Dismantler’s Handbook of Registration Procedures

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Section 3 of 11

Reporting Documents

3.040 Completing a Notice of Acquisition/Report of Vehicle To Be Dismantled

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