Connecticut statement motor vehicle 2026

1. Click ‘Get Form’ to open the Connecticut Statement of Withdrawal for a Motor Vehicle Title in the editor.
2. Begin by entering the NAME OF APPLICANT, including first name, middle initial, and last name or business name in the designated field.
3. Fill in the DMV OFFICE WHERE TRANSACTION OCCURRED if applicable, followed by the VEHICLE YEAR, VEHICLE IDENTIFICATION NUMBER, VEHICLE MAKE, and VEHICLE MODEL.
4. Check the appropriate box for the OWNERSHIP DOCUMENT submitted for this transaction: Certificate of Origin, Connecticut Title, or Out of State Title. If applicable, provide the NAME OF TITLING STATE.
5. Input the ODOMETER READING and OUT OF STATE TITLE NUMBER if relevant. Include the NAME AND MAILING ADDRESS OF DEALER if an out-of-state title is involved.
6. Clearly state your REASON FOR WITHDRAWAL in the provided section.
7. Sign and date where indicated as SIGNATURE OF APPLICANT and ensure to include your TELEPHONE NUMBER.
8. If there is a lien holder, they must also sign and provide their TELEPHONE NUMBER along with their SIGNATURE.
9. Finally, if applicable, have the DEALER sign and date along with their LICENSE NUMBER and TELEPHONE NUMBER.

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