The other half of the correction pair, and the one that exists because sellers leave the price blank. Where State Form 55582 fixes something written wrongly by the person who wrote it, this reports something never written at all - and it is signed by the purchaser, in cases where the purchaser cannot return to the seller to obtain it. Two tick boxes, a date and a price, and a warning that the BMV may pass it to the Department of Revenue.
Written against State Form 56620 (R2 / 12-24), issued under IC 9-17.
If you are the seller reading this, the lesson is the previous page. Write the date and the price on the certificate at the moment of the sale - because the alternative is a buyer swearing to figures you never confirmed, on a form the BMV may hand to the Department of Revenue.
Two documents, and they are not the same thing. Take the blank State Form 56620 from the forms.in.gov copy so you get the revision that is current today.
This is the actual State Form 56620, 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.
Amber — you write it
Grey — not yours to fill
Numbered — explained below
Filled in for the gap that actually turns up - a certificate handed over with the price left blank. Only one of the two ticks is amber, because a form claiming both the date and the price were missing describes a certificate that barely got filled in at all.
Field by field
Every line, in the order you meet it
1
The buyer fills this in
Purchaser(s) Name
The buyer's own name, individual or company, in the first box of section 1.
Watch out: This is one of the few BMV forms where the affiant is the buyer rather than the seller. If you are the seller and you are being asked to sign it, you are on the wrong form.
2
The buyer fills this in
The identification number
The vehicle or hull identification number in its banded box, then Year, Make and Model.
Watch out: Off the certificate you are holding, not off the advert. This affidavit is going to be attached to a title record keyed on those seventeen characters.
3
The buyer fills this in
Date of Sale is missing
A tick, and the correct date in month, day and four-digit year.
Watch out: The date you actually took the car. It is what the forty-five-day clock runs from, so a convenient later date is a false statement that buys nothing.
4
The buyer fills this in
Selling Price is missing
A tick, and the amount actually paid in the dollar box.
Watch out: Read instruction 3 before writing an optimistic figure. The BMV reserves the right to forward completed forms to the Department of Revenue, and the Department may collect additional taxes.
5
The buyer fills this in
Sign it
Purchaser signature, printed name and date, under the perjury affirmation and the indemnity.
Watch out: You are swearing to figures about a transaction the other party is not present for. That is exactly why the BMV limits this form to the case where the seller genuinely cannot be reached.
6
The buyer fills this in
Take it with the certificate
It goes to the branch with the incomplete certificate when the title application is made.
Watch out: On its own it does nothing. It is a patch for a document, and the document has to be there for it to patch.
At a glance
What goes where
On the form
What to put in it
SECTION 1 - AFFIRMATION OF PURCHASER(S)
The purchaser's name as an individual or company, then the vehicle or hull identification number in its own banded box, with Year, Make and Model beneath.
The request sentence
The following information was missing on the certificate of title or bill of sale for the vehicle indicated above, followed by a request that the BMV use the information supplied here.
Date of Sale is missing
A tick with a blank for the correct date of sale in month, day and four-digit year.
Selling Price is missing
A tick with a dollar box for the correct selling price.
SIGNATURE
Purchaser signature, printed name and date, under the perjury affirmation and an undertaking to indemnify and hold harmless the BMV.
What gets this one rejected
•A seller filling it in. The section heading is the affirmation of purchaser(s) and the form is for the case where the buyer cannot get back to the seller.
•Using it where the seller is reachable. Instruction 2 limits it to cases where purchaser cannot return to the seller to obtain it - a phone call is cheaper than an affidavit.
•Using it after buying from a dealership. The same instruction ends with the condition that it may only be used if the seller is not a licensed car dealer.
•Inventing a purchase price to lower the tax. Instruction 3 warns that the BMV reserves the right to forward all completed forms to Indiana Department of Revenue for review, and the Department may collect additional taxes.
•Correcting something that was written. This form supplies what is missing; something written in error is the other affidavit.
•Ticking a box and leaving its blank empty. Each tick exists to introduce a value, and a tick with nothing after it reports a gap without filling it.
Rules that decide whether it is accepted
•It works on a bill of sale too. The wording is missing on the certificate of title or vehicle bill of sale, so a receipt that omitted the date is covered by the same route.
•Copies may be accepted. Instruction 1 says to complete it in blue or black ink or print the form, and that copies may be accepted.
•The certificate still wins where both are written. The BMV's separate guidance is that a bill of sale can't be used to override information that has been written on the certificate of title. This form fills gaps; it does not overrule.
Every line here was read off State Form 56620 (R2 / 12-24) 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.
