DMV Use Only

Trans Code _____ VT _____ TI _____ Org _____ MP N Process 5

EX _____ Misc _____ Title Brand __________ Permit # _____________

Memorandum Receipt # __________ Vin Inspection Date/Initials ____________

Dealer Transaction _________ Pre-checker ______

Vehicle Information

1.New Plate # ____________ Sticker # ___________ VIN Number ____________

Oregon Title # __________

2.Present Oregon Plate # ____________ Expiration Date _______ Year ______

Make _______ Style _______

3.Special Plates __________ Equipment # __________ Weight/Length _________

Width ______ Reference # _________

Vehicle Type

Type of Structure (check one box)

---See back for information---

Manufactured Structure Classed for Highway Use

(County tax rolls): (DMV Registration):

___ Manufactured Dwelling ___ Travel Trailer

___ Recreational Vehicle ___ Special Use Trailer

___ Prefabricated Structure

Please Note: DMV records are not public record; however, this information (if applicable to an "X"; record) is forwarded to the county of record and becomes public record.

Owner of Lessee/Address

Complete Line 4 with the owner whose address will be used for all DMV mail regarding this vehicle. List additional owners on Lines 7 and 8. (This in no way determines a priority of ownership.) If any owner listed uses a work address on DMV records, that owner must be listed on Line 4. See reverse for more information.

___ Check the box to exclude your name(s) and address(s) from bulk distributor advertising lists.

4.Print True Name: Last, First, Middle of (Check one) ___ Owner or ___ Lessee

_________________________________________

ODL/ID/Customer # ___________ Date of Birth __________

5.Residence Address (if owner is a business, use business address) _____________________ _________________________________________________________________________

Mailing Address (if different than residence address) ______________________________ _________________________________________________________________________

6.City, State, Zip Code ________________________________

County of Residence __________________________

City, State, Zip Code ________________________________

County of Mailing _____________________________

7.Print True Name: Last, First, Middle of Joint Owner or Lessee _______________________ ___________________________ ODL/ID/Customer # ______________

Date of Birth ________________

8.Print True Name; Last, First, Middle of Joint Owner or Lessee _______________________ ___________________________ ODL/ID/Customer # ______________

Date of Birth ________________

9.One Time Mailing Address (for this transaction only-address will not show on your cust. record). _______________________________________________________________

Vehicle Address or Actual Location of Manufactured Structure ______________________ _________________________________________________________________________

10.City, State, Zip Code __________________ City, State, Zip Code _________________

County of Veh Add or Use _______________________

11.Survivorship:

For Joint Owners or Lessee's: If you mark this box, No Survivorship will be shown ____

For Joint Security Interest Holders or Lessors: If you mark this box, No Survivorship will be shown ____

Security Interest Holder and/or Lessor

12.Security Interest Holder (Bank, Finance Company, Person, etc.) ______________________ ____________________________ ODL/ID/Customer # ____________________

Date of Birth ______________

13.Security Interest Holder Address - Include Street/City/State/Zip Code __________________ ________________________________ Telephone # ( ___ ) ________________

14.Secondary Interest Holder (Bank, Finance Company, Person, etc.) ____________________ ____________________________ ODL/ID/Customer # ______________________

Date of Birth _______________

15.Secondary Interest Holder Address - Include Street/City/State/Zip Code ________________ _________________________________ Telephone # ( ___ ) ________________

16.Lessor (Complete only if lessee is shown on Line 4 above) __________________________

ODL/ID/Customer # _________________ Date of Birth ___________________

17.Lessor Address - Include Street/City/State/Zip Code _______________________________

____________________ Telephone # ( ___ ) _________________

The owner must certify by completing and signing the statements below to apply for title and registration in Oregon. Under Oregon Law, it is a crime to knowingly make any false statement on an application for title or registration (ORS 803.070/ORS 803.085). Both offenses are Class A misdemeanors and are punishable by a jail sentence of up to one year, a fine of up to 55,000 or both.

Signatures

Domicile/Residency: if this vehicle is a travel trailer or special use trailer, my place of domicile (home) is in Oregon, or I am otherwise eligible or required to register the vehicle under Oregon law (ORS 803.200, ORS 803.350).

18.Signature of Owner or Lessee as shown above x _______________________________

Date ________ Home Phone # ( ___ ) __________ Work Phone # ( ___ ) __________

19.Signature of Lessor (Required if security interest holder is shown above)

x __________________________________ Date __________________

Counter Date Stamp/Initials ______________________________________________

Remarks: (DMV use only)

________________________________ _________________________________

________________________________ _________________________________

________________________________ _________________________________

________________________________ _________________________________

TYPES OF STRUCTURES

Structures which meet the Oregon Building Code definitions of a manufactured dwelling, a recreational vehicle (trailer), or a prefabricated structure, are subject to title and registration by DMV. How such structures are classed for registration or tax purposes depends on such things as type of structure, width, and use.

