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How to fill out Indiana State Form 13637

For the gap between the name on the certificate and the name on everything else. Marriage, divorce, a middle initial the BMV never had, a company that reorganised - all of them stop a title at the counter, and all of them are fixed by swearing that two names belong to one person or one entity. Three sections in parallel columns: individuals, business entities, registered Indiana dealers.

Written against State Form 13637 (R6 / 11-24), issued under IC 9-17-2 and IC 9-13-2-124. Do this before you list the car, not on the day of the handover. It costs nothing, it takes five minutes, and a certificate in a name you no longer use is one of the very few Indiana problems that is genuinely trivial to fix in advance and genuinely obstructive on the day.

Two documents, and they are not the same thing. Take the blank State Form 13637 from the forms.in.gov copy so you get the revision that is current today.

Filled in

What a completed one looks like

This is the actual State Form 13637, rendered from the PDF the Indiana Bureau of Motor Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.

Indiana State Form 13637 filled in: section one declares Tichenor, Roselle M. and Bayer, Roselle Marie to be one and the same person, signed by Roselle M. Tichenor on 30 July 2026, with the business entity and registered dealer sections in the lower two thirds of the page left grey and empty.
Only the first of the three sections is amber. The two below it - business entities and registered Indiana dealers - are laid out identically and are deliberately untouched, because the form's own instruction is that you complete the one that applies to you and no other.
Field by field

Every line, in the order you meet it

  1. 1
    You fill this in

    Work out which section is yours

    Section 1 for an individual, Section 2 for a business entity, Section 3 for a registered Indiana dealer.

    Watch out: One only. Three completed sections do not make the affidavit three times as convincing, they make it a form the counter has to send back.

  2. 2
    You fill this in

    The first name box

    The name exactly as the certificate of title carries it, in the order last, first, middle initial.

    Watch out: Copy it character for character, including a middle initial you never use. The whole point is to bridge the certificate to the present, so the certificate's version has to be one end of the bridge.

  3. 3
    You fill this in

    The second name box

    The name you use now, and the one on the identification you will be showing.

    Watch out: The one on your driving licence, not a preferred spelling. A branch associate is comparing this affidavit against a document in their hand.

  4. 4
    You fill this in

    For a business, add the identification number

    A Federal Identification Number under each business name in section 2, and a full address for each.

    Watch out: Two different numbers means two different entities and the affidavit does not apply. If the number changed, what happened was a reorganisation and the BMV will want to see it.

  5. 5
    You fill this in

    Sign the block that belongs to your section

    Signature of Affiant, printed name and date, immediately under the section you completed.

    Watch out: The three signature blocks look alike and swear different things. Read the sentence above the one you are signing.

  6. 6
    You fill this in

    Send it or take it in

    It goes with the certificate to a branch, or by post to the Central Office address printed at the top right.

    Watch out: Do it before the sale. Once the buyer is standing at the counter with your certificate, a name mismatch is a second trip for somebody who is not you.

At a glance

What goes where

On the formWhat to put in it
SECTION 1 - INDIVIDUALSTwo name boxes side by side, each in the order last, first, middle initial. The two names are the ones being declared to be the same person.
SECTION 2 - BUSINESS ENTITIESTwo columns, each with a Business Name, a Federal Identification Number and a full address - number and street, city, state, ZIP.
SECTION 3 - REGISTERED INDIANA DEALERSThe same layout again with a Dealer Number under each business name.
Three signature blocksOne under each section: Signature of Affiant, Printed Name and Date Signed, each above the affirmation appropriate to that section.
The affirmation wordingThe individuals block reads that the individuals named above are one and the same; the entity blocks say the business entities, or the registered dealers, named above are one and the same.
The Central Office addressPrinted top right - Central Office Finance, 100 N. Senate Avenue, Room N440, Indianapolis - with the BMV's contact number beneath it.

What gets this one rejected

Rules that decide whether it is accepted

Every line here was read off State Form 13637 (R6 / 11-24) itself — the PDF is here — and off the Indiana Bureau of Motor Vehicles pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

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