Fillable Printable Vehicle Title Application
Fillable Printable Vehicle Title Application
Vehicle Title Application
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Notarization / Certification – You don’t need your signature notarized if you sign in front of a vehicle licensing agent, who can certify your signature.
State of County of
Signed or attested before me on by
Name of person signing this document
Notary/Agent/Subagent signature
Notary printed or stamped name
Title and
Dealer or county/office number or notary expiration date
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(Seal or stamp)
Vehicle Title Application
Vehicle – Please type or print plainly For title purposes only
Vehicle identification no (VIN) Condition Vehicle type Primary use type Fuel type
New Used
Model year Make Model Trim Body style Motorcycle style
GV Weight Rating Scale wt Gross weight Mo GWT Seats Color #1 Color #2 Equip no Purchase price
Wheels Rental no Fleet Engine (MC) Motor home/Cycle/WATV eng serial no Length Width Quick title Discover pass Park donation
Yes No Yes No Yes No
Registered owner – For additional owners, attach sheet with name, driver license/ID/TIN/EIN/UBI number, expiration date, and phone
information. Washington primary residence street address or Washington principal place of business street address is required on the vehicle
record. For exceptions, see Primary Residence Address Exception, form 420-004.
Owner type ID type Driver license/ID/TIN/EIN/UBI no Expiration date Phone type (Area code) Phone no
Registered owner name (Last, First, Middle, Suffix) or Business name
Washington primary residence address (if an individual) or Washington principal place of business address (if a business)
Mailing address, if different than residence address (Street address or PO Box, City, State, ZIP code) or exception address
One-time mailing address, if applicable
Paperless renewal option Email address
Notify me by email when it’s time to renew my vehicle
Owner type Joint tenants w/right of survivorship ID type Driver license/ID/TIN/EIN/UBI no Expiration date
Yes No
Registered owner name (Last, First, Middle, Suffix) or Business name Phone type (Area code) Phone no
Legal owner/Lienholder – Fill out if different than registered owner. For additional legal owner/lienholders, attach sheet with name, driver
license/ID/TIN/EIN/UBI number, expiration date, and address information.
Name of legal owner/lienholder (Last, First, Middle initial or Business name)
Legal owner/Lienholder type ID type Driver license/ID/TIN/EIN/UBI no Expiration date ELT participant
Yes No
Mailing address (Street address or PO Box, City, State, ZIP code)
Dealer
Dealer type Dealer no Dealer name Sale date Delivery date Vehicle status
New Used Prev titled
Dealer authorized signature
Anyone who knowingly makes a false statement may be guilty of a felony under state law and upon conviction shall be punished by a fine,
imprisonment, or both. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
Signature of registered owner Title, if signing for business Signature of registered owner Title, if signing for business
Date and place signed Date and place signed
TD-420-001 (R/12/16)W
I certify that this information is correct. The vehicle is clear of encumbrances
except as shown. Any required sales tax has been collected.
Click here to START or CLEAR, then hit the TAB button
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Dealer sign here
Registered owner: Print completed form and sign here. Include title if business.
Registered owner: Sign here. Include title if business.
Enter date and place (city or county) signed
Enter date and place (city or county) signed
