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Get AR Declaration Of Damage For A Salvage Motor Vehicle

DECLARATION OF DAMAGE FOR A SALVAGE MOTOR VEHICLE NOTICE A completed copy of this form approved insurance total loss reports may be used in lieu of the form is required to be surrendered to the department of Finance and Administration with the certificate of title to any motor vehicle that sustains physical damage equal to or exceeding seventy percent 70 of its average retail value or water damage to the extent that it was submerged to any level above the dashboard and the owner shall apply for the issuance of a new certificate of title bearing the notation SALVAGE in the remarks section. Failure by the vehicle owner to surrender to the department a completed copy of this form is a Class A misdemeanor. Motor Vehicles more than seven 7 model years old prior to the calendar year the damage occurred are exempt from this requirement. This age exemption is determined by subtracting eight 8 from the current calendar year. Note The salvage or similar brand of an out of state title surrendered to Arkansas will be carried forward on an Arkansas title with a SALVAGE brand or with a REBUILT brand if the vehicle has been rebuilt regardless of the vehicle s age. DECLARATION OF DAMAGE FOR A SALVAGE MOTOR VEHICLE NOTICE A completed copy of this form approved insurance total loss reports may be used in lieu of the form is required to be surrendered to the department of Finance and Administration with the certificate of title to any motor vehicle that sustains physical damage equal to or exceeding seventy percent 70 of its average retail value or water damage to the extent that it was submerged to any level above the dashboard and the owner shall apply for the issuance of a new certificate of title bearing the notation SALVAGE in the remarks section* Failure by the vehicle owner to surrender to the department a completed copy of this form is a Class A misdemeanor. Motor Vehicles more than seven 7 model years old prior to the calendar year the damage occurred are exempt from this requirement. This age exemption is determined by subtracting eight 8 from the current calendar year. Note The salvage or similar brand of an out of state title surrendered to Arkansas will be carried forward on an Arkansas title with a SALVAGE brand or with a REBUILT brand if the vehicle has been rebuilt regardless of the vehicle s age. SALVAGE TITLE APPLICANT INFORMATION NAME DOING BUSINESS AS ADDRESS CITY STATE ZIP CURRENT TITLED OWNER IF OTHER THAN APPLICANT VEHICLE INFORMATION YEAR MAKE V. I. N* MODEL BODY STYLE DESCRIPTION OF DAMAGE TYPE OF DAMAGE physical or water PRICE GUIDE USED ESTIMATE OF DAMAGE PERCENT OF A. R*V. YEAR MONTH AVERAGE RETAIL VALUE ENTER A THOROUGH DESCRIPTION OF THE NATURE AND EXTENT OF DAMAGE TO THE VEHICLE Damage to the frame or unibody structure that would require repair or replacement if rebuilt should be noted I hereby certify that the information contained herein is as complete and accurate as could be determined from a visual inspection of the damage. Additional undisclosed damage may have occurred which could not be detected without disassembly or the use of specialized equipment for the detection of structural mechanical or electrical damage.

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