Form Ti 004A PDF Details

In moments where a vehicle's title is lost, stolen, or destroyed, the owner faces a crucial and often stressful process to rectify the situation to avoid any potential legal or transactional issues regarding their vehicle. The South Carolina Department of Motor Vehicles has streamlined this process through the implementation of the TI-004A Form, known as the Lost/Stolen or Destroyed Certificate of Title Report. Established in April 2006, this form is a necessary step for vehicle owners to officially report their title’s status and request a title correction. The process demands that the registered owner or their authorized agent fill out and submit this form alongside a corrected Form 400 and any applicable fees to the South Carolina Department of Motor Vehicles. By detailing critical information such as the vehicle identification number, the title number, owner's name, and contact details, the form serves as a declaration of the title's lost, stolen, or destroyed status. Additionally, it includes an assurance from the owner that, if the original title is recovered, it will be returned to the DMV, and they acknowledge the prohibition against using the lost, stolen, or destroyed title for any financial or ownership transactions. This procedure encapsulates a formal commitment to maintaining the integrity of vehicle ownership records and ensuring that all relevant parties are appropriately informed and aligned in the resolution process.

QuestionAnswer
Form NameForm Ti 004A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestitle lost sc, sc lost vehicle title, sc lost title, sc dmv lost title

Form Preview Example

South Carolina Department of Motor Vehicles

Lost/Stolen or Destroyed Certificate of Title Report

TI-004A

(Est. 4/06)

When an application is submitted to any Branch Office or Headquarters Unit requesting a Title Correction, the registered owner or his agent must complete this form when a title is not present. Please submit this form along with a corrected Form 400 and applicable fees, if due, at the address below.

South Carolina Department of Motor Vehicles

P.O. Box 1498

Blythewood, South Carolina 29016-0024

Vehicle Identification No.

(Lost/Destroyed) Title Number

 

 

 

 

 

 

Name of Owner (Last, First, Middle initial)

 

 

Suffix (Sr., Jr. III, etc.)

 

 

 

 

Street Address of Owner

 

 

 

 

 

 

City

State

Zip Code

 

 

 

 

Telephone Number (home)

Telephone Number (work)

 

 

 

 

 

 

I certify that the title listed above was (check one):

Lost

Stolen

Destroyed

Date of Loss or Destruction

State

If the title above is recovered, I will return it to the nearest DMV Office immediately. I also understand that I cannot and will not use this title to obtain a lien or transfer ownership of vehicle.

Signature of the Registered Owner

 

Date

 

 

 

Signature of Person Filing Report

 

Date

Complete this section if the person filing the report is different from the registered owner.

Name of Person Filing Report (Last, First, Middle initial)

Suffix (Sr., Jr. III, etc.)

Street Address of Owner

City

State

Zip Code

 

 

 

 

FOR DMV USE ONLY

BRANCH OFFICE SUBMITTING

 

 

 

 

 

SPECIALIST’S SIGNATURE

 

 

 

 

 

DATE OF REPORT

 

TIME OF REPORT