DMV Form REG 5036 PDF Details

When individuals take on the impressive task of assembling their own vehicles or trailers, the bureaucratic aspect of this endeavor involves navigating through a myriad of forms and regulations, among which the DMV REG 5036 form holds a significant place. This crucial document, titled "Statement of Construction," serves as a comprehensive declaration by the assembler, detailing various facets of the vehicle’s construction. To comply with the directives set forth by this form, sections 1 through 5, along with section 8, are mandated for assembled trailers weighing less than 6,000 pounds, with a requirement to fill out the form in its entirety for all other types of vehicles. It encompasses essential information such as the vehicle description, construction specifics, major component parts, and a statement of facts for parts lacking purchase evidence. Additionally, it covers the financial aspects, including the costs and value of both the vehicle and its components. The form also inquires about the purchase and installation of major components like the engine, transmission, frame, and body, culminating in a section where the vehicle assembler verifies the conformity of the equipment used with applicable federal motor vehicle safety standards and certifies the accuracy of the information provided under penalty of perjury. This document not only adheres to regulatory compliance but also safeguards both the assembler and the public agency by ensuring transparency and accountability in the vehicle assembly process.

QuestionAnswer
Form Name DMV Form REG 5036
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names foregoing, conformance, WWW, issuance, statement of construction california dmv

Form Preview Example

STATEMENT OF CONSTRUCTION

A Public Service Agency

Sections 1 through 5 and 8 must be completed for assembled trailers weighing less than 6,000 pounds. Complete both sides of form for all other vehicle types.

SECTION 1: VEHICLE DESCRIPTION

IDENTIFICATION NUMBER

ENGINE YEAR MODEL

MOTORCYCLE ENGINE NUMBER

 

 

 

SECTION 2: CONSTRUCTION OF VEHICLE

This vehicle/trailer was primarily assembled:

by me for me by:

NAME OF PERSON, COMPANY OR AGENT OF COMPANY

RESIDENCE OR BUSINESS ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE NUMBER

SECTION 3: COMPONENT PART(S) INFORMATION

Accompanying the application are bills of sale for the following major component parts: (Check applicable boxes)

Engine

Transmission

Frame

Body

SECTION 4: STATEMENT OF FACTS

Explanation of how I came into possession of major component parts listed above, for which I am unable to provide evidence of purchase (bills of sale, invoices, etc.)

SECTION 5: COST INFORMATION AND VEHICLE VALUE

Purchase price of the unassembled kit

_ $ _________________

Purchase price of the partially assembled vehicle (body/frame)

_ $ _________________

Purchase price of the completely assembled vehicle

_ $ _________________

Purchase price of the new and/or used component parts

_ $ _________________

Cost of the frame (if purchased separately)

_ $ _________________

Cost of the engine (if applicable)

_ $ _________________

Cost of the installation of the transmission/engine (if applicable)

_ $ _________________

Value of parts not supported by bills of sale or invoices

_ $ _________________

Total value of the vehicle (including labor)

_ $ __________________

 

 

 

 

REG 5036 (REV 3/2007) WWW

 

IDENTIFICATION NUMBER

ENGINE YEAR MODEL

MOTORCYCLE ENGINE NUMBER

SECTION 6: PURCHASE AND INSTALLATION OF MAJOR COMPONENT PARTS

I purchased and/or acquired the engine from:

NAME OF PERSON, COMPANY, OR AGENT OF COMPANY

RESIDENCE OR BUSINESS ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE NUMBER

I purchased and/or acquired the transmission from:

NAME OF PERSON, COMPANY, OR AGENT OF COMPANY

RESIDENCE OR BUSINESS ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE NUMBER

I purchased and/or acquired the frame from:

NAME OF PERSON, COMPANY, OR AGENT OF COMPANY

RESIDENCE OR BUSINESS ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE NUMBER

I purchased and/or acquired the body from:

NAME OF PERSON, COMPANY, OR AGENT OF COMPANY

RESIDENCE OR BUSINESS ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE NUMBER

SECTION 7: DELIVERY OF COMPLETE VEHICLE

I took possession of the completely assembled vehicle on:

