Fillable Form Iowa Vehicle Registration (411007)

What is an Iowa Vehicle Registration Form?

Form 411007, Application for Certificate of Title and/or Registration, or also referred to as the Iowa Vehicle Registration Form is a document from the Iowa Department of Transportation (IDOT) that is used to register and apply for a certificate of title or registration for your motor vehicle.

How to fill out an Iowa Vehicle Registration Form?

To fill out an Iowa Vehicle Registration Form, you must provide the following information:

Dealer Number or Recycler Number

Enter your dealer number or recycler number.

Applying For

Mark the appropriate box which corresponds to the type of title you are applying for. You may select:

• Regular title
• Salvage title

Registration Month

Enter the month when you are registering.

Owner Information

Owner #1

First Name

Enter your first name.

Middle Name

Enter your middle name.

Last Name

Enter your last name.

Ownership Status

Mark the appropriate box which corresponds to your ownership status. You may select:

• Or
• And

Birth Date

Enter your date of birth.

Iowa Driver’s License Number or Iowa Identification Card Number or Social Security Number

Enter your Iowa Driver’s License Number (DLN), Iowa Identification Card Number (ID), or Social Security Number (SSN).

Federal Employee Identification Number

Enter your Federal Employee Identification Number (FEIN).

Bona Fide Residence Address of Owner #1

Address

Enter your address.

City

Enter your city.

County

Enter your county.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Owner #2

First Name

Enter your first name.

Middle Name

Enter your middle name.

Last Name

Enter your last name.

Ownership Status

Mark the appropriate box which corresponds to your ownership status. You may select:

• Or
• And

Birth Date

Enter your date of birth.

Iowa Driver’s License Number or Iowa Identification Card Number or Social Security Number

Enter your Iowa Driver’s License Number (DLN), Iowa Identification Card Number (ID), or Social Security Number (SSN).

Federal Employee Identification Number

Enter your Federal Employee Identification Number (FEIN).

Bona Fide Residence Address of Owner #2

Address

Enter your address.

City

Enter your city.

County

Enter your county.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Owner #3

First Name

Enter your first name.

Middle Name

Enter your middle name.

Last Name

Enter your last name.

Ownership Status

Mark the appropriate box which corresponds to your ownership status. You may select:

• Or
• And

Birth Date

Enter your date of birth.

Iowa Driver’s License Number or Iowa Identification Card Number or Social Security Number

Enter your Iowa Driver’s License Number (DLN), Iowa Identification Card Number (ID), or Social Security Number (SSN).

Federal Employee Identification Number

Enter your Federal Employee Identification Number (FEIN).

Bona Fide Residence Address of Owner #3

Address

Enter your address.

City

Enter your city.

County

Enter your county.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Vehicle Information

Vehicle Identification Number

Enter the vehicle identification number (VIN) of your motor vehicle.

Year

Enter the year or model cycle that your motor vehicle is in. This is defined by the 10th digit of its vehicle identification number (VIN).

Make

Enter the make of your motor vehicle.

Model

Enter the model or name of the motor vehicle product.

Type

Enter the body type of your motor vehicle.

Style

Enter the style of your motor vehicle.

Color

Enter the color of your motor vehicle.

Fuel

Enter what type of fuel is used for your motor vehicle.

Cylinders

Enter the number of cylinder engines your motor vehicle has.

Tonnage

Enter the carrying capacity of your motor vehicle in tons.

Gross Vehicle Weight Rating

Enter the maximum total safe weight of your motor vehicle.

Square Footage

Enter the area measurement of your motor vehicle in square feet.

Iowa Plate Number

Enter the Iowa plate number of your motor vehicle.

Validation Number

Enter the validation number of your motor vehicle.

Validation Year

Enter the year wherein your motor vehicle was validated.

Purchase Date or Date Brought Into State

Enter the date you purchased the motor vehicle or when you brought it in the state.

Vehicle Identification Number of Traded Vehicle

Enter the vehicle identification number (VIN) of your motor vehicle if it was traded.

Trailer Empty Weight

Enter the weight of your trailer without any cargo or fluids if applicable.

Security Interest Information

Give complete statements of your security interests or liens. If you have none, state in the space provided.

Nature. First Security Interest

Held By

Enter the individual or entity that is in charge of your liens.

Address

Enter the address of the individual or entity.

Street

Enter the street of the individual or entity.

City

Enter the city of the individual or entity.

State

Enter the state of the individual or entity.

ZIP Code

Enter the ZIP code of the individual or entity.

Federal Employer Identification Number, Social Security Number, or Electronic Lien Title Identifier

Enter the federal employer identification (FEIN), social security number (SSN), or electronic lien title identifier (ELT) of the individual or entity.

