In the unnamed mountain state Im familiar with, the counties deal with vehicle plates and registrations for the state. Walk in the county courthouse door, give them old title, they tell you to go down the hall to the assessor, they make sure youve paid the state tax, then OK the title transfer, which they print out on the spot and hand to you, you then walk back to the assessors office and get your plates. In and out, all done, plates and title in hand in 20-30 minutes generally. Ive had to wait behind 2 or 3 people once or twice, usually 1 or none ahead when I walked in.
Talking to friends in other places, you may get your title mailed to you in a couple months, waiting at DMV offices, take a number, wait, go to another window, wait again, nobody knows anything some of the time, wait somewhere else,.....