Dismantler’s Handbook of Registration Procedures

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

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