Form 411008 11-03
APPLICATION FOR REGISTRATION
AND BONDED CERTIFICATE OF TITLE FOR A VEHICLE
Web site: www.iamvd.com
E-mail: vehser@dot.state.ia.us
Instructions and information on reverse side/next page |
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Last Name |
First Name |
Middle Initial |
Home Phone # |
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Work Phone # |
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, Iowa |
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Mailing/Residence Address |
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County |
City |
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Zip Code |
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Name & Address of person from whom the vehicle was acquired (please print) |
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Vehicle Identification Number |
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Model Number |
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Vehicle Make |
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Year |
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Vehicle Type (car, truck, trailer): |
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I have knowledge the motor vehicle was previously junked or titled as salvaged, rebuilt, or flood in this or any other state.
Yes No
I/We certify under penalty of perjury that the foregoing is true and correct.
Date SignedSignature of Applicant
OFFICE USE ONLY
Log # |
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System File: |
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Supporting Documents: |
Application |
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Ownership Document |
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Date: |
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Date: |
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Photograph |
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VIN Tracing/Verification |
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VIN Edit |
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IA VIN Assignment |
Title Record: |
Lien Check: |
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Junking Certificate |
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10 Day Letter |
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NA |
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Yes |
No |
Yes No |
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Yes |
No |
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17 digit VIN |
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Date: / / |
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NCIC: |
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Bond Mailed |
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MVE Documents |
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Date: |
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Bond Update |
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MVE Update |
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Date: |
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Yes |
N/A |
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Weight: |
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Prorate Month: |
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Rider: |
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Mailed |
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Date: |
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List $ |
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Type: |
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Returned |
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Date: |
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Fee $ |
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Style: |
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Book Value |
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Bond Amount |
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Evaluation Source: |
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$ |
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$ |
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MINIMUM SAFETY EQUIPMENT REQUIREMENTS |
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LIGHTS |
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BRAKES |
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WINDSHIELDS & WINDOWS |
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Headlamps |
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Service |
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Clear vision permitted |
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Beam indicator |
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Parking |
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Safety glass required |
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Reflectors (rear) |
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Performance |
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Clearance and identification |
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WIPERS |
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Parking lamps |
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HORN |
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Stop lights |
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Turn signals |
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TIRES |
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Taillights |
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MUFFLERS |
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Number of lamps required |
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SEAT BELTS |
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(no more than 4 at any one time) |
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MIRRORS |
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Required on 1996 or newer |
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No white light to rear |
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******************************************************************************************************************************************
To be completed by a law enforcement officer when applicable
Verification of Vehicle Identification Number
VIN
INSTRUCTIONS AND INFORMATION
If your vehicle cannot be titled or registered by your county treasurer because you do not have the proper title documents, you may be able to file a bond as a condition of obtaining a title and registration plates. However, a vehicle issued a junking certificate can be reinstated through the bonding procedure if the vehicle is 25 years old or older, ref. Iowa Code 321.24.
Submit the following to the Iowa Department of Transportation, Office of Vehicle Services, Park Fair Mall, 100 Euclid, Box 9278, Des Moines, Iowa 50306-9278. Phone 515-237-3148 or 515-237-3049.
To avoid processing delays please submit the following required supporting documents:
1.An "Application for Registration and Bonded Certificate of Title For a Vehicle," Form No. 411008, completed and signed.
2.A copy of any written document received at the time the vehicle was acquired, such as a bill of sale or cancelled check.
3.A photograph providing a view of the front and one side of the vehicle.
4.A tracing of the vehicle identification number (VIN). The tracing may be made by placing a piece of paper over the vehicle identification number and use a lead pencil, rubbing until the number is legible. If a legible tracing cannot be obtained written verification from a law enforcement or motor vehicle enforcement officer is acceptable. If the vehicle identification number is missing or has been defaced or altered, an Iowa assigned vehicle identification number will be assigned.
The Department will:
1.Determine whether there is an active title record or junking certificate record on file for the vehicle in the state of Iowa. If a record is found, the department shall notify, by first-class mail, the owner of the record, at the last known address, that an application for bonded certificate of title has been received. The notice shall include a statement in which the owner of record may assert their right to claim the vehicle or to waive any further claim. If the department receives no further response from the owner of record within 10 days after the date of the mailing or receives a waiver of further claim to the vehicle, the department will continue processing the bond.
2.Determine the current value of the vehicle and require that a cash bond or surety bond, based on one and one-half times the current value of the vehicle, be filed with the department as a condition of issuing a certificate of title and registration receipt. The bond paper showing the current value of the vehicle and the amount of the bond will be sent to you to be completed and signed by your surety company representative and also by you as the principal. The signed bond must be returned to the Office of Vehicle Services. Cash bonds may be deposited with the state and are held for three years on a non-interest bearing basis or you may purchase a surety bond from a bonding company, licensed to conduct business in the state of Iowa. Fees to obtain a surety bond through a bonding company are set by the company. Please refer to the bonding company for the fee to obtain your surety bond.
3.Send to the Department of Transportation, Motor Vehicle Enforcement, a bond receipt and a letter authorizing the county treasurer to issue a title for your vehicle. An investigator will contact you and make an appointment to verify that the information submitted on your application correctly identifies the vehicle that you own. Should your vehicle not meet the specific equipment requirements under Iowa Code Chapter 321., the investigator shall authorize the county treasurer to issue title and registration and immediately suspend registration until such time your vehicle meets the specific equipment requirements. The investigator will give you the bond receipt and a copy of the authorization letter which you may then take to your county treasurer's office, make application for certificate of title, pay the appropriate fees and register your vehicle.
4.Hold the bond for 3 years, after which time the bond will expire and there is no requirement for a bond.
