This form contains 143 fields organized into 35 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Body type modifications (Yes/No)
Body type modifications - Yes Checkbox
Check this box if, since purchasing or acquiring the vehicle, any body type modifications, additions, or alterations (for example, changing from pickup to utility) were made to the vehicle.
Body type modifications - No Checkbox
Check this box if, since purchasing or acquiring the vehicle, there have been no body type modifications, additions, or alterations made to the vehicle.
Certification - First signer (Printed name, Date, Telephone/Email)
First signer — Printed name Text
Enter the full printed name of the first signer (the person certifying the form) exactly as they want it to appear.
First signer — Date Date
Enter the date when the first signer signed this certification.
First signer — Telephone or email address Text
Provide a contact telephone number or an email address for the first signer so they can be contacted if needed.
Certification - Second signer (Printed name, Date, Telephone/Email)
Second signer's printed name Text
Enter the full printed name of the second signer (co‑owner) as it should appear on the certification.
Second signer's date Date
Provide the date the second signer signed this certification.
Second signer's telephone or email Text
Enter a telephone number or email address where the second signer can be contacted.
Certification - Third signer (Printed name, Date, Telephone/Email)
Third signer — Printed name Text
Enter the full printed name of the third signer (the person whose signature appears on the corresponding signature line).
Third signer — Date Date
Enter the date when the third signer signed this form.
Third signer — Telephone or email address Text
Provide a daytime telephone number or an email address for the third signer so they can be contacted if needed.
Cost - Gift option (checkbox + market value)
GIFT – I acquired the vehicle as a gift Checkbox
Check this box if you received the vehicle as a gift — then enter its current market value and complete the required Statement of Facts (REG 256) form.
Gift — Current market value Number
Enter the vehicle’s current market value in U.S. dollars as of when you acquired it as a gift. Fill only if 'GIFT – I acquired the vehicle as a gift' is 'Yes'.
Depends on: GIFT – I acquired the vehicle as a gift
Cost - Purchase option (checkbox + purchase price)
PURCHASE — I purchased the vehicle for the price of $ Checkbox
Check this box when you are declaring the vehicle was bought (not gifted or traded) and will enter the purchase price in the adjacent dollar field.
Purchase price Number
Enter the total purchase price you paid for the vehicle in U.S. Dollars. Fill only if 'PURCHASE — I purchased the vehicle for the price of $' is 'Yes'.
Depends on: PURCHASE — I purchased the vehicle for the price of $
Cost - Trade option (checkbox + trade value)
Trade – I acquired the vehicle as a trade Checkbox
Check this box when you acquired the vehicle as a trade-in, and enter the vehicle's value at the time you acquired it in the adjacent dollar field.
Trade‑in vehicle value Number
Enter the dollar value of the vehicle you received in trade when you acquired this vehicle, reported in U.S. Dollars. Fill only if 'Trade – I acquired the vehicle as a trade' is 'Yes'.
Depends on: Trade – I acquired the vehicle as a trade
County of Residence & Equipment Number
County of Residence / Garaging County Text
Enter the name of the county where you reside or where the vehicle/vessel is principally garaged.
Equipment Number (optional) Text
Enter the vehicle's equipment number or identifier if applicable; leave blank if there is no equipment number.
Date vehicle entered or will enter California (Month/Day/Year + 'did not own' checkbox)
Date vehicle entered - Month Text
Enter the month (numeric or abbreviated) when the vehicle entered or will enter California for the first time (the Month portion of the entry date).
Date vehicle entered - Day Text
Enter the day of the month when the vehicle entered or will enter California (the Day portion of the entry date).
Date vehicle entered - Year Text
Enter the four-digit year when the vehicle entered or will enter California (the Year portion of the entry date).
Did not own vehicle at time of entry Checkbox
Check this box if you did not own the vehicle at the time it entered (or will enter) California.
Date vehicle first operated in California (Month/Day/Year)
Vehicle first operated in CA — Month Text
Enter the month when the vehicle was first operated in California (e.g., 1 for January or the month name), using the value you have on record.
Vehicle first operated in CA — Day Text
Enter the day of the month when the vehicle was first operated in California (e.g., 1–31) as shown on your records.
Vehicle first operated in CA — Year Text
Enter the four-digit year when the vehicle was first operated in California.
Date vehicle was purchased or acquired (Month/Day/Year + New/Used + Inside/Outside CA)
Purchase Month Text
Enter the month the vehicle was purchased or acquired (use a numeric month or short month name, e.g., 01 or Jan).
Purchase Day Text
Enter the day of the month the vehicle was purchased or acquired (1–31).
