UPDATED: 12/11/2019
VEHICLE IDENTIFICATION NUMBER (VIN)
I/We ______________________________________________ sell, transfer and deliver the above vehicle
to _______________________________________________ on _____ /_____ /_____ for $_____________
If this was a gift, indicate relationship: _____________________________ (e.g. parent, spouse, friend, etc.)
MAILING ADDRESS STATE ZIP CODE
CITY
MAILING ADDRESS STATE ZIP CODE
CITY
This form should be completed in ink. Errors or alterations on the title or other documents presented
for title transfer may require this form to be notarized.
For notary use if applicable
Per Iowa Code 321.13, the department shall examine and determine the genuineness, regularity, and legality of every application made to the
department, and may investigate or require additional information. The department may reject any application if not satisfied of the genuineness,
regularity, or legality of the application or the truth of any statement made within the application, or for any other reason, when authorized by law.
The department may retain possession of any record or document until the investigation of the application is completed if it appears that the record
or document is fictitious or unlawfully or erroneously issued and shall not return the record or document if it is determined to be fictitious or unlawfully
or erroneously issued.
Subscribed and sworn to before me this ______ day of _____________________, 20_______
personally appeared ___________________________________________________ as seller of said vehicle.
(print seller’s name)
__________________________________________________
Notary Signature
Seal Notary Public in and for the State of ______________
