Title Application Form

Title Application Form and Assignment Agreement

This Title Application Form and Assignment Agreement (the Agreement) is entered into by the parties identified below for the purpose of applying for and transferring legal title to the described property in accordance with the terms set forth herein.

Parties

Applicant Name:

Applicant Address:

Assignee Name:

Assignee Address:

Recitals

WHEREAS, Applicant is the current legal owner of the property described below and has authority to apply for, assign, and convey title; and

WHEREAS, Assignee has agreed to accept assignment or transfer of title upon the terms set forth in this Agreement and to cooperate in the submission of a title application to the appropriate title registration authority; and

WHEREAS, the parties desire to set forth their mutual agreements, certifications and acknowledgments regarding the title application, transfer, and any associated payments and obligations.

Property / Item Details

Vehicle Other

VIN / Serial Number:

Year: Make: Model:

Color: Body Type:

Odometer Reading (if applicable): Odometer reading exempt

Scope of Work

The Applicant shall prepare, complete and submit the required title application documents and supporting evidence to the appropriate registering authority on behalf of both parties. Assignee shall provide necessary identification, signatures, and any requested documentation and shall cooperate in the processing of the application.

Purchase and Lien Information

Sale / Purchase Price: $

Date of Sale:

Outstanding Lien Amount: $

Payment Terms

The Assignee agrees to pay the Applicant the total sum set forth below in consideration for the transfer and application for title and to reimburse Applicant for any out-of-pocket filing fees and recording charges.

Total Amount Payable: $

Late Payment Fee: Remedies: Applicant may suspend processing until payment is made in full and recover reasonable costs of collection.

Term and Termination

Term Commencement Date:    Term End Date:

Either party may terminate this Agreement upon written notice to the other party delivered at least days prior to the effective date of termination. Termination shall not relieve Assignee of payment obligations accrued prior to termination.

Confidentiality

Each party shall hold all non-public information obtained in connection with this Agreement in strict confidence and shall not disclose such information except as required to effect the title application or as required by law. Confidential information does not include information that is or becomes publicly available through no breach by the receiving party.

Representations and Warranties; Certifications

Applicant represents and warrants that Applicant is the lawful owner of the described property, that there are no known undisclosed security interests other than those listed above, and that Applicant has the authority to assign title to Assignee. Assignee represents that Assignee will provide truthful information and will complete any necessary steps required by the registering authority to obtain title.

By signing below, each party certifies under penalty of perjury that the information provided in this application is true and correct to the best of their knowledge.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State selected by the parties below. Disputes arising under or in connection with this Agreement shall be resolved in the courts located in that State.

Governing State:

Entire Agreement

This Agreement, together with any attachments or schedules executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written.

Additional Acknowledgments

Applicant acknowledges responsibility for completing and signing any transfer documents required by the registering authority and for disclosing all material facts affecting title. Assignee acknowledges responsibility for payment of fees as agreed and for completing any required inspections or verifications.

Certifications (Check as applicable)

Applicant certifies that Applicant is the legal owner and has the right to apply for and assign title.
Applicant certifies there are no undisclosed liens or encumbrances other than those listed above.
Each party certifies that the information provided is true and complete to the best of their knowledge.

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