Fillable OWNER TRANSFER INFORMATION SHEET Owner Transfer Application (Attached) (City of Columbus)

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OWNER TRANSFER INFORMATION SHEET Owner Transfer Application (Attached) (City of Columbus)

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DEPARTMENT OF PUBLIC SAFETY
LICENSE SECTION
OWNER TRANSFER
INFORMATION SHEET
REQUIREMENTS
• Owner Transfer Application (Attached)
• Pr
oof of Identity
(i.e. State issued Driver’s License/I.D. Card, Military I.D., Passport)
• Ve
hicle Information
Mechanical Inspection
Proof of Liability Insurance
Three hundred thousand dollars ($300,000.00) for Taxicabs
Meter Inspection
Title/Memorandum Title
Proof of Ohio Vehicle Registration
• Letter of Good Standing from the City Tax Division (If applicable)
• B
CI Background Check
(If applicable) (If conducted at another authorized WebCheck agency, results must be mailed to the License Section)
Both the transferor and the transferee must be present for the transaction to be approved.
PRICING
• Application fee - $20.00
• BCI Background Check fee - $32.00
• Owner Transfer fee - $250.00
OFFICE LOCATION & HOURS
4252 Groves Rd
Columbus, OH 43232
Monday - Friday
8:00 a.m. to 3:30 p.m.
THIS PAGE INTENTIONALLY LEFT BLANK
Page 1 of 2
Rev 2/22/2019
DEPARTMENT OF PUBLIC SAFETY
LICENSE SECTION
TAXI
OWNER TRANSFER
APPLICATION
TRANSFEREE INFORMATION
Full Name:
Taxi Company Name: Taxicab #:
Residential Address:
City: State: Zip:
Phone: Email:
Date of Birth: Driver License #: State:
Race: Sex: Height: Weight: Hair: Eyes:
All applicants are required to provide Proof of Identity.
All information contained in this application is subject to disclosure as a matter of public record. Any false
statement made or given in this application shall result in denial, revocation, or future revocation of the
license under Columbus City Code Chapters 501 and 540, and may be referred for criminal prosecution
under Ohio Revised Code Chapter 2921.13 (A-3).
State of Ohio, County of Franklin
I, _____________________________________, being duly sworn, affirm and swear that I am the
(Print Transferee’s Name)
individual making the foregoing application; that he or she is knowledgeable with respect to that which is
to be licensed and to the information contained in the application; that the answers, statements, and
allegations made in this application are true and accurate to the best of my knowledge and belief; and that
I am an owner of that which is to be licensed by this application.
____________________________________
(Transferee’s Signature)
Sworn to before me and subscribed in my presence this ______ day of _____________________, 20_____.
________________________________
Notary or Agent of Director of Public Safety
OFFICE USE ONLY
Cab # _________________________________
License # ______________________________
Decal # __________ Color ________________
Issue Date _____________________________
Expiration Date __________________________
Page 2 of 2
Rev 2/22/2019
TRANSFEROR INFORMATION
Full Name: Phone:
Date of Birth: Driver License #: State:
CURRENT VEHICLE INFORMATION
Year: Make: Model:
VIN:
Will the transferee continue to operate this vehicle? Yes No
By signing below I agree to transfer said license to the person and/or organization that’s listed in transferee section.
All information contained in this application is subject to disclosure as a matter of public record. Any false
statement made or given in this application shall result in denial, revocation, or future revocation of the
license under Columbus City Code Chapters 501 and 540, and may be referred for criminal prosecution
under Ohio Revised Code Chapter 2921.13 (A-3).
State of Ohio, County of Franklin
I, _______________________________________, being duly sworn, affirm and swear that I am the
(Print Transferor’s Name)
individual making the foregoing application; that he or she is knowledgeable with respect to that which is
to be licensed and to the information contained in the application; that the answers, statements, and
allegations made in this application are true and accurate to the best of my knowledge and belief; and that
I am an owner of that which is to be transferred by this application.
____________________________________
(Transferor’s Signature)
Sworn to before me and subscribed in my presence this ______ day of _____________________, 20_____.
________________________________
Notary or Agent of Director of Public Safety
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OWNER TRANSFER INFORMATION SHEET Owner Transfer Application (Attached) (City of Columbus)

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Completed 21 January 2021

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