148x Filetype PDF File size 0.47 MB Source: dor.mo.gov
Missouri Department of Revenue Form 5620 Motor Vehicle Dealer Written Agreement to Sell Without Title This written agreement is being executed between the purchaser and dealer to acknowledge the sale of a motor vehicle without the title being present at the time of sale. A Missouri licensed dealer may only use this agreement if the licensed dealer has filed a $100,000 surety bond or irrevocable letter of credit with the Department of Revenue pursuant to Section 301.213, RSMo. This written agreement CANNOT be used for motor vehicles which are titled in another state. Year (YYYY) Make ___ ___ ___ ___ Vehicle Date of Sale (MM/DD/YYYY) Vehicle Identification Number (VIN) ___ ___ /___ ___ /___ ___ ___ ___ | | | | | | | | | | | | | | | | Purchaser’s Name(s) Telephone Number (___ ___ ___)___ ___ ___-___ ___ ___ ___ Street Address City State ZIP Code Purchaser Name Dealer License Number Dealer Address City State ZIP Code The dealer acknowledges the following: • I will deliver a title within 60 days of the date of sale indicated above; • All outstanding liens created on the vehicle pursuant to Sections 301.600 to 301.660, RSMo, have been paid in full; • I have proof or other evidence from the Department of Revenue confirming that no outstanding child support liens exist upon the vehicle at the time of sale and have provided such proof to the purchaser; • I have proof or other evidence from the Department of Revenue confirming that all applicable state sales tax has been satisfied on the sale of the vehicle to the previous owner and have provided such proof to the purchaser; • I have received proof of financial responsibility and proof of comprehensive and collision insurance coverage on the vehicle from the purchaser; • I have completed an application for a duplicate certificate of ownership for the vehicle referenced in this agreement and will apply for title within ten business days of acquiring the vehicle from the previous owner; and • I will assign and deliver the duplicate certificate of ownership to the purchaser within five business days of receiving the duplicate certificate of ownership. AcknowledgmentsThe dealer and the purchaser(s) acknowledge this written agreement pursuant to Section 301.213, RSMo, and further acknowledge that the dealer has provided the purchaser with the following: • A copy of the completed written agreement; • A notarized lien release for any lien perfected on the vehicle by the previous owner’s lienholder; • A copy of the contract for sale of the vehicle; • A copy of the duplicate title application; • A copy of the secure power of attorney from the previous owner to the dealer; • Proof that no outstanding child support liens exist upon the vehicle at the time of sale; and • Proof that all applicable state sales tax has been satisfied on the sale of the vehicle to the previous owner. Signature of all Purchasers Printed Name of all Purchasers Date (MM/DD/YYYY) ___ ___ /___ ___ /___ ___ ___ ___ Signature of Dealer or Agent for Dealer Signatures Printed Name of Dealer or Agent for Dealer Date (MM/DD/YYYY) ___ ___ /___ ___ /___ ___ ___ ___ Mail to: Motor Vehicle Bureau Form-5620 (Revised 10-2015) P.O. Box 43 Phone: (573) 526-3669 Visit http://www.dor.mo.gov/ Jefferson City, MO 65101-0043 E-mail: dealerlic@dor.mo.gov for additional information.
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