Form Les 022A PDF Details

In the state of California, there are a number of different types of tax-exempt organizations. One such type is the Form Les 022A organization. This type of exempt organization is typically used for charitable purposes, and is often referred to as a 501(c)(3) organization. There are a number of specific requirements that must be met in order for an organization to qualify as a Form Les 022A, so it's important to understand the rules before applying. In this blog post, we'll give you an overview of what a Form Les 022A is, and discuss some of the key requirements that must be met in order to qualify. We'll also provide some resources that can help you learn more about this type of exempt organization.

QuestionAnswer
Form NameForm Les 022A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesles 22a, les 022a dmv, les022a, les 022a 2018

Form Preview Example

 

 

REQUEST FOR EXAMINATION

LES 022A (07/01/2018)

 

 

 

 

 

OF REBUILT SALVAGE VEHICLE

 

Purpose:

Use this form to request an examination of a rebuilt salvage vehicle.

 

Instructions:

Complete this form and return it to DMV at the above address along with the required documents and fees. If you have questions about

 

requesting an examination contact DMVDirect at (804) 497-7100 or visit us on the web at www.dmvnow.com.

 

NOTE: You must be licensed as a rebuilder to have two or more salvage vehicles examined within a 12 month consecutive period.

 

 

 

 

 

 

 

DOCUMENTS & FEES REQUIRED FOR PROCESSING

 

Virginia Salvage Title In Your Name -

Completed LES 022A - VA Salvage Title - Title Fee $15 - Exam Fee $125

 

 

 

 

Virginia Salvage Title Assigned To You -

Completed LES 022A - VA Salvage Title - Salvage Certificate Application (VSA56) - Bill of Sale -

4.15% Sales Tax or minimum $75 whichever is greater - Title Fee $15 - Exam Fee $125

 

 

Out-of-State Salvage Title In Your Name (or)

Completed LES 022A - Out-of-State Title - Salvage Certificate Application (VSA56) - Bill of Sale (if title is not in your name) - 4.15% Sales Tax or minimum $75 whichever is greater - Proof of Sales Tax paid in another state

Out-of-State Salvage Title Assigned To You -

(if paid) - Title Fee $15 - Exam Fee $125

REQUESTERS INFORMATION

INDIVIDUAL/COMPANY NAME (print - last, first, middle, suffix)

 

 

 

DRIVER LICENSE NUMBER/FEIN

 

 

 

 

 

 

STREET ADDRESS (no P.O. Box)

 

CITY

 

STATE

ZIP CODE

 

 

 

 

 

 

VEHICLE LOCATION ADDRESS (if different from above)

CITY

 

STATE

ZIP CODE

 

 

 

 

 

 

BEST TIME TO CONTACT YOU

TELEPHONE NUMBER

 

CELL PHONE NUMBER

EMAIL ADDRESS

 

 

 

 

 

 

 

If you were not involved in the actual repairing of the vehicle, enter the Individual/Company name and address who repaired the vehicle.

INDIVIDUAL/COMPANY NAME (print - last, first, middle, suffix)

STREET ADDRESS (no P.O. Box)

 

 

CITY

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

REBUILDER LICENSE NUMBER

LICENSE EXPIRATION DATE

NMVTIS ID NUMBER

INDEPENDENT DEALER NUMBER

LICENSE EXPIRATION DATE

 

 

 

 

 

 

 

 

VEHICLE INFORMATION

YEAR

MAKE

MODEL

BODY TYPE

VEHICLE IDENTIFICATION NUMBER (VIN)

# AXLES

COLOR

 

 

 

 

 

 

 

PARTS REPAIRED/REPLACED (must be completed)

REPAIRED REPLACED

REPAIRED REPLACED

REPAIRED REPLACED

REPAIRED REPLACED

 

 

 

 

 

Front Bumper

 

 

 

 

Right Fender

 

 

 

 

Left Rear Quarter Panel

 

 

 

 

Engine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grill

 

 

 

 

Left Front Door

 

 

 

 

Right Rear Quarter Panel

 

 

 

 

Transmission

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hood

 

 

 

 

Right Front Door

 

 

 

 

Trunk

 

 

 

 

Frame/Unibody

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Radiator Support

 

 

 

 

Left Rear Door

 

 

 

 

Rear Bumper

 

 

 

 

Air Bags

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Left Fender

 

 

 

 

Right Rear Door

 

 

 

 

Roof

 

 

 

 

Dash

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Water Damaged

SPECIFY REPAIRS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or Not Listed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have replaced a Pickup Cab or Frame, vehicle is reconstructed and may need to be assigned a new Vehicle Identification Number.

REQUIREMENTS FOR VEHICLE EXAMINATION

Vehicle MUST be rebuilt prior to submitting this request - painting is optional. If vehicle does not pass the examination or you fail to keep your scheduled

appointment you must request a new examination, submit a new LES 022A and pay the necessary fees.

Vehicle must have passed a VA State safety inspection after completion of the repairs and prior to the exam. VA Code § 46.2-1605.

You may obtain a trip permit to move your vehicle to and from a VA state safety inspection facility using the below link. www.dmv.virginia.gov/vehicles/temp_permit.asp.

Initial here that the state safety inspection is complete.

Other items required for the exam - Original part receipts - Photo of the vehicle prior to repairs - Old component parts containing a VIN (if available).

CERTIFICATION (all owners must sign)

I/We certify and affirm that all information presented in this form is true and correct, that any documents I/we have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I/We make this certification and affirmation under penalty of perjury and I/we understand that knowingly making a false statement or representation on this form is a criminal violation.

OWNER/AUTHORIZED AGENT NAME (print)

OWNER/AUTHORIZED AGENT SIGNATURE

DATE (mm/dd/yyyy)

OWNER/AUTHORIZED AGENT NAME (print)

OWNER/AUTHORIZED AGENT SIGNATURE

DATE (mm/dd/yyyy)

How to Edit Form Les 022A Online for Free

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Step 1: Simply hit the "Get Form Button" above on this page to launch our pdf file editing tool. This way, you'll find everything that is necessary to work with your document.

Step 2: As soon as you launch the PDF editor, there'll be the form made ready to be completed. Apart from filling in various fields, you may as well do other sorts of things with the form, including putting on any words, editing the initial text, inserting illustrations or photos, signing the PDF, and more.

This form will need you to enter specific information; in order to guarantee consistency, you should heed the suggestions listed below:

1. Firstly, once filling in the les 022a form, beging with the area that includes the next blank fields:

Part number 1 for filling in les 22a

2. Just after finishing the last section, go to the subsequent stage and enter the essential details in these fields - Front Bumper, Grill, Hood, Radiator Support, Left Fender, SPECIFY REPAIRS, Water Damaged or Not Listed, Right Fender, Left Front Door, Right Front Door, Left Rear Door, Right Rear Door, Left Rear Quarter Panel, Right Rear Quarter Panel, and Trunk.

Stage no. 2 for filling out les 22a

As to Hood and Right Front Door, make sure that you double-check them here. Those two are the most important ones in the page.

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