Form MVT-103 at a glance
What it is: MVT-103 is the Affidavit of Rebuilt or Repaired Salvage Vehicle from the Secretary of State, Bureau of Motor Vehicles, Division of Title Services.
Who signs: In Part A, sign as the Repairer, with the Date. In Part B, the person or company surrendering title (s) signs and enters the Date.
A filled-in Form MVT-103 example: a left fender replaced with a new part
How to fill out Form MVT-103, box by box
The final vehicle owner and the vehicle
Enter the Final Vehicle Owner Name, Address, City, State, ZIP, Phone and CTA#, and the Vehicle Make, Vehicle Model and VIN.
Parts used in the repair
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 in TITLE STATE, TITLE NUMBER and DATE SURRENDERED.
For each part, fill in KEY N/U/R and PART with L-Left or R-Right.
Fender, front door, rear door, quarter, airbag (S), complete front clip, complete rear clip, roof, hood, tailgate/HB/lid, cargo bed, frame, engine, transmission, transfer case, front fork (MC) and crankcase (MC).
Under AIRBAG (S), enter Serial Number(s) for each new airbag.
Under AIRBAG (S), record VIN if used airbag.
Under COMPLETE FRONT CLIP and COMPLETE REAR CLIP, if a full clip is used, record VIN.
The repairer's address and telephone
If no repairs made, please explain under No repairs made.
Enter the Address and the Telephone. Sign as the Repairer, with the Date, to certify under penalties of false statement that the information in Part A is true and correct to the best of your knowledge.
The titles surrendered
Under PERSON OR COMPANY SURRENDERING TITLE (S), enter the NAME and the ADDRESS.
Under TITLES SURRENDERED, enter the TITLE NUMBER, STATE and VIN of each title.
Signing certifies, under penalties of false statement, that the vehicles described in the attached certificates of title were scrapped, dismantled, compressed or destroyed.
Make sure your name is on the back of every surrendered title or on a transfer form attached to the title.
If your situation is different
A salvage vehicle was scrapped, dismantled, compressed or destroyed
Use Part B to inform the Secretary of State that a salvage vehicle has been scrapped, dismantled, compressed or destroyed.
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, or as soon as a salvage vehicle is scrapped, compressed or destroyed, even if the title is from another state.
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.
The salvage vehicle has been rebuilt
If the salvage vehicle has been rebuilt use Part A, the reverse of this form.
Sources
[1] Form MVT-103 (REV. 09-2021), Affidavit of Rebuilt or Repaired Salvage Vehicle, Maine Secretary of State, Bureau of Motor Vehicles (the Official source link on this page).