Missouri Form 4576 – Fill Out and Use This PDF

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/Abandoned Property” or junking certificate based on the condition of the abandoned property.

This affidavit must accompany the transaction with Sections A and B completed. See checklist on reverse for other requirements.

ABANDONED PROPERTY TOWED
YEAR	MAKE	MODEL	VEHICLE/VESSEL/OUTBOARD MOTOR IDENTIFICATION NUMBER

	__ __ __ __
	OWNER						LIENHOLDER
	STREET ADDRESS						STREET ADDRESS
	CITY				STATE	ZIP CODE	CITY	STATE	ZIP CODE
						__ __ __ __ __			__ __ __ __ __
		On (date)	__ __ / __ __ / __ __ __ __	, I towed the above mentioned property. I 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. I have not been notified of any application for hearing as provided in Section 304.156, RSMo.
A		If notice to the owner and lienholder of the abandoned property has been returned “Not Forwardable” or “Addressee Unknown,” my
SECTION		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:

1.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;

2.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;

3.The tow ticket/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

4.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.

	TOWING COMPANY NAME			SIGNATURE OF TOWER		DATE
						__ __ / __ __ / __ __ __ __
	NOTARY PUBLIC EMBOSSER OR	STATE			COUNTY (OR CITY OF ST. LOUIS)
	BLACK INK RUBBER STAMP SEAL
B		SUBSCRIBED AND SWORN BEFORE ME, THIS
SECTION		DAY OF		YEAR	USE RUBBER STAMP IN CLEAR AREA BELOW.
		NOTARY PUBLIC SIGNATURE		MY COMMISSION
				EXPIRES
		NOTARY PUBLIC NAME (TYPED OR PRINTED)

MO 860-2696 (1-2010)

INSTRUCTIONS FOR TITLING ABANDONED PROPERTY

Please contact the Motor Vehicle Bureau at (573)฀526-3669 or฀PO BOX 2076, JEFFERSON CITY MISSOURI 65105-2076 with any questions regarding titling abandoned property. Abandoned property includes motor vehicles, trailers, all-terrain vehicles, outboard motors, and vessels.

TITLING REQUIREMENTS FOR UNITS TOWED FROM PUBLIC OR PRIVATE PROPERTY WITH AUTHORIZATION FROM LAW ENFORCEMENT OR A GOVERNMENTAL AGENCY:

1.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);

2.Abandoned Property Affidavit (DOR-4576) properly completed, signed by the tower and notarized by a notary public;

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

4.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 above notice;

5.A copy of the online record search or notice the Motor Vehicle Bureau issued to the tower informing the tower of the latest owner/ lienholder of record;

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

7.Crime Inquiry and Inspection Report completed by authorized law enforcement.

TITLING REQUIREMENTS FOR UNITS TOWED FROM PRIVATE PROPERTY WITHOUT AUTHORIZATION FROM LAW ENFORCE- MENT OR A GOVERNMENTAL AGENCY:

1.Items 1 through 6 above; and

2.Abandoned Property Report (DOR-4669) completed by the property owner, towing company, and law enforcement.

WEB SITE ADDRESS: www.dor.mo.gov/mvdl

MO 860-2696 (1-2010)

DOR-4576 (1-2010)