Get IN SF 39530 2017

Bmv.in.gov PHYSICAL INSPECTION OF A VEHICLE OR WATERCRAFT State Form 39530 R6 / 11-17 INSTRUCTIONS Approved inspector must complete information in blue or black ink or print form. The vehicle identification number VIN or hull identification number HIN must be inspected to verify the existence and condition of the number. Reset Form BUREAU OF MOTOR VEHICLES 100 N* Senate Avenue Room N440 Indianapolis IN 46204 888 692-6841 www. An ownership document is not required to be submitted for inspection* Inspections may be performed by an employee of a dealer licensed under IC 9-32 a military policeman assigned to a military post in Indiana a police officer a designated employee of a BMV license branch or a designated employee of a BMV full or partial service provider. Police officers completing this form may charge a fee of not more than 5. 00 for this inspection under IC 9-17-2-12. This fee is not collected by the Bureau of Motor Vehicles and should not be submitted with this form* The police officer completing this form will advise the Owner of the amount of the fee if any and the method by which it should be paid* OWNER INFORMATION Name last first middle initial or company name Address number and street State City ZIP Code VEHICLE OR WATERCRAFT INFORMATION NONE Select if no identification number found. Identification Number Year Make Model Type Plate Number / State Watercraft Registration Number if applicable For assembled vehicles or watercraft include serial numbers for major component parts if present Engine / Motor Transmission Body Chassis Front Assembly Rear Clip Frame Other specify IDACS / NCIC Check required if form is completed by a police officer Date Check Performed mm/dd/yyyy Comments I swear or affirm that the information I have entered on this form is correct. I understand making a false statement may constitute the crime of perjury. Signature of Inspector Printed Name Title Date mm/dd/yyyy Badge / Branch / Dealer Number Police Department / Branch / Dealership Telephone Number Email Address. An ownership document is not required to be submitted for inspection* Inspections may be performed by an employee of a dealer licensed under IC 9-32 a military policeman assigned to a military post in Indiana a police officer a designated employee of a BMV license branch or a designated employee of a BMV full or partial service provider. Police officers completing this form may charge a fee of not more than 5. 00 for this inspection under IC 9-17-2-12. Police officers completing this form may charge a fee of not more than 5. 00 for this inspection under IC 9-17-2-12. This fee is not collected by the Bureau of Motor Vehicles and should not be submitted with this form* The police officer completing this form will advise the Owner of the amount of the fee if any and the method by which it should be paid* OWNER INFORMATION Name last first middle initial or company name Address number and street State City ZIP Code VEHICLE OR WATERCRAFT INFORMATION NONE Select if no identification number found. .