Form Mvd 10022 PDF Details

Embarking on the journey through the intricacies of vehicle and boat registration in New Mexico requires familiarity with various forms, one of which is the MVD 10022 form. This essential document serves as an affidavit of non-receipt, a declaration made by individuals asserting that they have not received certain registration items despite having applied or paid for them. These items include registration stickers, cab cards with stickers, or certificates of title for vehicles and boats. Specifically designed by the State of New Mexico's Motor Vehicle Division, the form requires detailed information about the vehicle or boat in question—ranging from year, make, and model to engine number and identification numbers. Additionally, it captures details about the payment method used, whether it be check, cash, money order, or cashier's check, with a mandate to attach a copy of the cancelled check if applicable. By signing the form, the applicant certifies the truth and accuracy of all information provided and confirms that their address has not changed, underlining the form's role in safeguarding against potential discrepancies or fraud in vehicle and boat registration processes.

QuestionAnswer
Form NameForm Mvd 10022
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesaffidavit of non receipt, certify, New_Mexico, Applicable

Form Preview Example

MVD - 10022

State of New Mexico

Field Office Code

REV. 12/90

MOTOR VEHICLE DIVISION

(If Applicable)

 

AFFIDAVIT OF NON-RECEIPT

 

 

 

 

 

 

NON - RECEIPT OF REGISTRATION WITH STICKER

CHECK ONE:

NON - RECEIPT OF CAB CARD WITH STICKER

 

 

NON - RECEIPT OF CERTIFICATE OF TITLE

 

VEHICLE OR BOAT DESCRIPTION

Year

Make

 

Model

 

Body Type (Series)

 

 

 

 

 

 

 

 

Engine Number (if applicable)

Vehicle or Hull Identification Number

Plate or Boat No.

Yr. or Mo./Yr. Reg.

 

 

 

 

 

 

 

YEAR OR MONTH/YEAR STICKER APPLIED FOR:

 

 

 

 

PAYMENT MADE BY:

CHECK

CASH

MONEY ORDER

CASHIER'S CHECK

 

(Attach copy of both

 

 

 

 

 

sides of cancelled check)

 

OTHER

 

 

I hereby certify, that I have applied (or paid) for but have not received the item indicated above, that the information given above is true and correct and that my address given below has not changed.

Name of Applicant (please type or print)

Address

City, State, Zip Code

Signature of Applicant

Date