DATE (MMDDYYYY)

I took possession from:

NAME OF PERSONS, COMPANY OR AGENT OF COMPANY

I took possession at the following address:

RESIDENCE OR BUSINESS ADDRESS

CITY

 

 

SECTION 8: OWNER’S SIGNATURE AND CERTIFICATION

STATE

To the best of my knowledge, I certify that all of the equipment used to assemble this vehicle is in conformance with

any applicable federal motor vehicle safety standards. I also further agree to indemnify and save harmless the Director of Motor Vehicles of the State of California for any loss suffered resulting from the registration/or identiication of the above described vehicle in California or from the issuance of a California certiicate of ownership covering the

same. I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

COMPLETE IN FULL BELOW

PRINTED LAST NAME

FIRST NAME

MIDDLE NAME

ADDRESS

CITY/COUNTY

STATE

ZIP CODE

SIGNATURE

x

DAYTIME TELEPHONE NUMBER

()

REG 5036 (REV 3/2007) WWW

How to Edit DMV Form REG 5036 Online for Free

You may fill in conformance easily by using our PDFinity® PDF editor. In order to make our tool better and more convenient to utilize, we continuously implement new features, with our users' feedback in mind. If you are looking to begin, here's what you will need to do:

Step 1: Just press the "Get Form Button" above on this site to see our pdf form editor. Here you'll find all that is needed to fill out your document.

Step 2: Using our state-of-the-art PDF tool, you'll be able to accomplish more than simply fill out blanks. Express yourself and make your forms appear faultless with custom text incorporated, or adjust the file's original input to excellence - all comes with the capability to incorporate any kind of photos and sign it off.

It's easy to fill out the form with our detailed tutorial! Here's what you must do:

1. Fill out the conformance with a number of major blanks. Consider all of the necessary information and make certain there is nothing neglected!

unassembled completion process explained (stage 1)

2. The third stage is usually to complete all of the following blanks: SECTION COST INFORMATION AND, Purchase price of the unassembled, Purchase price of the partially, Purchase price of the completely, Purchase price of the new andor, Cost of the frame if purchased, Cost of the engine if applicable, Cost of the installation of the, Value of parts not supported by, Total value of the vehicle, and REG REV WWW.

Purchase price of the completely, Cost of the installation of the, and Value of parts not supported by inside unassembled

3. This next segment is mostly about IDENTIFICATION NUMBER, ENGINE YEAR MODEL, MOTORCYCLE ENGINE NUMBER, SECTION PURCHASE AND INSTALLATION, I purchased andor acquired the, RESIDENCE OR BUSINESS ADDRESS, CITY, I purchased andor acquired the, RESIDENCE OR BUSINESS ADDRESS, CITY, I purchased andor acquired the, RESIDENCE OR BUSINESS ADDRESS, CITY, I purchased andor acquired the, and STATE - type in every one of these blanks.

Step number 3 of filling in unassembled

You can certainly make a mistake when filling in the SECTION PURCHASE AND INSTALLATION, therefore make sure that you reread it before you send it in.

4. Filling in RESIDENCE OR BUSINESS ADDRESS, CITY, SECTION DELIVERY OF COMPLETE, I took possession of the, I took possession from NAME OF, STATE, ZIP CODE, TELEPHONE NUMBER, I took possession at the following, CITY, STATE, SECTION OWNERS SIGNATURE AND, To the best of my knowledge I, PRINTED LAST NAME, and FIRST NAME is key in this step - make certain that you spend some time and fill in each and every field!

Writing segment 4 in unassembled

5. The last stage to complete this PDF form is integral. Make sure that you fill out the appropriate blanks, which includes SIGNATURE, DAYTIME TELEPHONE NUMBER, and REG REV WWW, before submitting. Failing to do so can end up in a flawed and probably incorrect form!

unassembled writing process shown (part 5)

Step 3: After going through your fields and details, press "Done" and you are all set! Right after getting a7-day free trial account here, you'll be able to download conformance or email it right away. The form will also be easily accessible via your personal account with your every edit. FormsPal is invested in the privacy of our users; we make sure all information going through our system is secure.