Purchase Year Text
Enter the year the vehicle was purchased or acquired (preferably four digits, e.g., 2023).
New Checkbox
Check this box if the vehicle was new at the time it was purchased or acquired on the date entered.
Used Checkbox
Check this box if the vehicle was used (not new) at the time it was purchased or acquired on the date entered.
Inside CA Checkbox
Check this box if the purchase or acquisition occurred inside the state of California.
Outside CA Checkbox
Check this box if the purchase or acquisition occurred outside the state of California.
Date you went to work/obtained CA license/became resident (Month/Day/Year + resident checkbox)
Date you went to work — Month Text
Enter the month when you went to work in California, obtained a CA driver license, or became a resident (e.g., 1, 01, January).
Date you went to work — Day Text
Enter the day of the month when you went to work in California, obtained a CA driver license, or became a resident (e.g., 5 or 05).
Date you went to work — Year Text
Enter the four‑digit year when you went to work in California, obtained a CA driver license, or became a resident (e.g., 2020).
Not a CA resident Checkbox
Check this box if you are not a California resident (i.e., you were not a CA resident at the date you went to work/obtained a CA driver license/became resident).
Disposition of out-of-state plates (Expired/Surrendered/Destroyed/Retained/Returned)
Expired Checkbox
Check this box if the out‑of‑state license plates are expired, were expired, or will be expired.
Surrendered to CA DMV Checkbox
Check this box if the out‑of‑state license plates have been surrendered to the California DMV.
Destroyed Checkbox
Check this box if the out‑of‑state license plates were destroyed.
Retained Checkbox
Check this box if the out‑of‑state license plates were retained by the owner (kept and not surrendered or returned).
Returned to issuing state motor vehicle department Checkbox
Check this box if the out‑of‑state license plates were returned to the motor vehicle department of the state that issued them.
First Owner Info (Row 1)
First Owner — Full Name Text
Enter the first owner's full legal name (last, first, middle, suffix) or business/lessor name as it should appear on the title or registration.
First Owner — Driver License/ID Number Text
Enter the first owner's driver license or identification card number as shown on their issued ID.
Max length: 8 characters
First Owner — ID Issuing State Text
Enter the two-letter abbreviation or name of the state that issued the first owner's driver license or ID card.
Max length: 2 characters
General
Enter first digit of odometer Text
Max length: 1 characters
Enter second digit of odometer Text
Max length: 1 characters
Enter third digit of odometer Text
Max length: 1 characters
Enter fourth digit of odometer Text
Max length: 1 characters
Enter fifth digit of odometer Text
Max length: 1 characters
Enter sixth digit of odometer. Do not enter tenths Text
Max length: 1 characters
click to print Button
click to clear form Button
Legal Owner / Lien Holder Info
Legal Owner / Lien Holder Name Text
Enter the full legal name of the bank, finance company, or individual who is the legal owner or lien holder exactly as it appears on the ELT listing (do not re-enter the name of new registered owner(s)).
Electronic Lienholder (ELT) ID Number Text
Enter the Electronic Lienholder (ELT) identification number assigned to the lien holder exactly as shown on the ELT listing; if there is no ELT number leave blank or follow form instructions.
Legal Owner Mailing Address
Mailing Address - Street Text
Enter the legal owner's mailing street address or P.O. Box (number and street name) if different from the physical address.
Mailing Address - Apt/Space/Suite Text
Enter the apartment, space, suite, or unit number associated with the mailing address, if applicable.
Mailing Address - City Text
Enter the city for the legal owner's mailing address.
Mailing Address - State Text
Enter the state for the legal owner's mailing address (abbreviation or full state name).
Max length: 2 characters
Mailing Address - ZIP Code Text
Enter the ZIP or postal code for the legal owner's mailing address.
Max length: 5 characters
Legal Owner Physical Address
Legal Owner - Street Address Text
Enter the legal owner's physical residence or business street address (street number and name).
Legal Owner - Apt/Space/Suite No. Text
Enter the apartment, space, suite or unit number associated with the legal owner's address, if applicable.
Legal Owner - City Text
Enter the city for the legal owner's physical residence or business address.
Legal Owner - State Text
Enter the U.S. state for the legal owner's address (use the two-letter state abbreviation).
Max length: 2 characters
Legal Owner - ZIP Code Text
Enter the postal ZIP code for the legal owner's address.
Max length: 5 characters
Lessee Address (if different)
Lessee Street Address Text
Enter the lessee's street address (house number and street name) when the lessee's address is different from the owner’s address. Fill only if 'Trailer Coach' is 'Yes'.