Nature. Second Security Interest

Held By

Enter the individual or entity that is in charge of your liens.

Address

Enter the address of the individual or entity.

Street

Enter the street of the individual or entity.

City

Enter the city of the individual or entity.

State

Enter the state of the individual or entity.

ZIP Code

Enter the ZIP code of the individual or entity.

Federal Employer Identification Number, Social Security Number, or Electronic Lien Title Identifier

Enter the federal employer identification (FEIN), social security number (SSN), or electronic lien title identifier (ELT) of the individual or entity.

Nature. Third Security Interest

Held By

Enter the individual or entity that is in charge of your liens.

Address

Enter the address of the individual or entity.

Street

Enter the street of the individual or entity.

City

Enter the city of the individual or entity.

State

Enter the state of the individual or entity.

ZIP Code

Enter the ZIP code of the individual or entity.

Federal Employer Identification Number, Social Security Number, or Electronic Lien Title Identifier

Enter the federal employer identification (FEIN), social security number (SSN), or electronic lien title identifier (ELT) of the individual or entity.

Purchase Price

Purchase Price Amount

Enter the purchase price of the motor vehicle.

Signature of Owner No. 1

Owner No.1 must affix his or her signature.

Signature of Owner No. 2

Owner No. 2 must affix his or her signature.

Signature of Owner No. 3

Owner No. 3 must affix his or her signature.

Signature of Association, Corporation, or Attorney

Have a representative of an association or attorney affix his or her signature.

Current Date

Enter the current date.

Primary User Information

Primary User #1

First Name

Enter your first name.

Middle Name

Enter your middle name.

Last Name

Enter your last name.

Birth Date

Enter your date of birth.

Iowa Driver’s License Number or Iowa Identification Card Number or Social Security Number

Enter your Iowa Driver’s License Number (DLN), Iowa Identification Card Number (ID), or Social Security Number (SSN).

Federal Employee Identification Number

Enter your Federal Employee Identification Number (FEIN).

Bona Fide Residence Address of Primary User #1

Address

Enter your address.

City

Enter your city.

County

Enter your county.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Mailing Address of Primary User #1

Address

Enter your mailing address.

City

Enter your city.

County

Enter your county.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Primary User #2

First Name

Enter your first name.

Middle Name

Enter your middle name.

Last Name

Enter your last name.

Birth Date

Enter your date of birth.

Iowa Driver’s License Number or Iowa Identification Card Number or Social Security Number

Enter your Iowa Driver’s License Number (DLN), Iowa Identification Card Number (ID), or Social Security Number (SSN).

Federal Employee Identification Number

Enter your Federal Employee Identification Number (FEIN).

Bona Fide Residence Address of Primary User #2

Address

Enter your address.

City

Enter your city.

County

Enter your county.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Mailing Address of Primary User #2

Address

Enter your mailing address.

City

Enter your city.

County

Enter your county.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Fee for New Registration Exemptions

Owner’s Name

Enter your full legal name.

Vehicle Identification Number

Enter the vehicle identification number (VIN) of your motor vehicle.

Mark the appropriate box which corresponds to your exemption from payment of the new registration fee. You may select:

• UT01 - Transfer by gift; with explanation
• UT02 - Purchase is one of the following non-profit or government organizations
  • Rehabilitation facility
  • Care facility
  • Educational institution
  • Government
  • Community health center
  • Community mental health center
  • Non-profit private museum
  • Non-profit organ procurement organization
  • Rehabilitation facility for mentally challenged children
  • Care facility for the mentally ill
  • Free-standing hospice facility
  • Hospital licensed under Iowa Code Chapter 135B
  • Migrant health center
  • Legal aid organization
  • Non-profit art center
• UT03
  • Vehicle transferred from a sole proprietorship or partnership to a corporation with the ownership remaining exactly the same
  • Corporate merger
• UT04 - Purchased by a licensed dealership for resale
• UT05 - Purchased for rental
• UT06 - Leased vehicle used solely in interstate commerce
• UT07 - Vehicle registered and/or operated under Iowa Code Section 326 with gross weight of 13 tons or more with 25% of the mileage outside of Iowa
• UT08 - Other
  • Manufactured housing or mobile home
  • Inheritance or court order
  • Vehicle purchased outside Iowa with no intent to use in Iowa
  • Homemade vehicle
  • Sales, use, or occupational tax paid to another state at time of purchase
  • Name dropped
  • Delivered to a resident Native American Indian on the reservation
  • In-transit title
  • Transfer to or from a living or irrevocable trust
  • Salvage vehicle
  • Other; please explain