MANUFACTURED STRUCTURES (COUNTY TAX ROLLS) If the width is more than eight and one-half feet, or if the structure is otherwise placed on the tax rolls, it is titled and registered with DMV and issued a registration plate for tax identification purposes only. These structures are placed on the tax rolls and taxes are paid to the county. The definitions of each type of manufactured structure is listed below. Mark the corresponding box on the front of the form for the type of manufactured structure you are titling.

Manufactured Dwellings are (1) Residential trailers constructed before January 1, 1962; (2) Mobile homes built between January 1, 1962 and June 15, 1976; and (3) Manufactured homes or any other structure constructed in accordance with federal manufactured housing standards and regulations in effect at the time of construction. All of these are built for movement on the highways; built with sleeping, cooking and plumbing facilities; and intended for human occupancy.

Recreational Vehicles are vehicles without motive power, designed for human occupancy and designed to be used temporarily for recreational, seasonal or emergency purposes. They have a gross floor area of 400 square feet or less in the set-up mode.

Prefabricated Structures are buildings or subassemblies that can be relocated and have been in whole or in substantial part manufactured or assembled using closed construction at an offsite location to be wholly or partially assembled on site. Office trailers are an example of prefabricated structures. These do not include manufactured dwellings or recreational vehicles.

CLASSED FOR HIGHWAY USE (DMV REGISTRATION)

Travel Trailers, if the width as measured in the travel position is eight and one-half feet or less, are titled and registered for highway use by DMV. Registration fees are based on length as measured in the travel position from the tip of the trailer hitch to the rear most extremity of the trailer. Exception; Follow information on manufactured structures if you have applied and the county has agreed to place the trailer on the tax rolls. In this case, the "Type of Structure"; for a travel trailer on county tax rolls is "Recreational Vehicle";.

Special Use Trailer is (1) Eight and one-half feet or less in width, as measured in the travel position, and is being used for commercial or business purposes, and has not been placed on the tax rolls; or (2) Regardless of width, if the trailer is only used temporarily on construction sites solely for office purposes and is not otherwise placed on the tax rolls. Registration fees are based on length and registered with DMV for highway use.

NAME AND ADDRESS REQUIREMENTS

DMV uses a customer based file. This enables us to link all types of DMV records together for a customer. It is important that you use your customer number and the same name when conducting business with DMV. In the case of individuals, the person's date of birth (DOB) is also important.

Customer Number for Persons: Your customer number is your Oregon driver license (ODL), identification card (ID) or instruction permit number. Use that number on the application. If you do not have an ODL, ID card or instruction permit, DMV will assign a customer number to you when the application is received. You must use your true name on all business you conduct with DMV. This is the name you have established on your ODL, ID card or instruction permit.

Customer Number for Businesses: If you know your customer number for your business, list that number on the application. Businesses must also use the same name in all business they conduct with DMV.

Residence or Business Address: Provide the address where you primarily reside. If the owner listed is a lessee, the address of the lessee must be shown. For a business, you must provide the address of the business.

Mailing Address: If you receive your mail at an address other than the residence or business address, complete the mailing address on Lines 5 and 6.

Vehicle Address: If the vehicle is primarily housed or located at an address that is different than the residence or business address, complete the vehicle address on Lines 9 and 10. Business owners be careful not to confuse the vehicle address with your business address or mailing address.

One-time Mailing Address: If you would like the title and or registration document mailed to a one-time mailing address (other than the residence, business or mailing address), you must complete the area on Lines 9 and 10.

Change of Address: Only the address listed for the owner shown on Line 4 will be changed if it is different than what DMV records show. The address will be changed on both the vehicle and driver record. Individuals will receive an address change sticker for their ODL, Id card or instruction permit. Additional owners listed on Lines 7 and 8 must complete a Change of Address, Form 6438, and submit it separately, to change their address.

Work Address: If any person listed on the application has a work address on file with DMV; 1) for the registered owner, the person must be listed on Line 4 and the work address listed on Lines 5 and 6; 2) for the security interest holder, the person must be listed on Line 12 and the work address listed on Line 13. To change your address to a work address, you must be eligible pursuant to ORS 802.250 and complete a Request for Police or Public Agency Address on DMV Records, Form 6438A. To change your address from a work address back to your residence address, you must submit a new Change of Address, Form 6438.

RELEASE OF INTEREST

I hereby release all rights, title and interest in this vehicle except as noted on the application for title.

Name of Person or Business ________________________________________________

Dealer Cert. # (if applicable) _______________________________

Address of Person or Business _______________________________________________

Telephone # ( ___ ) ___________________

Signature x _______________________________________

Position/Title ____________________________________________________________

Date of Release ________________________