The receipt, and the one piece of paper in a Washington sale that both parties sign. It is needed unless the sale price and the date are already written on the certificate itself. The form is careful about what it is not: completing this form does not transfer the title or act as a Report of Sale - and it prints both parties' duties on the same page so neither can claim not to have read them.
Written against 420-065 (R/4/24), issued under RCW 46.12.650 and WAC 308-56A-024. The form gives the seller's deadline as 5 days from the date of sale while the statute, the rule and the Report of Sale itself all say five business days. Where two departmental documents disagree, count the shorter one - nothing is lost by filing early.
Two documents, and they are not the same thing. Take the blank 420-065 from the dol.wa.gov copy so you get the revision that is current today.
This is the actual 420-065, rendered from the PDF the Washington State Department of Licensing publishes and completed end to end: letterhead, every field, and the blocks at the foot.
One tick at the top left. The rest of the form reads differently depending on it.
Watch out: The identification box that follows asks for a VIN or a HIN. Ticking the wrong one at the top is how a car ends up described by a hull number.
Plate number and the seventeen-character VIN, both copied off the certificate.
Watch out: These two have to match your Report of Sale exactly. The department reads both documents and a mismatch is what turns a filed report into a query.
Three boxes across the row under the plate and the identification number.
Watch out: Take them from the certificate. What the department has on record is what has to appear here, even where the certificate is wrong about the trim.
The date the buyer took the vehicle and what they paid for it.
Watch out: The price here feeds the buyer's use tax. If it is well under the department's own value for the vehicle they will be asked to justify it, and the form they will be handed needs your signature too.
Every registered owner named on the certificate, with a full address.
Watch out: Names in the same form as the certificate. A married name on one document and a maiden name on the other stops the transaction at the counter.
Everyone who will be a registered owner, with a Washington street address.
Watch out: Two buyers here means two buyer signatures below, and the department will expect both of them on the title application as well.
Yes or no, and the relationship if yes.
Watch out: This is a tax question, not a courtesy. A gift between immediate family is treated differently, and answering it wrongly is a statement the Department of Revenue can audit.
Two buyer lines and two seller lines at the foot, signed after the form is printed.
Watch out: The instruction on each line is literal: when completed, print this form and sign here. A typed name in the signature box is not a signature.
| On the form | What to put in it |
|---|---|
| Sale of (choose one): Vehicle or Vessel | One form covers both, and the tick decides which of the two identification numbers the next box is asking for. |
| License plate/Registration number | The plate on the vehicle at the moment of sale - the same number that goes on your Report of Sale. |
| Vehicle identification number (VIN)/Hull identification number (HIN) | Seventeen characters for a vehicle, copied from the certificate. |
| Model year, Make, Model | Three boxes, taken off the certificate rather than off the advert. |
| Date of sale | The date the vehicle changed hands, which has to agree with the date on your Report of Sale. |
| Sale price | The figure the buyer's use tax is worked from, unless the department's fair market value for the vehicle is higher. |
| Seller names, address, city, state, ZIP code | Every registered owner, not just the one who did the talking. |
| Buyer names, address, city, state, ZIP code | Everyone who is going to appear on the new certificate. |
| Relationship: are you an immediate family member receiving this vehicle as a gift? | A yes-or-no tick, and a line for the relationship if the answer is yes. It exists because a genuine family gift is treated differently for tax. |
| Four signature lines | Two for buyers and two for sellers, so a jointly owned vehicle can be signed for on both sides without a second sheet. |
Every line here was read off 420-065 (R/4/24) itself — the PDF is here — and off the Washington State Department of Licensing 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 Washington seller paperwork, or what selling a car in Washington involves.