Hsmv 82994 Form PDF Details

In navigating the complexities of vehicle transactions, the Hsmv 82994 form emerges as a critical tool within the State of Florida, governed by the Department of Highway Safety and Motor Vehicles. Designed as a Motor Vehicle Title Reassignment Supplement, this document serves multiple purposes, primarily facilitating the transfer of vehicle ownership under specific conditions. It comes into play when all the reassignment and odometer disclosure spaces on the back of a standard Certificate of Title are filled, when dealing with a non-conforming Certificate of Title, during transactions involving a Manufacturer's Certificate of Origin (MCO) in the absence of the actual certificate, for out-of-state non-conforming titles, and in instances requiring the transfer of ownership on an Electronic Certificate of Title. Its careful design ensures that additional dealer reassignments and odometer disclosures can be accurately recorded, safeguarding the integrity of the vehicle's history. Moreover, the form features sections for detailed vehicle description, reassignment information, and a mandatory odometer disclosure statement, underscoring its role in promoting transparency and accountability in vehicle transactions. The careful adherence to the instructions and the proper filing of this form, including retaining copies as mandated, is essential for dealers and sellers alike, emphasizing its importance in the seamless execution of vehicle sales and ownership transfers.

QuestionAnswer
Form NameHsmv 82994 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesflorida form 82994, florida title reassignment form 82994, 82994, motor vehicle title reassignment supplement

Form Preview Example

STATE OF FLORIDA

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR

VEHICLES DIVISION OF MOTORIST SERVICES

Neil Kirkman Building - Tallahassee, FL 32399-0500

MOTOR VEHICLE TITLE REASSIGNMENT SUPPLEMENT

 

 

 

(Instructions on Reverse Side)

This reassignment is supplement to:

Title No.:

 

State of Issue:

 

 

 

 

Manufacturer’s Statement or Certificate of Origin

Is the title electronic?

Yes

No

 

 

 

VEHICLE DESCRIPTION

Vehicle Identification Number

Year

Make

Model

Body

REASSIGNMENT INFORMATION

 

 

 

Name of Seller(s)/Agent (Print)

DL/ID#, DMS ACCT#, FEID#

DEALER/AUCTION LICENSE (if applicable)

 

 

 

 

Street Address

City

State

Zip

 

 

 

Selling Price (If Applicable)

Sales Tax Collected (If Applicable)

Sales Tax Reg. No. (If Applicable)

 

 

 

 

Purchaser and Co-Purchaser's Printed Name(s)

 

 

Date of Sale

 

 

 

 

Purchaser’s Address

City

State

Zip

 

 

 

 

Co-Purchaser’s Address (If applicable)

City

State

Zip

 

 

 

 

Auction Name (If applicable)

Auction License Number

State of License

Date of Auction

 

 

 

 

Street Address

City

State

Zip

 

 

 

 

ODOMETER DISCLOSURE STATEMENT

WARNING:FEDERAL ANDSTATE LAW REQUIRE THAT YOUSTATE THE ODOMETERMILEAGE IN CONNECTIONWITHTRANSFEROF

OWNERSHIP. FAILURE TO COMPLETEORPROVIDING A FALSE STATEMENTMAYRESULTINFINES AND/ORIMPRISONMENT.

 

I/WE STATE THAT THIS

5 OR

6 DIGIT ODOMETER NOW READS,

 

 

 

 

,

 

 

 

XX (NO TENTHS) MILES,

 

DATE READ

 

, AND I HEREBY CERTIFY THAT TO THE BEST

OF

MY

 

KNOWLEDGE THE ODOMETER READING.

