Section 3 of 11
Reporting Documents
3.040 Completing a Notice of Acquisition/Report of Vehicle To Be Dismantled
| Fields |
Information |
|
|---|---|---|
| 1 |
27 |
Expiration date of the last registration |
| 2 |
26 |
State in which the vehicle was last registered |
| 3 |
25 |
License plate number on the vehicle |
| 4 |
21 |
Vehicle identification number (VIN) |
| 5 |
22 |
Engine number (motorcycles) |
| 6 |
DMV use only |
|
| 7 |
23 |
Make of the vehicle |
| 8 |
Body type of the vehicle |
|
| 9 |
24 |
Year model of the vehicle |
| 10 |
Date vehicle was purchased by the dismantler |
|
| 11 |
28 |
Date the dismantler took possession of the vehicle |
| 12 |
29 |
Name/address of the person from whom the dismantler purchased the vehicle |
| 13 |
Check the appropriate boxes to indicate the items being submitted |
|
| 14 |
Check the appropriate box to indicate the condition of the vehicle |
|
| 15 |
Check the appropriate box to indicate the disposition of the license plates |
|
| 16 |
Date the Report of Vehicle to be Dismantled was signed |
|
| 17 |
31 |
Signature of the authorized person completing the form |
| 18 |
32 |
Firm name of the licensed dismantler |
| 19 |
33 |
Dismantler’s occupational license number |
| 20 |
34 |
Dismantler’s address |
| 30 |
Date the Notice of Acquisition was signed |
|