Missouri Department of Revenue
                                       Form
                                 5620 Motor Vehicle Dealer Written Agreement to Sell Without Title
                                          This written agreement is being executed between the purchaser and dealer to acknowledge the sale of 
                                          a motor vehicle without the title being present at the time of sale. A Missouri licensed dealer may only use 
                                          this agreement if the licensed dealer has filed a $100,000 surety bond or irrevocable letter of credit with the 
                                          Department of Revenue pursuant to Section 301.213, RSMo. This written agreement CANNOT be used 
                                          for motor vehicles which are titled in another state.
                                          Year (YYYY)                                                                                          Make
                                          ___ ___ ___ ___
                                 Vehicle  Date of Sale (MM/DD/YYYY)                                                                                                  Vehicle Identification Number (VIN)
                                          ___ ___ /___ ___ /___ ___ ___ ___                                                                                               |        |        |        |        |        |        |        |        |        |        |        |        |                                                              |        |        | 
                                          Purchaser’s Name(s)                                                                                                                                                                                                         Telephone Number
                                                                                                                                                                                                                                                                      (___ ___ ___)___ ___ ___-___ ___ ___ ___ 
                                          Street Address                                                                                                             City                                                                                                                  State                          ZIP Code
                                 Purchaser
                                          Name                                                                                                                                                                                                                        Dealer License Number
                                 Dealer   Address                                                                                                                    City                                                                                                                  State                          ZIP Code
                                          The dealer acknowledges the following: 
                                            •  I will deliver a title within 60 days of the date of sale indicated above; 
                                            •  All outstanding liens created on the vehicle pursuant to Sections 301.600 to 301.660, RSMo, have been paid in full; 
                                            •  I have proof or other evidence from the Department of Revenue confirming that no outstanding child support liens exist upon 
                                                   the vehicle at the time of sale and have provided such proof to the purchaser; 
                                            •  I have proof or other evidence from the Department of Revenue confirming that all applicable state sales tax has been 
                                                   satisfied on the sale of the vehicle to the previous owner and have provided such proof to the purchaser;   
                                            •  I have received proof of financial responsibility and proof of comprehensive and collision insurance coverage on the vehicle 
                                                   from the purchaser; 
                                            •  I have completed an application for a duplicate certificate of ownership for the vehicle referenced in this agreement and will 
                                                   apply for title within ten business days of acquiring the vehicle from the previous owner; and  
                                            •  I will assign and deliver the duplicate certificate of ownership to the purchaser within five business days of receiving the 
                                                   duplicate certificate of ownership. 
                                           
                                 AcknowledgmentsThe dealer and the purchaser(s) acknowledge this written agreement pursuant to Section 301.213, RSMo, and further 
                                          acknowledge that the dealer has provided the purchaser with the following: 
                                            •  A copy of the completed written agreement; 
                                            •  A notarized lien release for any lien perfected on the vehicle by the previous owner’s lienholder; 
                                            •  A copy of the contract for sale of the vehicle; 
                                            •  A copy of the duplicate title application;  
                                            •  A copy of the secure power of attorney from the previous owner to the dealer; 
                                            •  Proof that no outstanding child support liens exist upon the vehicle at the time of sale; and 
                                            •  Proof that all applicable state sales tax has been satisfied on the sale of the vehicle to the previous owner.
                                          Signature of all Purchasers
                                          Printed Name of all Purchasers                                                                                                                                                                                                                      Date (MM/DD/YYYY)
                                                                                                                                                                                                                                                                                               ___ ___ /___ ___ /___ ___ ___ ___
                                          Signature of Dealer or Agent for Dealer
                                 Signatures
                                          Printed Name of Dealer or Agent for Dealer                                                                                                                                                                                                          Date (MM/DD/YYYY)
                                                                                                                                                                                                                                                                                               ___ ___ /___ ___ /___ ___ ___ ___
                        Mail to: Motor Vehicle Bureau                                                                                                                                                                                                                                                                                     Form-5620 (Revised 10-2015)
                                                P.O. Box 43                                                                                                     Phone:  (573) 526-3669                                                                                               Visit http://www.dor.mo.gov/ 
                                                Jefferson City, MO 65101-0043                                                                                   E-mail:  dealerlic@dor.mo.gov                                                                                              for additional information.