 

 

CAUTION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

READ CAREFULLY

1) REFLECTS ACTUALMILEAGE

 

 

 

 

 

 

 

BEFORE YOU

 

 

 

 

 

 

 

 

 

 

 

2) IS IN EXCESS OF ITS MECHANICAL LIMITS

 

 

 

CHECK A BOX

 

 

 

3) IS NOT THE ACTUAL MILEAGE.WARNING - ODOMETER DISCREPANCY

 

 

UNDERPENALTIES OF PERJURY, I DECLARE THATI HAVE READ THE FOREGOING DOCUMENT

 

 

 

 

 

AND THAT THE FACTS STATED IN IT ARE TRUE.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Printed name of seller(s)/Agent

 

 

 

 

Seller(s)/Agent Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Printed name of Co-Seller (If applicable)

 

 

Co-Seller Signature (If applicable)

 

 

 

 

 

 

 

 

 

 

Purchaser(s) Signature

 

 

 

Co-Purchaser(s) Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchaser(s) Printed Name First, Full Middle or Maiden, Last

 

Co-Purchaser(s) Printed Name First, Full Middle or Maiden, Last

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTICE: ANY ALTERATION OR ERASURE MAY VOID THIS ASSIGNMENT AND ALL ASSIGNMENTS THAT FOLLOW.

ORIGINAL: SUBMIT WITH APPLICATION FOR TITLE

 

 

 

 

 

 

 

 

 

 

 

 

HSMV 82994 (REV. 04/14) S

 

 

 

 

 

 

 

 

 

COPY: SELLER/DEALER RETAIN IN FILE

WHEN SHOULD THIS FORM BE USED?

FORM HSMV 82994, MOTOR VEHICLE TITLE REASSIGNMENT SUPPLEMENT, MUST BE USED:

1.with conforming Florida Certificate(s) of Title to make additional dealer reassignments and odometer disclosures when all reassignment and odometer disclosure spaces on the reverse side of the Certificate of Title have been used:

OR

2.with a non-conforming Certificate(s) of Title to make reassignments and odometer disclosures;

OR

3.with conforming MCO, when the MCO is not available at the time of sale;

OR

4.with all out-of state non-conforming Certificate(s) of Title to make dealer reassignments and odometer disclosures;

OR

5. when ownership is being transferred on an Electronic Certificate(s) of Title.

NOTE: This form should NOT be used wen the owner is transferring ownership on a vehicle that does not have an electronic Certificate of Title. If the Certificate of Title is NOT electronic, the “Transfer of Title By Seller” section must be completed by the seller(s)/agent.

FILING:

1.The original HSMV 82994 is to be surrendered with the application for title.

2.The copy of the HSMV 82994 is to be retained by the dealer in his/her records for a period of five (5) years. It is recommended that the individual seller(s) retain a copy of this form for their records.

HSMV 82994 (REV. 04/14) S

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Filling in the florida dmv title reassignment form form is easy using our PDF editor. Follow these steps to create the document right away.

Step 1: Select the button "Get Form Here" on this webpage and next, click it.

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For each section, complete the content requested by the application.

portion of blanks in florida title reassignment form 82994

Write down the necessary data in Street Address, City, State, Zip, WARNING FEDERAL AND STATE LAW, ODOMETER DISCLOSURE STATEMENT, IWE STATE THAT THIS, DATE READ, DIGIT ODOMETER NOW READS, XX NO TENTHS MILES AND I HEREBY, CAUTION READ CAREFULLY BEFORE YOU, CHECK A BOX, REFLECTS ACTUAL MILEAGE IS IN, UNDER PENALTIES OF PERJURY I, and AND THAT THE FACTS STATED IN IT box.

stage 2 to finishing florida title reassignment form 82994

Describe the significant particulars in the Purchasers Printed Name First Full, CoPurchasers Printed Name First, NOTICE ANY ALTERATION OR ERASURE, ORIGINAL SUBMIT WITH APPLICATION, HSMV REV S, and COPY SELLERDEALER RETAIN IN FILE part.

step 3 to completing florida title reassignment form 82994

Step 3: Hit the Done button to save the form. Now it is accessible for upload to your electronic device.

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