One sheet carrying two different certifications, with a printed warning to complete only one half of it. The top half fixes the date of purchase where the documents disagree or where none of them says. The bottom half asks DMV to waive the late title transfer fee — $25 from the thirty-first day and $50 from the sixty-first — on one of exactly two grounds. It is the form for the sale that went right and the paperwork that went slowly, and it is worth knowing about before the letter arrives rather than after.
Written against 735-6775 (1-26), issued under ORS 803.070 and the late title transfer fee in ORS 803.045. Revised January 2026. Half of this form is about which date is true and half is about why a deadline was missed, and they are not interchangeable — read the heading above the half you are filling in.
Two documents, and they are not the same thing. Take the blank 735-6775 from the oregon.gov copy so you get the revision that is current today.
This is the actual 735-6775, rendered from the PDF the Oregon Department of Transportation, Driver and Motor Vehicle Services Division publishes and completed end to end: letterhead, every field, and the blocks at the foot.
Month, day and year, on the waiver half of the sheet.
Watch out: This is the date on the reassignment block of the certificate. If it does not match, you are in the top half of the form rather than the bottom.
The second date, in the same month-day-year boxes.
Watch out: The gap between these two dates is the whole argument. If it is under thirty days there is nothing to waive.
The first of two tick boxes.
Watch out: The commonest true version of this is a lender who took weeks to release and post the certificate. Keep the covering letter — it is the proof DMV may ask for.
The second box.
Watch out: It comes with a condition attached in the same paragraph: once you are no longer incapacitated you must submit the title within 30 days.
Two ruled lines to explain it in your own words.
Watch out: Write dates, not feelings. A line naming who held the title, when you asked for it and when it arrived is a line a clerk can act on.
Plate number, year, make, body style and vehicle identification number, on the same half you are using.
Watch out: Each half of this form carries its own vehicle block, so fill in the one belonging to the half you have ticked and leave the other empty.
A separate certification for the case where documents disagree about the purchase date, or where no document states it at all.
Watch out: Untouched here on purpose. Completing both halves is the single thing this form's printed instructions tell you not to do.
Printed name, a signature on the X, and the date.
Watch out: It is a sworn statement made in support of an application for title. Certifying the truth of a statement you know is not true is a Class A misdemeanour under ORS 803.070.
| On the form | What to put in it |
|---|---|
| Top half — date of purchase, plate number, vehicle identification number | Three boxes, then a certification that the date shown is the true date of purchase and that any different date on other documents should be disregarded. |
| Top half — the two reasons | Use this certification when the release date or date of purchase shown on other documentation is not the actual purchase date, or where there is no documentation showing the actual date of purchase. |
| Bottom half — the dates | I purchased this vehicle on ______, and I came into possession of the title or its equivalent on ______, each broken into month, day and year. |
| Bottom half — the two waiver grounds | You did not have possession of the title or its equivalent to submit to DMV, for reasons beyond your control; or you were mentally or physically incapacitated following the purchase, preventing you from submitting it. |
| Bottom half — the explanation | Failure to deliver the title within 30 days was beyond my control because, with ruled lines to write on and a note that DMV may ask you to provide proof of this. |
| Bottom half — vehicle description | Plate number, year, make, body style and vehicle identification number. |
| Both halves — name, signature, date | A printed name, a signature on the X, and a date, under the certification that it is a crime under ORS 803.070 to certify the truth of a statement you know is not true, a Class A misdemeanour. |
Every line here was read off 735-6775 (1-26) itself — the PDF is here — and off the Oregon Department of Transportation, Driver and Motor Vehicle Services Division pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.
Back to all Oregon seller paperwork, or what selling a car in Oregon involves.