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 |