REG 343 (REV.

2/2012) WWW
A Public Service Agency
APPLICATION FOR TITLE OR REGISTRATION
FOR ACCURACY, PLEASE PRINT LEGIBLY. COMPLETE BOTH SIDES.
SECTION 1 VEHICLE INFORMATION
VEHICLE IDENTIFICATION NUMBER VEHICLE MAKE YEAR MODEL FUEL TYPE
CALIFORNIA LICENSE NUMBER MODEL OR SERIES BODY TYPE MODEL MOTORCYCLE ENGINE NUMBER
TYPE OF VEHICLE (CHECK ONE BOX)
Auto Commercial Motorcycle Off Highway Trailer Coach
(includes truck or pickup)
FOR TRAILER COACHES ONLY
LENGTH IN. WIDTH IN.
Will this vehicle be used for the transportation of persons for hire, compensation, or proft (e.g. limousine, taxi, bus, etc.)? .... Yes No
Is this a commercial vehicle that operates at 10,001 lbs. or more (or is a pickup exceeding 8,001 lbs. unladen and/or
11,499 lbs. Gross Vehicle Weight Rating (GVWR)? ................................................................................................................... Yes No
IMPORTANT:
If yes, a Declaration of Gross Vehicle Weight/Combined Gross Vehicle Weight (REG 4008) form must be completed.
If yes, a Motor Carrier Permit may be required. Refer to www. dmv.ca.gov for more information.
FOR COMMERCIAL VEHICLES ONLY
Number of axles: Unladen weight:
Actual
Estimated (Vehicles over 10,001 lbs. only)
SECTION 2 OWNER INFORMATION Each owner must sign on reverse side.
Once registered, upon transfer of ownership, co-owners joined by AND require the signature of each owner; co-owners joined by OR require
the signature of only one owner.
TRUE FULL NAME OF OWNER (LAST, FIRST MIDDLE, SUFFIX), BUSINESS NAME, OR LESSOR DRIVER LICENSE/ID CARD NUMBER STATE
TRUE FULL NAME OF CO-OWNER OR LESSEE (LAST, FIRST, MIDDLE, SUFFIX)
AND
OR
DRIVER LICENSE/ID CARD NUMBER STATE
TRUE FULL NAME OF CO-OWNER OR LESSEE (LAST, FIRST, MIDDLE, SUFFIX)
AND
OR
DRIVER LICENSE/ID CARD NUMBER STATE
PHYSICAL RESIDENCE OR BUSINESS ADDRESS (INCLUDE ST., AVE., CT., ETC.) APT./SPACE/STE. NO. CITY STATE ZIP CODE
COUNTY OF RESIDENCE OR COUNTY WHERE VEHICLE/VESSEL IS PRINCIPALLY GARAGED EQUIPMENT NUMBER (OPTIONAL)
MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ADDRESS ABOVE) APT./SPACE/STE. NO. CITY STATE ZIP CODE
LESSEE ADDRESS (IF DIFFERENT FROM ABOVE) APT./SPACE/STE. NO. CITY STATE ZIP CODE
TRAILER COACH ONLY - ADDRESS WHERE LOCATED (IF DIFFERENT FROM PHYSICAL ABOVE) CITY STATE ZIP CODE
SECTION 3 LEGAL OWNER (LIEN HOLDER/TITLE HOLDER) If None, must write None.
Attention ELT Legal Owners: The ELT name and address and ELT number MUST be entered exactly as shown on the ELT listing.
TRUE FULL NAME OF BANK/FINANCE COMPANY OR INDIVIDUAL (DO NOT RE-ENTER NAME OF NEW REGISTERED OWNER(S) ABOVE) ELECTRONIC LIENHOLDER ID NO.
ELT
PHYSICAL RESIDENCE OR BUSINESS ADDRESS (INCLUDE ST., AVE., CT., ETC.) APT./SPACE/STE. NO. CITY STATE ZIP CODE
MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ADDRESS ABOVE) APT./SPACE/STE. NO. CITY STATE ZIP CODE
SECTION 4 ODOMETER INFORMATION
The odometer
reading:
upon date of purchase in California was
as of this date is (if no change in ownership) ,
10
ths
(no tenths)
miles,
If kilometers
check this box:
and to the best of my knowledge refects the ACTUAL mileage unless one of the following statements is checked.
WARNING ODOMETER DISCREPANCY
Odometer reading is NOT the actual mileage Mileage EXCEEDS the odometer mechanical limits
Explain odometer discrepancy: .
MUST COMPLETE VEHICLE INFORMATION BELOW:
VEHICLE IDENTIFICATION NUMBER VEHICLE MAKE YEAR MODEL
SECTION 5 DATE INFORMATION
DATE VEHICLE ENTERED OR WILL ENTER CALIFORNIA (CA):
Month Day Year
If vehicle was previously registered in CA, then registered or located
out-of-state and has now returned to CA, enter most recent date vehicle
entered CA. If you did not own vehicle at time of entry, check this box:
DATE VEHICLE FIRST OPERATED IN CALIFORNIA:
Month Day Year
Or enter date vehicle will be operated, if it has not been operated
yet.
DATE YOU WENT TO WORK IN CALIFORNIA, OBTAINED A CA DRIVER LICENSE, OR BECAME A RESIDENT:
Month Day Year
Enter the date whichever occurred frst. If you have been a resident
since birth, enter date of birth. If you are not a CA resident, check
this box:
DATE VEHICLE WAS PURCHASED OR ACQUIRED:
Month Day Year
AND WAS (CHECK BOX):
New Used
AND WAS PURCHASED (CHECK BOX):
Inside CA Outside CA
SECTION 6 COST INFORMATION
NOTE: The total cost or value of the vehicle must include the cost of the basic vehicle, value of any trade-in, and all accessories and leased
equipment permanently attached. Cost does not include sales tax, insurance, fnance charges, or warranty.
MUST CHECK ONE BOX ONLY, AND ENTER REQUIRED INFORMATION FOR THAT ONE BOX:
PURCHASE I purchased the vehicle for the price of $ .
GIFT I acquired the vehicle as a gift. Its current market value is $
.

