---
type: id
category: dmv
person: Xuewei Jiang
date: 2021-07-29
source: title_application.pdf
---

# Application for Title or Registration (REG 343)

**Form:** REG 343 (REV. 4/2021) WWW
**Agency:** State of California, Department of Motor Vehicles - A Public Service Agency

---

## Section 1 -- Vehicle Information

| Field | Value |
|---|---|
| **Vehicle Identification Number** | 19XFC2F7XGE093564 |
| **Vehicle Make** | Honda |
| **Year Model** | 2016 |
| **Fuel Type** | Gas |
| **California License Number** | *(blank)* |
| **Model or Series** | Civic |
| **Body Type Model** | EX |
| **Motorcycle Engine Number** | *(blank)* |

**Type of Vehicle:** [X] Auto (includes truck or pickup)

**For Trailer Coaches Only:** *(not applicable)*

- Will this vehicle be used for the transportation of persons for hire, compensation, or profit? **No** [X]
- Is this a commercial vehicle that operates at 10,001 lbs. or more? **No** [X]

**For Commercial Vehicles Only:** *(not applicable)*

---

## Section 2 -- Owner Information

| Field | Value |
|---|---|
| **True Full Name of Owner** | *(blank)* |
| **Driver License/ID Card Number** | *(blank)* |
| **Co-Owner/Lessee** | *(blank)* |
| **Physical Residence or Business Address** | 11950 Idaho Ave. |
| **Apt./Space/Ste. No.** | Apt. 113 |
| **City** | *(blank)* |
| **State** | CA |
| **Zip Code** | 90025 |
| **County of Residence** | Los Angeles |
| **Equipment Number** | *(blank)* |
| **Mailing Address** | *(blank)* |
| **Lessee Address** | *(blank)* |

---

## Section 3 -- Legal Owner (Lien Holder/Title Holder)

**True Full Name of Bank/Finance Company or Individual:** None

---

## Section 4 -- Odometer Information

- [X] As of this date is (if no change in ownership): **28,579** miles
- Odometer reading reflects the **ACTUAL** mileage
- No odometer discrepancy noted

---

## Section 5 -- Date Information

| Field | Value |
|---|---|
| **Date Vehicle Entered or Will Enter California** | Month: 11, Day: 21, Year: 2020 |
| **Date Vehicle First Operated in California** | *(blank)* |
| **Date You Went to Work in CA / Obtained CA DL / Became a Resident** | *(blank)* |
| **Date Vehicle Was Purchased or Acquired** | Month: 10, Day: 23, Year: 2016 |
| **Condition** | [X] New |
| **Purchased** | [X] Outside CA |

---

## Section 6 -- Cost Information

- [X] **PURCHASE** -- I purchased the vehicle for the price of $ *(amount blank)*

**Vehicle Was Purchased or Acquired From:**
- [X] Dealer

**Body type modifications made?** *(not checked -- implied No)*

---

## Section 7 -- For Out-of-State or Out-of-Country Vehicles

- Sales Tax paid to another state? [X] **N/A**
- Disposition of Out-of-State Plates: [X] **Expired**, or will be or were

---

## Section 8 -- Military Service Information

- Are you or your spouse on active duty as a member of the U.S. Uniformed Services? **No** [X]
- When this vehicle was last licensed, were you or your spouse on active duty? **No** [X]

---

## Section 9 -- Certifications

*I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.*

| Field | Value |
|---|---|
| **Printed Name** | Xuewei Jiang |
| **Owner's Signature** | X *(signed)* |
| **Date** | 07/29/2021 |
| **Daytime Telephone Number** | (254) 214-9350 |
| **Co-Owner** | *(blank)* |