Form HSMV 82137 at a glance
What it is: HSMV 82137 is the State of Florida Department of Highway Safety and Motor Vehicles Application for an Original/Duplicate Derelict Motor Vehicle Certificate and Request to Cancel Title.
Where and when to file: Submit this form to your local tax collector office.
The owner/seller of a derelict motor vehicle/trailer must use this form when arranging the delivery and/or sale of it to a licensed salvage motor vehicle dealer or a registered secondary metals recycler and the title, salvage title or certificate of destruction is not available.
The derelict motor vehicle must be worth less than $1,000 or the derelict trailer (TL) must be worth less than $5,000 and must be at least ten model years old (count model year as year one). (checked October 22, 2026)
A filled-in Form HSMV 82137 example: an owner sells an old car for scrap
How to fill out Form HSMV 82137, box by box
Check One: Original or Duplicate
Complete Sections 1, 2, and 3 if applying for an original Derelict Certificate. Section 1 should be completed by the salvage dealer/recycler, if applying for a duplicate Derelict Certificate.
Check One: Original or Duplicate.
This form may also be used to apply for a duplicate Derelict Certificate.
Section 1, VIN, Year, Make, Body, Color and Purchase Price
The owner must complete Section 1: VIN, Year, Make, Body, Color and Purchase Price.
Section 1, the owner or seller
The owner completes Section 1 with the Name of Owner/Seller, the Owner/Seller's Driver License/ID Card Number and State of Issue (a legible copy must be attached), and the Address of Owner/Seller.
If the seller is not the owner of record of the vehicle described on the form, the licensed salvage dealer or registered secondary metals recycler at the time of sale must obtain a smudge-free right thumb print or other digit if the seller has no right thumb.
Section 1, the certification and the transporter you authorize
The owner/seller certifies being the owner/seller of the derelict vehicle/trailer described on the form and that the title, salvage title, or certificate of destruction is not available. The owner/seller certifies that there are no undisclosed liens against this vehicle. If the owner/seller is the seller, the seller further attests that possession of the motor vehicle/trailer was obtained through lawful means along with ownership rights.
The owner/seller certifies that this vehicle is either a motor vehicle (worth less than $1,000) or a trailer (worth less than $5,000) which is at least ten model years old (required under s. 319.30, Florida Statutes). (checked October 22, 2026)
The owner/seller understands that this statement will be filed with the Florida Department of Highway Safety and Motor Vehicles and authorizes the title record to be cancelled, preventing this vehicle/trailer from ever being titled again.
Print the Name of Driver and the Name of Transporter Business authorized to act on the owner's behalf and transport the vehicle described on the form to a licensed salvage motor vehicle dealer or registered secondary metals recycler.
The owner signs under Signature(s) of Owner(s) and enters the Date, declaring under Penalties of Perjury to have read the document and that the facts stated in it are true.
Section 2, the transporter
Section 2 must be completed by the transporter being hired to transport the vehicle for the owner/seller to a licensed salvage motor vehicle dealer or secondary metals recycler. It cannot be used by a towing company pursuant to s.713.78, F.S., a business who performs labor or services pursuant to s. 713.58, F.S., or an entity claiming the vehicle remained on their premises after tenancy terminated pursuant to s. 715.104, F.S.
If the owner/seller or the salvage motor vehicle dealer or secondary metals recycler transports the motor vehicle/trailer in lieu of a transporter, Section 2 may be left blank.
The transporter enters the Location of Pickup, the Name of Company or Person Transporting, the Name of Driver Transporting and the Florida DL Number of Person Transporting.
The transporter certifies that the owner/seller of the vehicle described on the form provided proper personal identification, completed section one of this form and signed the form in the transporter's presence when the transporter picked the vehicle up at the location of pickup.
The transporter signs under Signature of Transporter and enters the Date, Printed Name and Person's Business Title, declaring under Penalties of Perjury to have read the document and that the facts stated in it are true.
Section 3, the dealer or recycler
Section 3 must be completed by the licensed salvage motor vehicle dealer or registered secondary metals recycler: enter the Name of Business Acquiring the Vehicle, the Licensed Salvage Motor Vehicle Dealer License Number or Secondary Metals Recycler's Registration Number and the E-mail Address.
The buyer is notifying the Florida Department of Highway Safety and Motor Vehicles, as required by law, within 24 hrs. (excluding weekends/holidays) of receiving the derelict motor vehicle/trailer by delivering this completed form to a tax collector's office/license plate agency.
The buyer certifies that the buyer paid less than $1,000 for the motor vehicle or less than $5,000 for the trailer described in this application. (checked October 22, 2026)
The buyer agrees to hold the motor vehicle/trailer for three (3) business days (excluding weekends/holidays) or 10 calendar days when the vehicle has a lien less than three years old, after the Derelict Certificate is issued before dismantling or destruction.
The buyer acknowledges it is a punishable felony of the third degree, as provided in s. 775.082, 775.083 or 775.084, F.S., if this statement contains false information.
The buyer signs under Signature of Buyer, with the Date, Printed Name and Person's Business Title.
More rules for Form HSMV 82137
The vehicle/trailer may never be titled again and must be dismantled or scrapped.
Common questions about Form HSMV 82137
Where do I file it?
Submit this form to your local tax collector office.
Sources
[1] Form HSMV 82137 (07/13), Florida Department of Highway Safety and Motor Vehicles (the Official source link on this page).