Dmv Lt 260 Form – Fill Out and Use This PDF

North Carolina Department of Transportation

DIVISION OF MOTOR VEHICLES

LICENSE AND THEFT BUREAU

REPORT OF UNCLAIMED MOTOR VEHICLES

Date: ___________________

The motor vehicle described below has been unclaimed for 10 days and is hereby reported to the North Carolina Division of Motor Vehicles as required by law. (G.S. §20-77(d))

FRAUDULENT OR LATE FORMS MAY RESULT IN CRIMINAL PROSECUTION

INCOMPLETE FORMS WILL BE RETURNED TO SENDER FOR CORRECTION PRIOR TO PROCESSING

PLEASE PRINT OR TYPE FORM

Make _____________ Year ________ Serial No. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Lic. Plate No. ______________ Year ___________ State __________ County (if shown on License) _________________________

__________________________________________________________________________________________________________

Location of vehicle (place stored) Name ________________________________________________________________________

Address ___________________________________ City________________________________ State ___________ Zip_________

()

Telephone No. _________________________________________

Name and address of the person authorizing your Firm to tow, store, and/or make repairs: (Required or explain)

Name or explanation _________________________________________________________________________________________

Address ____________________________________City _______________________________ State ___________ Zip _________

Any evidence in vehicle to assist in locating owner or in tracing _______________________________________________________

___________________________________________________________________________________________________________

Remarks ___________________________________________________________________________________________________

___________________________________________________________________________________________________________

I ________________________________________________________________ certify that the above information is true and correct.

Signature (Authorized Agent of Your Firm)Printed Name

_____________________________________________________ ____________________________________________________

Your Firm’s NamePosition or TitleAddress

Acknowledged before me this _______________ day of ________________________, ______________ County _________________________________ State ___________

Notary Public __________________________________________________________ My Commission expires the __________ day of _____________, _________