APPLICATION
MVT 41-1
R 1/12
ALABAMA DEPARTMENT OF REVENUE
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MOTOR VEHICLE DIVISION – TITLE SECTION |
See instructions and |
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P. O. Box 327640 • Montgomery, AL 36132-7640 |
exemptions on |
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reverse of form. |
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Application For Salvage Certificate of Title |
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TYPE OR PRINT |
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THIS FORM MAY BE DUPLICATED OR ADDITIONAL COPIES MAY BE OBTAINED FROM |
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ONLY |
THE DEPARTMENT WEB SITE AT www.revenue.alabama.gov/motorvehicle/mvforms/mvt41_1.pdf |
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V |
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VEHICLE IDENTIFICATION NUMBER* |
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TRANS |
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MODEL |
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CODE |
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MODEL |
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10 |
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CYLS |
NEW USED |
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DATE OF PURCHASE |
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ODOMETER READING* |
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CURRENT ALABAMA TITLE NO. |
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O |
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L |
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LIENS |
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NAME(S) (LAST NAME, FIRST, MIDDLE) |
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FELONY OFFENSE FOR FALSE ADDRESS |
APPLICANT SHALL DISCLOSE ODOMETER READING (check one) |
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ACTUAL MILEAGE |
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CURRENT MAILING ADDRESS |
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EXCEEDS MECHANICAL LIMITS |
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E |
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CITY |
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NOT ACTUAL MILEAGE — WARNING, ODOMETER DISCREPANCY |
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DEPARTMENT USE ONLY |
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(DO NOT ENTER IF LIEN RELEASED) |
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NAME |
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LIEN DATE |
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CITY |
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STATE |
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FELONY OFFENSE FOR FAILURE TO NAME LIENHOLDER WITH INTENT TO DEFRAUD |
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(DO NOT ENTER IF LIEN RELEASED) |
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NAME |
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LIEN DATE |
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O E |
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N N |
CITY |
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FELONY OFFENSE FOR FAILURE TO NAME LIENHOLDER WITH INTENT TO DEFRAUD |
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OWNER(S) AUTHORIZATION FOR SPECIAL MAILING |
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LOCATOR NO. |
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I, WE, HEREBY AUTHORIZE MY SALVAGE CERTIFICATE OF TITLE TO BE MAILED TO (IF NO LIENS LISTED HEREON): |
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REJECT TO: |
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REASONS: |
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EXAMINER NO. |
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ENCL: |
CITY |
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A SPECIAL MAILING (IF NO LIENS LISTED HEREON):
In accordance with Section 32-8-87, Code of Alabama 1975, the motor vehicle described above was determined to be a salvage vehicle on the __________ day of __________________________, _________.
CITY/STATE WHERE TOTAL LOSS OCCURRED _____________________________________________________________________________________________________
CHECK THE BLOCK IF TOTAL LOSS WAS DUE IN PART TO WATER DAMAGE
CHECK THE BLOCK ONLY IF THE VEHICLE IS JUNK OR TO BE SOLD FOR PARTS ONLY**
**A VEHICLE THAT IS JUNK OR SOLD FOR PARTS ONLY CAN NOT BE REBUILT OR RETITLED IN ALABAMA.
I, THE UNDERSIGNED, CERTIFY THAT THE VEHICLE DESCRIBED ABOVE IS OWNED BY ME AND I HEREBY MAKE APPLICATION FOR A SALVAGE CERTIFICATE OF TITLE FOR SAID MOTOR VEHICLE AND THIS VEHICLE WILL NOT BE THE SUBJECT OF LIEN PRIOR TO RECEIPT OF TITLE UNLESS INDICATED ABOVE, I FURTHER CERTIFY THAT ALL INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
OWNER’S SIGNATURE(S) ________________________________________________________________________________________________________________
DATE
(PERSONALLY SIGNED BY EACH OWNER (IN INK) OR AUTHORIZED REPRESENTATIVE OF FIRM)
B
NAME AND ADDRESS OF INSURANCE CO. AND ADJUSTING CO. (IF ANY) |
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NAME OF COMPANY |
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NAME OF COMPANY |
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STREET ADDRESS |
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STREET ADDRESS |
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CITY |
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ADJUSTER’S NAME (TYPE OR PRINT) |
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ADJUSTER’S NAME (TYPE OR PRINT) |
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TELEPHONE NUMBER |
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TELEPHONE NUMBER |
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INSURANCE COMPANY CLAIM OR POLICY NUMBER _________________________________ |
CHECK THE BLOCK IF TOTAL LOSS WAS DUE IN PART TO WATER DAMAGE |
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CHECK THE BLOCK ONLY IF THE VEHICLE IS JUNK OR TO BE SOLD FOR PARTS ONLY** |
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**A VEHICLE THAT IS JUNK OR SOLD FOR PARTS ONLY CAN NOT BE REBUILT OR RETITLED IN ALABAMA. |
I, THE UNDERSIGNED, CERTIFY THAT ALL INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND THAT |
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THE VEHICLE DESCRIBED ABOVE WAS DECLARED A TOTAL LOSS, COMPENSATION PAID THE OWNER BY THE ABOVE NAMED INSURANCE COMPANY AND SAID INSURANCE COMPANY HEREBY MAKES APPLICATION FOR A SALVAGE |
CERTIFICATE OF TITLE. THE OUTSTANDING CERTIFICATE OF TITLE, PROPERLY ASSIGNED, IS ATTACHED HERETO. |
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THE OWNER WISHES TO RETAIN THE SALVAGE ON MENTIONED VEHICLE. |
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DATE VEHICLE DECLARED A TOTAL LOSS: ________________________________________ |
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CITY/STATE WHERE TOTAL LOSS OCCURRED: ______________________________________ |
DATE ________________________________ |
INSURANCE COMPANY’S |
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REPRESENTATIVE SIGNATURE ________________________________________________________________________ |
(PERSONALLY SIGNED (IN INK) BY AUTHORIZED REPRESENTATIVE OF FIRM)
*All VINs for 1981 and subsequent year model vehicles that conform to federal anti-theft standards are required to have 17 digits/characters.
