Statement of Facts
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
If you have questions or need additional information and forms visit dvs.dps.mn.gov. You may also contact Driver and Vehicle Services
at (651) 297-2126 or (651) 282-6555 (TTY).
For deputy registrar locations visit dvs.dps.mn.gov or call (651) 297-2005.
Submit an Application to Title and Register a Motor Vehicle (PS2000)
Photos: You must submit photos showing all sides of the vehicle as well as a photo of the VIN plate or a clear, legible tracing. In the
case of motorcycles, a photo of each side is needed as well as the VIN photo or a photo of the Federal Safety Sticker.
Digital, scanned color images are preferred over actual photographs.
Photos are not required for trailers with a gross weight of less than 6,000 pounds; however a photo of the VIN plate should be
submitted.
The photos are used to establish a value in case a bond is required.
If major parts are replaced, attach original invoices/bills of sales and submit a Declaration of Reconstruction (PS2015).
Submit this completed form, along with the appropriate forms (see below) and fees, in person at a deputy registrar office, or
by mailing to: Driver and Vehicle Services Division, 445 Minnesota Street, St. Paul, MN 55101-5187
Model Year
Vehicle Make
A. Vehicle Information
Body Type/Style
Vehicle Identification Number (VIN) or Motorcycle Frame Number
Engine number (motorcycles only)Last Known Plate Number
State of Issue Expiration Date
Note: a surety bond/certificate of deposit may be required.
B. History of Vehicle - complete in detail
The vehicle was purchased/acquired from:
Name of "Seller(s)"
"Seller(s)" Address (Street, City, State, Zip Code)
Explain how you acquired the vehicle and why there are no documents/record of ownership:
Explain the condition of the vehicle when you acquired it (be specific):
Date Acquired
(Use when there is no vehicle ownership record - Minnesota Statute 168A.07)
C. Signatures and Verfication - Signatures of the seller(s) and applicant(s) attest to the accuracy of the information and serve
as a bill of sale
I (we) attest to the accuracy of the above information:
I (we) attest to the accuracy of the above information and agree to defend and protect the state of Minnesota against any
and all future claims of ownership that may arise if I am issued a title:
Printed Name of "Seller(s)"
Signature of "Seller(s)"
Applicant ("Buyer") Printed Name(s)
Applicant ("Buyer") Signature(s)
PS2002-03 (09/16)
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