A one-page request to have the title penalty set aside - the charge Missouri adds for every thirty days a title application is late. It matters to a seller in two ways: it is what you tell a buyer who has drifted past the deadline through no fault of their own, and it is the form you need yourself if a paperwork problem you caused - a bad date, a missing lien release, a title that never arrived - is what kept them from filing on time.
Written against Form 5105 (Rev 10-2022), issued under RSMo 301.190 and 306.015.
The clock this form is arguing with started on the date of sale you wrote on the assignment. If the true handover was later than the date on the title, that is a Form 4205 problem rather than a waiver problem, and mixing the two up is how a request comes back unread.
Two documents, and they are not the same thing. Take the blank Form 5105 from the dor.mo.gov copy so you get the revision that is current today.
This is the actual Form 5105, rendered from the PDF the Missouri Department of Revenue 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
Completed by the buyer rather than the seller, because it is the buyer who runs into the penalty. Everything below the printed name is grey - three separate Department bands, which is a fair indication of how many desks a waiver request crosses. The signature rule itself carries no fillable box in the Department's PDF, so it is shown blank.
Field by field
Every line, in the order you meet it
1
The buyer fills this in
Applicant and vehicle
Name, address, and the year, make and vehicle identification number of the unit.
Watch out: The name has to be the applicant's - the person whose title application the penalty is attached to. A seller cannot ask for a waiver of somebody else's penalty.
2
The buyer fills this in
Which period was missed
The motor vehicle box for the thirty days under RSMo 301.190, or the boat and outboard motor box for the sixty days under 306.015.
Watch out: One or the other, not both. For a car it is always the first.
3
The buyer fills this in
The reason
One of five printed reasons - military duty, act of God, a previous attempt within the last thirty days, catastrophic illness, or a dealer's delayed-delivery agreement.
Watch out: Previously attempted to title within last 30 days is the one people overlook. A rejected application that was made in time is a different thing from an application never made.
4
The buyer fills this in
Extenuating circumstances
A free block for anything outside the five, and a tick box for attached documentation.
Watch out: Write dates. A request that says the seller was slow with the lien release is weaker than one that says which day it was asked for and which day it arrived.
5
The buyer fills this in
Sign it
Signature, printed name and date, under the penalties-of-perjury declaration.
Watch out: The declaration covers the attachments as well as the form, which is worth remembering before adding a supporting letter somebody else wrote.
6
The buyer fills this in
Attach it to the title application
It goes in with Form 108 rather than separately.
Watch out: The instruction is the first line on the form. A waiver request arriving on its own has no application to be waived against.
At a glance
What goes where
On the form
What to put in it
Applicant and vehicle
Last name, first name, middle initial, street address, city, state, ZIP, then year, make and vehicle identification number.
Unable to title
Two boxes. One for motor vehicles, cycles, trailers, ATVs and manufactured homes citing the 30-day period allowed by Missouri Revised Statute, 301.190; the other for boats and outboard motors and their 60-day period under 306.015.
Title penalty waiver
Five printed reasons: active military duty; act of God, with fire, tornado, flood and earthquake named in brackets; previously attempted to title within last 30 days; catastrophic illness of applicant or immediate family member; and an agreement for delayed delivery of certificate of ownership issued by a selling Missouri dealer.
Extenuating circumstances
A free block for anything not on the list, with a tick box to say additional documentation is attached.
Signature
Under the declaration that the information and any attached supplement is true, complete and correct, with a printed name and date.
DOR use only
Three signature bands at the foot for a contract or office manager, the administrator with Approved and Denied boxes, and a compliance and investigation bureau agent with a case number.
What gets this one rejected
•Sending it on its own. The line under the title reads: this form must be attached to the application for title.
•Ticking the wrong unit type. The thirty-day period and the sixty-day period are different statutes, and the boxes are not interchangeable.
•An extenuating circumstance with nothing behind it. The form gives you a box to tick for additional documentation and a signature block that says any attached supplement is true - a bare assertion is the version that gets forwarded and refused.
•Filling in the DOR Use Only bands. Three of them, at the foot, and all three belong to the Department.
•Expecting it to be granted at the counter. The applicant is advised that the request and supporting documentation will be forwarded to the motor vehicle administrator for review.
Rules that decide whether it is accepted
•The statute allows it. RSMo 301.190.5 sets the penalty and then adds that it may be waived by the director for a good cause shown - this form is how good cause is shown.
•The dealer route is separate. Where a Missouri dealer issued an Agreement for Delayed Delivery of Certificate of Ownership, that has its own printed box, because the delay is the dealer's rather than the buyer's.
•The penalty stops growing, but it does not lapse. It accrues for each thirty days of delinquency up to a ceiling and then stays there. Waiting is not a strategy, because the ceiling arrives long before anyone stops asking. The figures are printed on Form 108 rather than on this one.
Every line here was read off Form 5105 (Rev 10-2022) itself — the PDF is here — and off the Missouri Department of Revenue pages.
This is plain-language help with a form, not legal advice, and where our wording and the agency's differ,
theirs governs.
