How to Fill Out Form 4034

Form 4034 at a glance

What it is: Form 4034 is the South Carolina Department of Motor Vehicles Affidavit for Repossessed Motor Vehicle.

Who signs: Sign on Signature of Lienholder and enter the Title. Sign on By: and enter the Date.

What to bring and attach to Form 4034

This form must accompany the Certificate of Title, which must be properly assigned to the new owner on the back of the title.

To register a repossessed vehicle, the following forms are required: S.C. title showing recorded lien, Form 400 - Application for Title and Registration, Form 4034 - Repossession Affidavit, Form 4031 - Secured Bill of Sale.

The Form 400 should be completed by the applicant for registration and title.

A filled-in Form 4034 example: a credit union assigns a repossessed car

Form 4034 example filled out, example: a credit union assigns a repossessed car
A credit union files Form 4034 after repossessing a car. The owner returned the car voluntarily, so only the Voluntary box is checked. The picture shows the filled form, and every value in it is made up. Jane Ann Sample, a loan officer of the credit union, completes and signs the form. Terms of Lien or Mortgage and Public Sale stay empty, so no bill of sale is attached. The original lien amount of 12000.00 and the value received of 4500 are made up. The lien is dated March 15, 2025, the repossession is dated September 12, 2026 and the signing is dated September 14, 2026. The credit union collects no sales tax on the reassignment, so Sales Tax Number stays empty.

How to fill out Form 4034, box by box

Under penalties of perjury

Form 4034 example filled out, under penalties of perjury

Under penalties of perjury, you certify that all facts set forth herein are true and correct and further certify that the holders of other unsatisfied liens recorded against this vehicle on the records, Department of Motor Vehicles, Blythewood, S.C., have been duly notified to protect their interest in the vehicle, if any. You also certify that the undersigned has repossessed the motor vehicle described on the form because of the failure of the former owner to meet this obligation for settlement of a lien or mortgage on said vehicle.

Name of Owner from Whom Vehicle Repossessed and the vehicle

Form 4034 example filled out, name of Owner from Whom Vehicle Repossessed and the vehicle

Enter the Name of Owner from Whom Vehicle Repossessed, then the Street, City, State and Zip Code. Then enter the Make, Vehicle Identification Number (Serial), Title Number, Year, Model, Current License Number, License Year and Body Style.

Method of Repossession

Form 4034 example filled out, method of Repossession

For Method of Repossession, check Terms of Lien or Mortgage, Voluntary or Public Sale. If by public sale, attach bill of sale of sheriff or authorized seller.

Amount of Original Lien, Lienholder and Date of Repossession

Form 4034 example filled out, amount of Original Lien, Lienholder and Date of Repossession

Enter the Amount of Original Lien and the Date of Lien. Then enter the Lienholder's Name, the Street, City, State, Zip Code and the Date of Repossession.

Signature of Lienholder and Title

Form 4034 example filled out, signature of Lienholder and Title

Sign on Signature of Lienholder and enter the Title.

Value received and the vehicle assigned to

Form 4034 example filled out, value received and the vehicle assigned to

Enter the value received. Then enter the NAME, STREET, CITY, STATE and ZIP CODE the vehicle has been assigned to, for disposition or sale.

Value received is necessary in cases when infrastructure maintenance fee or sales tax must be collected by the South Carolina Department of Motor Vehicles.

By, Date and Sales Tax Number

Form 4034 example filled out, by, Date and Sales Tax Number

Sign on By: and enter the Date.

When reassigned, if the sales tax is collected, enter the sales tax number in Sales Tax Number.

More rules for Form 4034

The Form 4034 must be completed in every detail, and submitted with the title.

An incomplete affidavit will be returned.

The entire form is to be typed or printed.

If your situation is different

Registering a repossessed vehicle registered in another state

To register a repossessed vehicle registered in another state, the application must be accompanied by the out-of-state title or if from a non-title state, the registration of the former owner must accompany the application.

Verification by the out-of-state Bureau of Motor Vehicles may be acceptable.

Titles dated prior to June 19, 1989

For titles dated prior to June 19, 1989, the Form 4031 must be completed in detail indicating the sales price and odometer mileage of the vehicle.

A license plate for the newly acquired vehicle

A license plate may be transferred from a vehicle of the same general classification owned by the same person to this newly acquired vehicle, otherwise, a paid tax receipt must be furnished and a new license plate purchased.

Sources

[1] Form 4034 (Rev. 4/5/18), Affidavit for Repossessed Motor Vehicle, South Carolina Department of Motor Vehicles (the Official source link on this page).

4034 PDF Details

The Form 4034 must be completed in every detail, and submitted with the title.

Incomplete: an incomplete affidavit will be returned.

Public sale: if the method of repossession is public sale, attach the bill of sale of the sheriff or authorized seller.

Sales tax: when reassigned, if the sales tax is collected, enter the sales tax number in the space provided.

Typed or printed: the entire form is to be typed or printed.

QuestionAnswer
Form Name4034
Form Length2 pages
Fillable?Yes
Fillable fields32
Avg. time to fill out6 min
EditionRev. 4/5/18
Issuing agencySouth Carolina Department of Motor Vehicles
Where to fileWith the Certificate of Title
Other names4034, Form 4034, SC 4034, South Carolina Form 4034, Affidavit for Repossessed Motor Vehicle, Repossession Affidavit
Official source4034 (Rev 4/5/18), South Carolina Department of Motor Vehicles