Depends on: Trailer Coach
Lessee Apt/Space/Suite No. Text
Enter the lessee's apartment, space, suite, or unit number associated with the street address; leave blank if not applicable. Fill only if 'Trailer Coach' is 'Yes'.
Depends on: Trailer Coach
Lessee City Text
Enter the city for the lessee's address. Fill only if 'Trailer Coach' is 'Yes'.
Depends on: Trailer Coach
Lessee State Text
Enter the state of the lessee's address (use the standard two-letter state abbreviation). Fill only if 'Trailer Coach' is 'Yes'.
Max length: 2 characters
Depends on: Trailer Coach
Lessee ZIP Code Text
Enter the lessee's ZIP or postal code for the address provided. Fill only if 'Trailer Coach' is 'Yes'.
Max length: 5 characters
Depends on: Trailer Coach
Military service - Active duty now (Yes/No)
Are you or your spouse on active duty as a member of the U.S. Uniformed Services? — Yes Checkbox
Check this box if you or your spouse is currently on active duty as a member of the U.S. Uniformed Services.
Are you or your spouse on active duty as a member of the U.S. Uniformed Services? — No Checkbox
Check this box if neither you nor your spouse is currently on active duty as a member of the U.S. Uniformed Services.
Military service - Active duty when last licensed (Yes/No + station state/country)
1 - Active duty when last licensed: Yes Checkbox
Check this box if, when the vehicle was last licensed, you or your spouse were on active duty as a member of the U.S. Uniformed Services.
2 - Active duty when last licensed: No Checkbox
Check this box if, when the vehicle was last licensed, neither you nor your spouse were on active duty as a member of the U.S. Uniformed Services.
Station state or country when last licensed Text
Enter the name of the U.S. state or foreign country where you or your spouse were stationed on active duty at the time the vehicle was last licensed. Fill only if '1 - Active duty when last licensed: Yes' is 'Yes'.
Depends on: 1 - Active duty when last licensed: Yes
Odometer Discrepancy / Statement
Odometer reading is NOT the actual mileage Checkbox
Check this box when the odometer reading shown is not the vehicle's actual mileage (for example, if the odometer has been altered, is inoperative, or the true mileage is unknown).
Mileage EXCEEDS the odometer mechanical limits Checkbox
Check this box when the vehicle's actual mileage is greater than what the odometer can display (the odometer has rolled over or its mechanical limit has been exceeded).
Explain Odometer Discrepancy Text
Enter a clear, concise explanation describing why the odometer reading is incorrect or differs (include actual or estimated mileage, date or event when discrepancy occurred, repairs or alterations, and any other relevant details). Fill only if 'Odometer reading is NOT the actual mileage', 'Mileage EXCEEDS the odometer mechanical limits' is 'Yes' on any fields.
Depends on: Odometer reading is NOT the actual mileage, Mileage EXCEEDS the odometer mechanical limits
Odometer Reading & Units
Odometer reading — upon date of purchase in California Checkbox
Check this box when the odometer reading entered reflects the vehicle mileage on the date of purchase in California.
Odometer reading — as of this date (if no change in ownership) Checkbox
Check this box when the odometer reading entered reflects the mileage as of the current date (used when there has been no change in ownership).
Odometer reading — higher‑order digits Number
Enter the left portion of the vehicle's odometer mileage representing the higher-order digits of the total odometer reading.
Max length: 3 characters
Odometer reading — lower‑order digits Number
Enter the right portion of the vehicle's odometer mileage representing the lower-order digits of the total odometer reading.
Max length: 3 characters
Odometer units — Miles Checkbox
Check this box when the odometer reading provided on the form is measured in miles.
Odometer units — Kilometers Checkbox
Check this box when the odometer reading provided on the form is measured in kilometers.
Out-of-state vehicles - Last registered as (Commercial/Non-commercial)
Commercial Vehicle Checkbox
Check this box if, in the last state of registration, the vehicle was registered as a commercial vehicle (including pickups).
Non-commercial Automobile Checkbox
Check this box if, in the last state of registration, the vehicle was registered as a non-commercial automobile.
Out-of-state vehicles - Sales tax paid to another state (N/A/Yes/No + amount)
Section 7 — Sales tax paid to another state: N/A Checkbox
Check this box if the question does not apply (for example, the vehicle did not enter California within one year of purchase), so reporting whether sales tax was paid to another state is not applicable.
Section 7 — Sales tax paid to another state: Yes Checkbox
Check this box if sales tax was paid to another state for this vehicle (for vehicles that entered California within one year of purchase) and you will enter the amount paid below.
