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How to fill out Washington 430-501

The form for the seller nobody plans to be: somebody parting with a car they bought new only weeks ago. Washington treats a vehicle as used only once it has been titled to a retail purchaser for 90 days or more and driven 3,000 miles or more. Sell before both of those are true and the vehicle is legally still new - unless you sign this affidavit, which is the exemption.

Written against 430-501 (R/5/14), issued under RCW 46.04.660 and WAC 308-66-110. This is a narrow form and most sellers will never meet it. It matters if you are selling or trading a car you bought new within the last three months or three thousand miles, because without it the vehicle is legally a new one and the dealer taking it in cannot treat it as used stock.

Two documents, and they are not the same thing. Take the blank 430-501 from the dol.wa.gov copy so you get the revision that is current today.

Filled in

What a completed one looks like

This is the actual 430-501, 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.

A completed Washington Bona Fide Used Vehicle Sale Affidavit, form 430-501, describing a 2026 Kia Telluride with a Washington plate, signed by consumer Rosalind Vandermeer of Spokane with the date and place signed, above a notarisation block nobody has filled in yet.
Rendered from the department's own PDF. The importer number box has been left grey because a private consumer never fills it in - it is there for the other kind of signer, and it is the fastest way to tell which half of the form applies to you.
Field by field

Every line, in the order you meet it

  1. 1
    You fill this in

    Make, model and identification number

    Three boxes describing the vehicle you bought new and are now parting with.

    Watch out: Take them from the certificate rather than the sales invoice - the certificate is what the department will compare this against.

  2. 2
    You fill this in

    Licence number and where it was issued

    The plate on the vehicle, and the state or country that issued it.

    Watch out: On an imported vehicle this is the line that shows the department which of the two signers the affidavit is coming from.

  3. 3
    You fill this in

    Consumer or importer

    Your name, as the person who bought the vehicle new at retail.

    Watch out: The importer number beside it stays empty. It belongs to the other kind of signer, and filling it in describes you as somebody you are not.

  4. 4
    You fill this in

    The address block

    Address, city, state, postcode and country on one line.

    Watch out: The country box is not optional padding - it is there because half the cases this form covers involve a vehicle brought into the country.

  5. 5
    You fill this in

    Date, place and signature

    The declaration under penalty of perjury, then the date and place signed, then the signature.

    Watch out: The line asks you to print the completed form and sign it. Sign in front of the notary or the licensing agent, not before you get there.

  6. 6
    You fill this in

    The notarisation block

    State, county, the date, the signature and the printed or stamped name of the notary or agent, with their title and number.

    Watch out: As everywhere else in the Washington set, an agent at a licensing office can certify instead of a notary, and it costs nothing to have it done there.

At a glance

What goes where

On the formWhat to put in it
Make, Model, Vehicle Identification NumberThe vehicle description band, three boxes across.
License number and State/Country licensedThe plate and where it was issued, which matters because an imported vehicle reaches this form by a different route.
Consumer or importerYour name. The form is signed either by the bona fide retail purchaser or lessee, or by the importer where the vehicle came in from abroad.
Importer numberLeft empty by a private seller and completed only where the signer is an importer.
Address, City, State, ZIP code, CountryOne block, with a country line because of the import case.
Declaration and signatureA declaration under penalty of perjury under the law of Washington that the vehicle has been titled or registered to a bona fide retail purchaser or lessee, then the date, place and signature.
Notarization / CertificationA seal block in the department's house style, filled in by whoever watched the affidavit being signed - place, date, then their signature, their name printed or stamped, their title and their number.

What gets this one rejected

Rules that decide whether it is accepted

Every line here was read off 430-501 (R/5/14) 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.

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