What year was the trailer completed? _________________________________(This will be used as the model year of the trailer. You must provide this information in order to title the trailer.)

If for any reason you are unable to provide a required release or receipts for the axle and frame or the materials used to build them, provide a written explanation below. Attach extra pages if necessary.

What type of trailer is it? (e.g., utility, horse, stock, box, flat bed, low boy, etc.): _________________________________

I certify that this trailer: was not manufactured by a commercial manufacturer, andhas NEVER been titled or registered in another state or jurisdiction.

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STK #300343

THIS CERTIFICATION DOES NOT GUARANTEE ISSUANCE OF A CERTIFICATE OF TITLE.X

APPLICANT’S NAME (Print Last, First, Middle)

STREET ADDRESS

CITY, STATE, ZIP

DATESIGNATURE

CERTIFICATION OF OWNERSHIPFOR AN ASSEMBLED LIGHT OR HEAVY TRAILER

You may only use this form for an assembled light or heavy trailer that was not commercially manufactured or that has never been titled or registered in another jurisdiction.

TELEPHONE # (Optional)

I certify that I am the owner of the trailer described above. To the best of my knowledge, this trailer is free from all liens and claims to ownership except as shown on the application for title. I certify that the information I provided is true and accurate. I am making this certification in support of my request for Oregon title under ORS 803.045 and ORS 803.050, and as proof of ownership under ORS 803.205. I understand it is a crime under ORS 803.070 and 803.075 to knowingly make any false statement relating to the application or assignment of a title to a vehicle. This offense is a Class A Misdemeanor and is punishable by a jail sentence of up to one year, a fine of up to $6,250, or both.

Did you build this trailer?Attach bill(s) of sale or receipts for the axle and frame or the materials used to build them. Attach bill(s) of sale from any previous owner(s) and any receipts you have for the axle and frame or the materials used to build them.

YESNO

This trailer is a: (Check one box please)

Light Trailer (designed to be operated at a loaded weight of 8,000 lbs. or less) Heavy Trailer (designed to be operated at a loaded weight of over 8,000 lbs.)

Where did the frame for the trailer come from? (If you don‘t know, indicate this in the space provided below, but you must explain why.)

735-6644 (7-17) (Instructions on back)

Instructions

Use this form when you are applying for title on an assembled light trailer or an assembled heavy trailer that has never been titled or registered before AND was not manufactured by a commercial firm.

Complete all sections of the form and sign it.

A release of interest from whomever you purchased the trailer, if you didn’t build it; or Receipts or bill(s) of sale for both the frame and axle if you built the trailer.

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Required documents are:

If you cannot provide one of the above requirements, you must give a written explanation in the space provided on the front of this form.

It is important that you complete the form thoroughly. Your transaction may be returned if you do not provide the information needed to determine ownership or vehicle type.

A vehicle identification number (VIN) inspection is required. You must take the trailer to a DMV field office for the inspection. There is a $7 fee for the inspection and be prepared to pay the title fee. To determine if VIN inspections are available at the DMV field office in your area, see the contact information below.

Each transaction is handled on a review basis only. Completion of this form does not guarantee issuance of a certificate of title. After the transaction is reviewed, you may be asked to provide more information.

If you have questions, you may contact DMV’s Customer Assistance unit in Salem at: (503) 945-5000 or, in the Portland area, (503) 299-9999, TTD Statewide Relay: 7-1-1 or www.oregondmv.com.