Section 7 — Sales tax paid to another state: No Checkbox
Check this box if no sales tax was paid to another state for this vehicle (for vehicles that entered California within one year of purchase).
Out‑of‑state sales tax paid Number
Enter the total amount of sales tax you paid to another state for this vehicle (the amount to be credited toward any California use tax). Fill only if 'Section 7 — Sales tax paid to another state: Yes' is 'Yes'.
Depends on: Section 7 — Sales tax paid to another state: Yes
Owner Mailing Address (if different)
Mailing Street Address Text
Enter the owner’s mailing street address (street number and name) if it is different from the physical address.
Mailing Apt/Space/Suite/Unit Text
Enter the apartment, space, suite, or unit number for the mailing address, or leave blank if not applicable.
Mailing City Text
Enter the city for the owner’s mailing address.
Mailing State Text
Enter the state for the owner’s mailing address (use the state name or standard two-letter abbreviation).
Max length: 2 characters
Mailing ZIP Code Text
Enter the ZIP code for the owner’s mailing address (5-digit ZIP or ZIP+4).
Max length: 5 characters
Owner Physical Residence / Business Address
Physical Street Address Text
Enter the owner's physical residence or business street address (street number and name, e.g., 123 Main St); do not include apartment or unit here.
Apt/Space/Suite Number Text
Enter the apartment, space, or suite number for the address, or leave blank if none.
City Text
Enter the city of the owner's physical residence or business address.
State Text
Enter the U.S. state for the address (commonly the two-letter state abbreviation).
Max length: 2 characters
ZIP Code Text
Enter the ZIP code for the address (5-digit ZIP or ZIP+4).
Max length: 5 characters
Revived junk/salvage vehicle total cost including labor ($)
Revived junk/salvage vehicle total cost including labor ($) Number
Enter the total cost or value of the revived junk or revived salvage vehicle including all labor costs in U.S. dollars.
Second Owner Info (Row 2)
Second Owner Full Name (Row 2) Text
Enter the second owner or co-owner’s complete name (last, first, middle, and suffix if any) or the business/lessor name as it should appear on the title.
Second Owner (Row 2) - OR Checkbox
Check this box when the second owner is a co-owner joined by 'OR', meaning only one of the co-owners needs to sign.
Second Owner (Row 2) - AND Checkbox
Check this box when the second owner is a co-owner joined by 'AND', meaning all co-owners must sign.
Second Owner Driver License / ID Number (Row 2) Text
Enter the second owner’s driver license or identification card number exactly as shown on their ID.
Max length: 8 characters
Second Owner ID State (Row 2) Text
Enter the U.S. state or jurisdiction that issued the second owner’s driver license or identification card (e.g., CA for California).
Max length: 2 characters
Third Owner Info (Row 3)
Third Owner — Physical Residence or Business Address Text
Enter the street address of the third owner or business (include number, street, apartment or suite number, and city) where the vehicle is principally garaged.
Third Owner - AND Checkbox
Check this box when the third owner/co‑owner is joined to the other owner(s) by 'AND', meaning all owners must sign and share ownership responsibility.
Third Owner - OR Checkbox
Check this box when the third owner/co‑owner is joined to the other owner(s) by 'OR', meaning any one owner may sign and act on behalf of ownership.
Third Owner — State Text
Enter the two-letter U.S. state abbreviation for the third owner’s physical residence or business address.
Max length: 8 characters
Third Owner — ZIP Code Text
Enter the postal ZIP code for the third owner’s physical residence or business address.
Max length: 2 characters
Trailer Coach Location Address (if different)
Trailer Coach Location - Street Address Text
Enter the full street address where the trailer coach is located, including number and apartment/space/ste unit if applicable. Fill only if 'Trailer Coach' is 'Yes'.
Depends on: Trailer Coach
Trailer Coach Location - City Text
Enter the city where the trailer coach is located. Fill only if 'Trailer Coach' is 'Yes'.
Depends on: Trailer Coach
Trailer Coach Location - State Text
Enter the U.S. state where the trailer coach is located (use the state name or two-letter abbreviation). Fill only if 'Trailer Coach' is 'Yes'.
Max length: 2 characters
Depends on: Trailer Coach
Trailer Coach Location - ZIP Code Text
Enter the postal ZIP code for the trailer coach location (include ZIP+4 hyphen if applicable). Fill only if 'Trailer Coach' is 'Yes'.
Max length: 5 characters
Depends on: Trailer Coach
Vehicle Type & Trailer Dimensions
Auto Checkbox
Check this box if the vehicle being registered is a standard passenger automobile.
