Get Form 411071 0902 Affidavit Of Salvage Vehicle Repairs Owner Salvage Title Number Address City

Filling out the Form 411071 0902 Affidavit of Salvage Vehicle Repairs is a necessary step for individuals dealing with salvage vehicles. This guide will walk you through each section of the form to ensure a smooth and accurate completion.

Follow the steps to successfully fill out the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Owner' section, provide your full name as the owner of the salvage vehicle.
3. Enter the salvage title number in the designated field, which identifies your vehicle's salvage title.
4. Fill in your complete address, including street name, number, city, state, and zip code.
5. If applicable, include the vehicle recycler number or dealer number in the relevant section.
6. Specify the year, make, and vehicle identification number (VIN) of your vehicle.
7. Indicate who will represent you if the vehicle is not presented for examination. Provide their name and address.
8. Determine and select the condition of the vehicle when purchased by marking either 'Damaged' or 'Not Damaged.' Include any necessary driver's license number.
9. Select the reason the vehicle was salvaged, marking any applicable options such as collision, flood, theft/vandalism, or other.
10. Using the provided coding system, mark all damaged parts of the vehicle to indicate whether they are repaired, new, used, or damaged but not repaired.
11. Ensure that any part replaced, which has a manufacturer's serial number, is accompanied by a bill of sale. This document should include relevant details about the part and the previous vehicle.
12. Prepare a check or money order for $30.00, payable to the department that will conduct the examination.
13. Certify the information provided is true and sign the form, ensuring to include your printed name and date.
14. This step permits you to drive the vehicle to/from the examining location. Fill in the location and date as directed.
15. Once the document is fully completed, you can save your changes, download, print, or share the form as needed.

Complete your documentation online for a seamless process.