Form Mvt 103 PDF Details

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.

QuestionAnswer
Form NameForm Mvt 103
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesL-Left, dismantled, MVT-103, airbag

Form Preview Example

AFFIDAVIT OF REBUILT OR

SECRETARY OF STATE

REPAIRED SALVAGE VEHICLE

BUREAU OF MOTOR VEHICLES

 

VEHICLE SERVICES - TITLE SECTION

 

 

 

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.

KEY

PART

L-Left

 

TITLE

TITLE

DATE

N/U/R

R-Right

VIN

STATE

NUMBER

SURRENDERED

 

 

FENDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FRONT DOOR

 

 

 

 

 

 

 

 

 

 

 

 

 

REAR DOOR

 

 

 

 

 

 

 

 

 

 

 

 

 

QUARTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Serial Number(s) for each new airbag

 

 

 

 

AIRBAG (S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Record VIN if used airbag

 

 

 

 

AIRBAG (S)

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE

 

If a full clip is used, record VIN

 

 

 

 

 

 

 

 

 

 

FRONT CLIP

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE

 

If a full clip is used, record VIN

 

 

 

 

 

 

 

 

 

 

REAR CLIP

 

 

 

 

 

 

 

 

 

 

 

 

 

ROOF

 

 

 

 

 

 

 

 

 

 

 

 

 

HOOD

 

 

 

 

 

 

 

 

 

 

 

 

 

TAILGATE/HB/LID

 

 

 

 

 

 

 

 

 

 

 

 

 

CARGO BED

 

 

 

 

 

 

 

 

 

 

 

 

 

FRAME

 

 

 

 

 

 

 

 

 

 

 

 

 

ENGINE

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANSMISSION

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANSFER CASE

 

 

 

 

 

 

 

 

 

 

 

 

 

FRONT FORK (MC)

 

 

 

 

 

 

 

 

 

 

 

 

 

CRANKCASE (MC)

 

 

 

 

 

 

 

 

 

 

 

 

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 04333-0029 Tel. (207) 624-9000 Ext. 52138 FAX: 624-9254 TTY: 877-456-8195

MVT-103 REV. 01/11

DISPOSITION OF SALVAGE VEHICLE

SECRETARY OF STATE

 

BUREAU OF MOTOR VEHICLES

 

VEHICLE SERVICES - TITLE SECTION

PART B

 

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 04333-0029 Tel. (207) 624-9000 Ext. 52138 FAX: 624-9254 TTY: 877-456-8195

MVT-103 REV. 01/11