Commercial (includes truck or pickup) Checkbox
Check this box if the vehicle is a commercial vehicle, including trucks or pickups.
Motorcycle Checkbox
Check this box if the vehicle being registered is a motorcycle.
Off Highway Checkbox
Check this box if the vehicle is an off-highway (off-road) vehicle.
Trailer Coach Checkbox
Check this box if the vehicle is a trailer coach; if checked, also complete the trailer length and width fields.
Trailer Coach Length (in) Number
Enter the overall length of the trailer coach in inches. Fill only if 'Trailer Coach' is 'Yes'.
Depends on: Trailer Coach
Trailer Coach Width (in) Number
Enter the overall width of the trailer coach in inches. Fill only if 'Trailer Coach' is 'Yes'.
Depends on: Trailer Coach
Vehicle Use & Commercial Info
Transport persons for hire — Yes Checkbox
Check this box if the vehicle will be used to transport persons for hire, compensation, or profit (e.g., limousine, taxi, bus).
Transport persons for hire — No Checkbox
Check this box if the vehicle will not be used to transport persons for hire, compensation, or profit.
Commercial vehicle GVWR 10,001 lbs or more — Yes Checkbox
Check this box if the vehicle operates at 10,001 lbs or more (or is a pickup exceeding 8,001 lbs unladen and/or 11,499 lbs GVWR).
Commercial vehicle GVWR 10,001 lbs or more — No Checkbox
Check this box if the vehicle does not meet the described commercial weight thresholds (is under the listed GVWR/unladen weight limits).
Number of axles Text
Enter the vehicle's total number of axles as a numeric value (e.g., 2 or 4). Fill only if 'Commercial (includes truck or pickup)' is 'Yes'.
Depends on: Commercial (includes truck or pickup)
Unladen weight Number
Enter the vehicle's unladen (empty) weight in pounds. Fill only if 'Commercial (includes truck or pickup)' is 'Yes'.
Depends on: Commercial (includes truck or pickup)
Unladen weight — Actual Checkbox
Check this box when you are providing the actual (measured) unladen weight of the vehicle. Fill only if 'Commercial (includes truck or pickup)' is 'Yes'.
Depends on: Commercial (includes truck or pickup)
Unladen weight — Estimated (Vehicles over 10,001 lbs.) Checkbox
Check this box when you are providing an estimated unladen weight for vehicles over 10,001 lbs (use when actual weight is not available). Fill only if 'Commercial (includes truck or pickup)', 'Commercial vehicle GVWR 10,001 lbs or more — Yes' is 'Yes' on all fields.
Depends on: Commercial (includes truck or pickup), Commercial vehicle GVWR 10,001 lbs or more — Yes
Vehicle was purchased or acquired from (Dealer/Private Party/Dismantler/Immediate Family + Relationship)
Dealer Checkbox
Check this box if the vehicle was purchased or acquired from a licensed dealer.
Private Party Checkbox
Check this box if the vehicle was purchased or acquired directly from a private individual (not from a dealer, dismantler, or immediate family member).
Dismantler Checkbox
Check this box if the vehicle was purchased or acquired from a dismantler (e.g., a salvage or parts business that dismantles vehicles).
Immediate Family Member – State Relationship Checkbox
Check this box if the vehicle was purchased or acquired from an immediate family member, and enter the family relationship in the adjacent space.
Immediate family relationship Text
Enter the relationship of the immediate family member from whom the vehicle was purchased or acquired (for example: parent, spouse, sibling, child, etc.).
VIN and Vehicle Basic Info
Vehicle Identification Number (VIN) Text
Enter the vehicle's VIN exactly as shown on the title or registration (usually a 17-character alphanumeric identifier).
Max length: 18 characters
Vehicle Make Text
Enter the manufacturer's make of the vehicle (e.g., Toyota, Ford, Honda).
Year / Model Year Text
Enter the vehicle's model year (typically a four-digit year such as 2020).
Max length: 4 characters
Fuel Type Text
Enter the vehicle's fuel type (e.g., Gasoline, Diesel, Electric, Hybrid).
California License Plate Number Text
Enter the vehicle's current California license plate number exactly as it appears on the plate.
Model or Series Text
Enter the vehicle's model or series name as shown on the title or manufacturer's documentation (e.g., Camry, Civic, F-150).
Body Type / Model Text
Enter the vehicle's body type or model description (e.g., sedan, coupe, pickup, van).
Motorcycle Engine Number Text
Enter the motorcycle's engine number exactly as stamped on the engine or shown on the title/registration. Fill only if 'Motorcycle' is 'Yes'.
Depends on: Motorcycle