Hsmv 82994 Form PDF Details

If you are looking to buy a used car, it is important to fill out the Hsmv 82994 form. This form is used to determine the value of the car and whether or not it meets Florida's safety requirements. In order to complete the form, you will need information about the car's make, model, and year. You will also need to know its VIN number. Be sure to submit the completed form to your local DMV office.

Below are some information about hsmv 82994 form. It's a good idea that you read through this info before you decide to begin fiddling with the PDF.

QuestionAnswer
Form NameHsmv 82994 Form
Form Length2 pages
Fillable?Yes
Fillable fields54
Avg. time to fill out11 min 22 sec
Other names82994 florida form, 82994, forms 82994 instructions, hsmv 82994

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 form 82994 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.

Step 2: Once you access the form 82994 editing page, you'll see lots of the options it is possible to undertake with regards to your form in the top menu.

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

portion of blanks in 82994 form

Write down the necessary data in Co, Purchasers, 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 I, WE, STATE, THAT, THIS, DATE, READ and DIGIT, ODOMETER, NOW, READS box.

stage 2 to finishing 82994 form

Describe the significant particulars in the Printed, name, of, Co, Seller, If, applicable Purchasers, Signature Co, Seller, Signature, If, applicable CoPurchasers, Signature HS, MV, REVS and COPY, SELLER, DEALER, RETAIN, IN, FILE part.

step 3 to completing 82994 form

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

Step 4: In order to prevent probable future difficulties, take the time to obtain up to a few copies of each document.

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