Dismantler’s Handbook of Registration Procedures

Driver Education illustration

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