Form 4576: Abandoned Property Affidavit

Enter the Year, Make, Model and Vehicle, Vessel, Outboard Motor Identification Number.

Enter the Owner and the Lienholder, each with Street Address, City, State and Zip.

On __ __ / __ __ / __ __ __ __ , you towed the abandoned property. You have been in possession of the abandoned property for at least 30 days and the owner of the abandoned property or lienholder have not made arrangements for payment of towing and storage charges. You have not been notified of any application for hearing as provided in Section 304.156, RSMo.

Enter the Towing Company Name, sign as Signature of Tower and enter the Date (MM/DD/YYYY).

Under penalties of perjury, you declare that the information and any attached supplement is true, complete, and correct.

Subscribed and sworn before me, this day of year. State. County (or City of St. Louis). My Commission Expires (MM/DD/YYYY). Notary Public Signature. Notary Public Name (Typed or Printed).

Embosser or black ink rubber stamp seal.

License Office notary service: $2.00 (checked November 2, 2026).

Section 304.156, RSMo, provides that thirty (30) days after a notification form has been mailed to the abandoned property owner and lienholder, if applicable, and the property is unredeemed and no satisfactory arrangement has been made with the lienholder in possession for continued storage, and the owner or lienholder, if applicable, has not requested a hearing as provided, the lienholder in possession may apply to the Director of Revenue for an original title, salvage certificate of title designated with the words “Salvage or Abandoned Property” or junking certificate based on the condition of the abandoned property. This affidavit must be included with the application for title.

If notice to the owner and lienholder of the abandoned property has been returned “Not Forwardable” or “Addressee Unknown,” your signature on this affidavit certifies that a physical search of the abandoned property disclosed no other evidence of ownership and that a good faith effort has been performed to establish the prior state of registration and title. The following was searched, if applicable:

The abandoned property for any type of license plates, license plate record, temporary permit, inspection sticker, decal, or other evidence which may indicate a possible registration and title in another state;

The law enforcement report for a license plate number or registration number if the abandoned property was towed at the request of a law enforcement agency;

The tow ticket or report of the tow truck operator to see if a license plate was on the abandoned property at the beginning of the tow, if a private tow; and

The law enforcement report to see if an out-of-state address is indicated on the driver license information if there is no address of the owner on the impound report.

Titling requirements for units towed from public or private property with authorization from law enforcement or a governmental agency: Application for title, properly completed in the tower's company name. The title type must be marked “Original”, “Salvage”, or “Junking Certificate” (No title fee is required);

Abandoned Property Affidavit (Form 4576) properly completed, signed by the tower and notarized by a notary public;

A copy of the Vehicle Owner and Lienholder Notification (Form 4577) issued to any owner and lienholder of record. This must be sent by certified mail;

A copy of the certified mail receipts at least 30 days old, indicating the owner and lienholder of record, if applicable, have been sent the notice; a copy of the online record search or notice the Motor Vehicle Bureau issued to the tower informing the tower of the latest owner or lienholder of record;

A completed and signed Vehicle Examination Certificate (Form 551), if applying for an “Original” title; and

Crime Inquiry and Inspection Report completed by authorized law enforcement.

Titling requirements for units towed from private property without authorization from law enforcement or a governmental agency: Abandoned Property Report (Form 4669) completed by the property owner, towing company, and law enforcement. The Application for title, the Abandoned Property Affidavit (Form 4576), the Vehicle Owner and Lienholder Notification (Form 4577), the certified mail receipts, the online record search or notice, and the Vehicle Examination Certificate (Form 551) if applying for an “Original” title, as listed under Units towed from public or private property with authorization from law enforcement or a governmental agency.