Submit $15.00 Application Fee in certified funds (non-refundable)
payable to the Alabama Department of Revenue.
Instructions
1.The individual completing MVT 41-1 must verify Vehicle Identification Number (VlN) and other vehicle information using information obtained from the outstanding certificate of title and the vehicle being reported as salvage. If a discrepancy in the VlN is found, the owner, in whose name the title is currently issued, must obtain a corrected certificate of title prior to the submission of the MVT 41-1.
2.The owner information area must be completed using the name of the individual or company that is obtaining the salvage certificate of title. Individuals must be listed by their last name first, followed by their first name and then middle initial. Any suffixes such as Jr., Sr. or the III must be listed after the name. The owner’s current mailing address must be listed.
3.The lienholder information should be completed only when there is an outstanding lien on the vehicle. If a lien recorded on the outstanding certificate of title has been satisfied, a lien release must be provided, unless released on the certificate of title in the space provided.
4.The owner’s authorization for special mailing section may be completed only when there are no outstanding liens on the vehicle. If a lien is recorded, then the certificate of title will be mailed to the recorded lienholder regardless of whether the special mailing authorization is completed.
5.When the owner (individual or company) making application for a salvage certificate of title is either uninsured or self-insured, SECTION A of the MVT 41-1 must be completed and signed by the applicant. If the total loss was due in part to water damage, the owner must check the appropriate block in Section A to disclose this fact. If the vehicle is “Junk” or to be “Sold For Parts Only” the applicant must check the corresponding block in Section A to disclose this fact. The applicant must also disclose where the total loss occurred.
6.When an insurance company has declared the vehicle to be a total loss, and paid compensation to the owner, SECTION B must be completed and signed by an authorized representative of the insurance company. The authorized representative must disclose whether the insurance company is making application for a salvage certificate of title, or the owner is retaining the salvage on the vehicle, by marking the appropriate block in SECTION B and completing the OWNER INFORMATION accordingly. The authorized representative must also disclose where the total loss occurred.
7.When an insurance company has declared the vehicle to be a total loss, due in part to water damage, the authorized representative must check the appropriate block in Section B to disclose this fact. If the vehicle is “Junk” or to be “Sold For Parts Only” the authorized representative must check the corresponding block in Section B to disclose this fact.
8.The outstanding certificate of title for the vehicle must be provided with the MVT 41-1. If the vehicle is being transferred to an insurance company as a result of a total loss, the titled owner must properly assign the vehicle to the insurance company.
9.A vehicle which is declared junk or to be sold for parts only can not be rebuilt or retitled in Alabama.
Exemptions
(1)Effective January 1, 2012, no certificate of title shall be issued for any manufactured homes, trailer, semi-trailer, travel trailer, or folding or collapsible camping trailer more than twenty (20) model years old. This exemption is applicable on January 1 of each year and applies to all manufactured homes, trailers, semi-trailers, travel trailers, and folding or collapsible camping trailers with a model year, as designated by the manufacturer, older than twenty (20) years from the current calendar year. All utility trailers, other than folding or collapsible camping trailers, are still exempt from titling regardless of the year model.
Example: As of January 1, 2012, all 1991 and prior year model manufactured homes, trailers, semi-trailers, travel trailers, and folding or collapsible camping trailers are exempt from the titling provisions of Chapter 8, Title 32, CODE OF ALABAMA 1975.
(2)Effective January 1, 2012, no certificate of title shall be issued for any motor vehicle more than thirty-five (35) model years old. This exemption is applicable on January 1 of each year and applies to all motor vehicles with a model year, as designated by the manufacturer, older than thirty-five (35) years from the current calendar year.
Example: As of January 1, 2012, all 1976 and prior year model motor vehicles are exempt from the titling provisions of Chapter 8, Title 32, CODE OF ALABAMA 1975.
(3)Effective January 1, 2012, no certificate of title shall be issued for a low speed vehicle. A low speed vehicle is defined as a four-wheeled motor vehicle with a top speed of not greater than 25 miles per hour, a gross vehicle weight rating (GVWR) of which is less than 3,000 pounds and complying with the safety standards provided in 49 C.F.R. Section 571.500. The term includes neighborhood electric vehicles.
NOTE: The exemption from titling does not invalidate any Alabama certificate of title that is currently in effect. However, no subsequent title, including a salvage certificate of title, can be issued if the vehicle is exempt from titling.