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Includes declarations regarding mileage accuracy, legal responsibility for false or incomplete odometer disclosures, and requirements related to Oregon law for domicile and residency. Also provides fields for title fee breakdowns, security interest holders and lessors, survivorship options, insurance certifications, replacement Oregon title confirmation, and required signatures and dates.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/dmv-application-for-title-and-registration-remarks-clear-form/308522/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/dmv-application-for-title-and-registration-remarks-clear-form/308522.png","ImageObject",300,407,{"name":92,"@type":93},"Eden","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information does the DMV use to identify linked records?","Question",{"text":113,"@type":114},"The form states that DMV links all records together based on the customer number, and the same name should always be used with DMV.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What does the odometer certification require?",{"text":118,"@type":114},"The applicant certifies the odometer reading is actual mileage unless specific warning boxes are marked indicating discrepancies or that the reading is not actual mileage.",{"name":120,"@type":111,"acceptedAnswer":121},"When is a replacement Oregon title certification required?",{"text":122,"@type":114},"Check the replacement Oregon title box to certify that, to the best of the applicant’s knowledge, the Oregon title is lost, destroyed, or mutilated.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},308522,1790120468,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":24,"preview_page_count":4},1374391974468,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","DMV  \n'(3$570(17 2) 75$163257$7,21 '5,9(5 $1' 02725 9(+,&/( 6(59,&(6 􀀔􀀜􀀓􀀘 /$1$ $9( 1(􀀏 6$/(0 25(*21 􀀜􀀚􀀖􀀔􀀗  \n$SSOLFDWLRQ IRU  \n7LWOH DQG 5HJLVWUDWLRQ  \nREMARKS:  \nClear Form  \n&RPSOHWH DOO DSSOLFDEOH areaV􀀑 0$,/ 72􀀝 '09􀀏 􀀔􀀜􀀓􀀘 /DQD $YH 1(􀀏 6DOHP 25 􀀜􀀚􀀖􀀔􀀗􀀞 RU WDNH WR DQ\\ '09 RIILFH􀀑  \n03* VIN INSPECTION: DATE / INITIALS DEALER DEALER \\#  \nLEV COMPLIANT: YES NO TRANS:  \nVEHICLE IDENTIFICATION NUMBER (VIN) 25(*21 7,7/( 􀀆 *9:5  \n1  \nPRESENT OREGON PLATE \\# YEAR MAKE STYLE REG WEIGHT/LENGTH 75$,/(5 29(5 YES  \n2 􀀛 􀀔􀀒􀀕 )((7 :,'( NO  \nFARM ID \\# FLEET ACCOUNT \\# EQUIPMENT \\# GAS DIESEL HYBRID 8%*5􀀐,,1' FLEX-FUEL 75$,/(5 29(5 \u003C(6  \n3 ELECTRIC PROPANE 1*$$7685$/ OTHER: 􀀛􀀏􀀓􀀓􀀓 /%6􀀑 12 ODOMETER: Federal and State laws require that you state the mileage when you transfer ownership on a vehicle model year 2011 or newer until that vehicle is 20 years old or older. Use this certification when required to provide the odometer disclosure but unable to provide the proper disclosure from the  \n4 seller. I certify the odometer disclosure listed is true and correct and a disclosure is not available on the required form from the seller. Failure to complete an odometer disclosure or providing a false statement to meet this requirement is a Class C felony under ORS 815.430.  \nTITLE FEE  \nVIN FEE  \nLATE TITLE FEE  \nREG / REN FEE  \nCOUNTY FEE  \nREPLACEMENT FEE  \nPLATE TRANSFER  \nTOTAL FEE  \nODOMETER READING (NO TENTHS) DATE OF READING (MM/DD/YYYY)  \nI certify that, to the best of my knowledge, the odometer reading  \nis actual mileage UNLESS one of these boxes is marked: WARNING-odometer discrepancy the mileage stated is in excess of its mechanical limits (has rolled over); or  \nthe odometer reading is NOT actual mileage.  \n&RPSOHWH /LQH 􀀘 ZLWK WKH RZQHU ZKRVH DGGUHVV ZLOO EH XVHG IRU DOO '09 PDLO UHJDUGLQJ WKLV YHKLFOH􀀑 /LVW DGGLWLRQDO RZQHUV RQ /LQHV 􀀛 DQG 􀀜􀀑 􀀋7KLV LQ QR ZD\\ GHWHUPLQHV D SULRULW\\ RI RZQHUVKLS􀀑􀀌 ,I DQ\\ RZQHU OLVWHG XVHV D ZRUN DGGUHVV RQ '09 UHFRUGV􀀏 WKDW RZQHU PXVW EH VKRZQ RQ /LQH 􀀘􀀑 6HH UHYHUVH IRU PRUH LQIRUPDWLRQ􀀑 The address provided may be used for other official purposes, including voter registration.  \nPRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE OF (check one) OWNER OR LESSEE ODL / ID / CUSTOMER \\# DATE OF BIRTH (MM/DD/YYYY)  \n5  \nRESIDENCE / BUSINESS ADDRESS (Address will be used to update your ODL / ID card) -!),).' !$$2%33 (If different from residence – will be used to update your ODL / ID card) 6  \nCITY, STATE, ZIP CODE COUNTY OF RESIDENCE CITY, STATE, ZIP CODE COUNTY OF MAILING  \n7  \n-2,17 2:1(5 25 /(66(( 􀀐 35,17 )8// /(*$/ 1$0(􀀝 LAST, FIRST, MIDDLE (See \"Change of Address\" on reverse) ODL / ID / CUSTOMER \\# DATE OF BIRTH (MM/DD/YYYY) 8  \n-2,17 2:1(5 25 /(66(( 􀀐 35,17 )8// /(*$/ 1$0(􀀝 LAST, FIRST, MIDDLE (See \"Change of Address\" on reverse) ODL / ID / CUSTOMER \\# DATE OF BIRTH (MM/DD/YYYY) 9  \nONE-TIME MAILING ADDRESS (Will not change your customer record) Reg. Only VEHICLE ADDRESS (Vehicle location if different from residence, or park model RV site)  \n10 Title Only  \nBoth  \nCITY, STATE, ZIP CODE CITY, STATE, ZIP CODE COUNTY (of vehicle address or use)  \n11  \nSURVIVORSHIP Joint owners or lessees agree that title will show joint ownership with right of survivorship. N YES NO  \n12 Joint Security Interest Holders agree that title will show joint security interest with right of survivorship. N YES NO  \nSECURITY INTEREST HOLDER (Bank, Finance Company, Person, etc.) ODL / ID / CUSTOMER \\# DATE OF BIRTH (MM/DD/YYYY)  \n13  \nSECURITY INTEREST HOLDER ADDRESS-INCLUDE STREET / CITY / STATE / ZIP CODE TELEPHONE \\#  \n14 ( )  \nSECONDARY INTEREST HOLDER (Bank, Finance Company, Person, etc.) ODL / ID / CUSTOMER \\# DATE OF BIRTH (MM/DD/YYYY)  \n15  \nSECURITY INTEREST HOLDER ADDRESS-INCLUDE STREET / CITY / STATE / ZIP CODE TELEPHONE \\#  \n16 ( )  \nLESSOR (Complete only if lessee is shown as owner on Line 5 above) ODL / ID / CUSTOMER \\# DATE OF BIRTH (MM/DD/YYYY)  \n17  \nLESSOR ADDRESS-INCLUDE STREET / CITY / STATE / ZIP CODE TELEPHONE \\#  \n18 ( )  ","cbCaicE224hdTSI0","https://ap.wps.com/l/cbCaicE224hdTSI0","pdf",1314497,"English","# Vehicle Identification and Plate Details\n## Odometer Reading, Fees, and Certifications\n# Ownership, Mailing Addresses, and Survivorship\n## Security Interest Holders and Lessors\n# Insurance, Domicile/Residency, and Replacement Title\n## Signatures and Dates","[{\"question\":\"What information does the DMV use to identify linked records?\",\"answer\":\"The form states that DMV links all records together based on the customer number, and the same name should always be used with DMV.\"},{\"question\":\"What does the odometer certification require?\",\"answer\":\"The applicant certifies the odometer reading is actual mileage unless specific warning boxes are marked indicating discrepancies or that the reading is not actual mileage.\"},{\"question\":\"When is a replacement Oregon title certification required?\",\"answer\":\"Check the replacement Oregon title box to certify that, to the best of the applicant’s knowledge, the Oregon title is lost, destroyed, or mutilated.\"}]","DMV Application for Title and Registration Remarks - Clear Form | PDF",1789869342]