A Statement of Facts (REG 256) form must be completed.
TRADE I acquired the vehicle as a trade. Its value when I acquired it was $ .
VEHICLE WAS PURCHASED OR ACQUIRED FROM:
Dealer Private Party Dismantler
Immediate Family Member State
Relationship:

FOR ALL VEHICLES:
Since purchasing or acquiring this vehicle, were any body type modifcations, additions and/or alterations (e.g., changing from pickup to utility,
etc.) made to this vehicle? If yes, a Statement of Construction (REG 5036) form must be completed. ......................................
Yes No
FOR REVIVED JUNK OR REVIVED SALVAGE VEHICLES:
The cost of the vehicle must include the labor cost, whether or not the labor was provided or done by you. The total cost of the vehicle including
labor is $ .
SECTION 7 FOR OUT-OF-STATE OR OUT-OF-COUNTRY VEHICLES
For vehicles which enter the state within 1 year of purchase, was Sales Tax paid to another state? ............................ N/A Yes No
If yes, enter amount of tax paid $ (this amount will be credited toward any Use Tax in CA). If your vehicle was last
registered in another state, you may be eligible for a Use Tax exemption. For more information, contact the Board of Equalization (www.boe.ca.gov).
For commercial vehicles (including pickups), this vehicle was last registered as a: Commercial Vehicle Non-commercial Automobile in
the last state of registration.
DISPOSITION OF OUT-OF-STATE PLATES:
The plates will not be affixed to any vehicle at any time, unless the vehicle is Dual Registered in both states. The plates are:
Expired, or will be or were:
Surrendered to CA DMV Destroyed Retained Returned to the motor vehicle department of the state of issuance.
SECTION 8 MILITARY SERVICE INFORMATION
Are you or your spouse on active duty as a member of the U.S. Uniformed Services? ............................................................... Yes No
If yes, you may qualify for an exemption. Refer to Nonresident Military Exemption (REG 5045) form.
When this vehicle was last licensed, were you or your spouse on active duty as a member of the U.S. Uniformed Services? ... Yes No
If yes, in what state or country were you or your spouse stationed?
SECTION 9 CERTIFICATIONS Signatures required.
The signature for a company or business MUST include the printed name of the company/business and an authorized representatives
countersignature on the signature line (e.g., ABC CO. by JOHN SMITH or JOHN SMITH for ABC CO.).
The registered owner mailing address is valid, existing, and an accurate mailing address. I consent to receive service of process at this mailing
address pursuant to CVC 1808.21.
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
PRINTED NAME OWNERS SIGNATURE
X
DATE DAYTIME TELEPHONE NUMBER
( )
PRINTED NAME CO-OWNERS SIGNATURE
X
DATE DAYTIME TELEPHONE NUMBER
( )
PRINTED NAME CO-OWNERS SIGNATURE
X
DATE DAYTIME TELEPHONE NUMBER
( )
REG 343 (REV. 2/2012) WWW
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