The MVT 103 form serves an essential function in the realm of vehicle restoration, particularly for those that have been designated as salvage vehicles. Often after an insurance company deems a vehicle a total loss, or an owner recognizes it can only serve a purpose for parts, the path to bringing such a vehicle back to a roadworthy condition involves a thorough and regulated process, as outlined in the MVT 103 form. This document is a pivotal affidavit for the rebuilt or repaired salvage vehicle, as it meticulously records the transformation journey of a vehicle. It requires the final vehicle owner to catalog all the parts used during the repair process, specifying whether they were new (N), used (U), or repaired (R), the details of which imbue the form with its significance. Moreover, it demands the submission of bills of sale for new parts, along with the VIN and title information for used components, ensuring a transparent and traceable repair path. The form is divided into two main parts: Part A, which details the repair process, and Part B, aimed at those scrapping, dismantling, compressing, or destroying a salvage vehicle, requiring the surrender of the vehicle's title to the Bureau of Motor Vehicles. Such meticulous documentation is crucial for maintaining the integrity of the vehicle registration and titling system, preventing fraudulent practices and ensuring that vehicles on the road meet safety standards.
| Question | Answer |
|---|---|
| Form Name | Form Mvt 103 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | L-Left, dismantled, MVT-103, airbag |
AFFIDAVIT OF REBUILT OR |
SECRETARY OF STATE |
REPAIRED SALVAGE VEHICLE |
BUREAU OF MOTOR VEHICLES |
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VEHICLE SERVICES - TITLE SECTION |
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Final Vehicle Owner |
Name: ____________________________________________________ Vehicle Make: _____________________
Address: ____________________________________________________ Vehicle Model: _____________________
City: ____________________________________ VIN: ________________________________________________________
State: ________ ZIP ______________ Phone: (______) __________________ CTA#: ____________________R ___________
Instructions for Part A: Use Part A to list parts used in the repair of the salvage vehicle. In the “KEY” section beside each part listed indicate whether the component was replaced with a new part (N), or a used part (U), or if the part was repaired (R) instead of replaced. Bills of sale for new components must accompany this form. For used parts list VIN and title information below.
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TITLE |
TITLE |
DATE |
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N/U/R |
VIN |
STATE |
NUMBER |
SURRENDERED |
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FENDER |
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FRONT DOOR |
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REAR DOOR |
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QUARTER |
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Serial Number(s) for each new airbag |
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AIRBAG (S) |
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Record VIN if used airbag |
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AIRBAG (S) |
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COMPLETE |
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If a full clip is used, record VIN |
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FRONT CLIP |
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COMPLETE |
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If a full clip is used, record VIN |
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REAR CLIP |
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ROOF |
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HOOD |
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TAILGATE/HB/LID |
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CARGO BED |
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FRAME |
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ENGINE |
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TRANSMISSION |
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TRANSFER CASE |
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FRONT FORK (MC) |
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CRANKCASE (MC) |
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No repairs made. (Please explain): _________________________________________________________________________
Date: __________________ Repairer’s signature: ______________________________________________________________________
Address: ______________________________________________________________ Telephone: _______________________________
I, the above signed, under penalties of false statement do certify the information in Part A is true and correct to the best of my knowledge.
101 Hospital Street, #29 State House Station, Augusta, ME
DISPOSITION OF SALVAGE VEHICLE |
SECRETARY OF STATE |
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BUREAU OF MOTOR VEHICLES |
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VEHICLE SERVICES - TITLE SECTION |
PART B |
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NOTICE: You must surrender the title of a salvage vehicle to the Maine Bureau of Motor Vehicles as soon as you remove any component part as listed in Part A of the reverse of this form, or as soon as a salvage vehicle is scrapped, compressed or destroyed, even if the title is from another state.
INSTRUCTIONS: Use Part B to inform the Secretary of State that a salvage vehicle has been scrapped, dismantled, compressed or destroyed. (If the salvage vehicle has been rebuilt use Part A on the reverse of this form.) A salvage vehicle is any vehicle for which an insurance company has made a total loss payoff or which an owner declares is only useful for parts.
PERSON OR COMPANY SURRENDERING TITLE (S)
NAME______________________________________________________________________________________
ADDRESS __________________________________________________________________________________
TITLES SURRENDERED
TITLE NUMBER
STATE
VIN
Under penalties of false statement, I, the undersigned, certify that the vehicles described in the attached certificates of title were scrapped, dismantled, compressed or destroyed.
Signature: ____________________________________________________________________ Date: ____________________________
Note: Make sure your name is on the back of every surrendered title or on a transfer form attached to the title.
101 Hospital Street, #29 State House Station, Augusta, ME