Mva Vr 028 Form PDF Details

Are you looking for information on the MVA VR 028 form? If so, then you’re in luck! In this blog post, we will go into detail about what this form is and its importance. We’ll discuss who needs to fill out the form, instructions for completing it correctly, answers to frequently asked questions, plus much more. With everything that's at stake when filling out a VR 028 form properly, understanding all of the particulars can be confusing - but not anymore! By the time your done reading this blog post you'll have a good grasp of why MVA requires drivers to complete such an important document. So buckle up – let’s get started exploring all things related to the MVA VR 028 Form!

QuestionAnswer
Form NameMva Vr 028 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmva form vr028, Ritchie, maryland vr 028, VR-005

Form Preview Example

MOTOR VEHICLE ADMINISTRATION

6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062

VR-028 (07-11)

Application for a Salvage Certificate/Owner Retention

q Check here if applying for a

This application is to be used by the vehicle owner, when a vehicle is sold as salvage pursuant to

 

Certificate # (MVA Use Only)

Salvage Certificate

§13-506 and §13-507 or acquired as an abandoned vehicle from a police auction pursuant to

 

 

 

§25-207 of the Maryland Vehicle Law.

 

 

 

For reference refer to back of this form.

 

 

 

 

 

 

q Check here for

Maryland Vehicle Law §13-506.1 requires the insurance company to promptly notify the Motor Vehicle Administration of vehicles that

 

Owner Retention

have been settled as a total loss and are being retained by the owner.

 

 

If the applicant checks boxes 1 or 6, a Corrected Certificate of Title bearing the appropriate brand will be issued. The fee will be $50.00.

 

If the applicant checks box 3, a Salvage Certificate bearing the appropriate brand will be issued. The fee will be $20.00.

 

 

NOTE: Boxes 4, 5, 8 and 9 are not applicable for owner retention.

 

Applicant’s Full Name

 

 

 

 

Date of Birth

 

FEIN #

Driver’s License Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Co-Applicant’s Full Name

 

 

 

 

Date of Birth

 

 

Driver’s License Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

City or Town

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of Salvage Vehicle:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

Make

 

Model

 

Body Style

 

Vehicle Identification Number

Gross Vehicle Weight

Out of State Title #

 

Maryland Title #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Is:

 

 

For:

Reason For Duplicate:

 

Purchase Price $ ___________________

Title Service # ______________________

Certificate of Origin? q Yes

q No

q Insurance Company

 

 

q Original

q Lost

 

Odometer Reading ________________________ (No Tenths)

q Vehicle Owner

 

 

q Stolen

 

 

 

 

 

 

 

 

 

 

q Automotive Dismantler & Recycler

 

q Duplicate

q Mutilated

 

Dealer # ___________________________

Scrap Processor #__________________

q 1. The mileage stated is in excess of its mechanical limits.

q Scrap Processor

 

 

 

 

q Other

 

 

 

q 2. The odometer reading is not the actual mileage.

 

 

 

 

 

Auctioneer # _______________________

AD&R # ____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

Warning - Odometer Discrepancy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To be completed by applicant:

 

 

 

 

 

 

 

 

 

 

 

 

q 1.

Damage is greater than 75% of the fair market value and repairable.

 

 

 

 

 

 

q 2.

Damage is 75% or less of fair market value.

 

 

 

 

 

 

 

 

q 3.

The vehicle is not rebuildable, will only be used for parts, and is not to be retitled.

 

 

 

 

q 4.

Abandoned vehicle or acquired in the normal business of an Automotive Dismantler & Recycler.

 

 

 

 

q 5.

Recovered Stolen with damage 75% or less of the fair market value will be issued a Salvage Certificate branded “Recovered Stolen”.

 

 

 

q 6.

Flood damage

 

 

 

 

 

 

 

 

 

 

 

 

q 7.

Damage is greater than 75% of the fair market value and the damage to the vehicle is cosmetic only. (obsolete as of October 1, 2010)

 

 

 

q 8.

Recovered Stolen with damage 75% or less than the fair market value and requesting a Certificate of Title - Complete an Application for Certificate of Title (VR-005).

 

 

q 9.

Stolen

 

 

 

 

 

 

 

 

 

 

 

 

I certify under penalty of perjury, that the statements herein are true and correct to the best of my knowledge, information and belief.

 

Signature of Applicant(s) or Authorized Agent: ___________________________________________________________________________________

Date: _______________________________________________________________________________

[If a company, must be signed by an authorized agent (capacity)]

 

Printed Name of Applicant(s): ___________________________________________________________________________________________________

Date: _______________________________________________________________________________

Business Name: _____________________________________________________________________ FEIN #___________________________________

Date: _________________________________________________________________________

For more information, please call: 1-800-950-1MVA (1682) (to speak with a customer service representative), From Out-of-State: 1-301-729-4550,

TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov

“Salvage” Definition:

“Salvage” means any vehicle that has been damaged by collision, fire, flood, accident, trespass, or other occurrence to the extent the cost to repair the vehicle for legal operation safely on a highway exceeds 75% of the fair market value prior to sustaining the damage, as determined under §13-506(C) (4) has been acquired by an insurance company as a result of a claim settlement; or has been acquired by an Automotive Dismantler and Recycler as an abandoned vehicle under §25-201 of this Article for rebuilding or for use as parts only. For purpose of this section, a vehicle has not been acquired by an insurance company if an owner retains possession of the vehicle upon settlement of a claim concerning the vehicle by the insurance company.

Salvage Certificates

Salvage Certificates are ownership documents:

•An insurance company retains a vehicle as a result of a claim settlement.

•An automotive dismantler and recycler acquires the vehicle for rebuilding or parts.

Brands:

All salvage certificates are branded. A brand is a simple way of identifying the current or previous condition of a vehicle for the purpose of protecting the interest of the consumer.

A Salvage Certificate is branded according to the categories listed below:

•Damage is greater than 75% of the fair market value and repairable.

•The vehicle is not rebuildable, will only be used for parts, and is not to be retitled.

•Abandoned Vehicle or Acquired in the normal business of an Automotive Dismantler & Recycler.

•Recovered Stolen with damage 75% or less than fair market value will be issued a Salvage Certiicate branded “Recovered Salvage”.

•Flood Damage

•Damage is greater than 75% of the fair market value and the damage to the vehicle is cosmetic only. (Obsolete as of October 1, 2010)

•Recovered Stolen with damage 75% or less of fair market value and requesting a Certiicate of Title, complete an Application for Certiicate of Title

(VR-005) and submit a $100.00 fee along with the Application for a Salvage Certificate (VR-028).

•Damage is 75% or less of fair market value.

Owner Retention:

Maryland Vehicle Law requires the insurance company to promptly notify the Motor Vehicle Administration of vehicles that have been settled as a total loss and are being retained by the owner. The insurance company must state, on this application the cost to repair the vehicle for highway operation is greater than 75% of the fair market value or the vehicle has sustained flood damage or the vehicle is non-repairable and will be used for parts only.

Please Note: A Salvage Certificate will be issued for parts only.

The title certificate to this vehicle must accompany this application.

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1. To begin with, when filling in the MVA, beging with the section that contains the next blank fields:

The way to complete maryland dmv form vr 028 step 1

2. Just after filling in the previous section, go on to the next step and complete the essential details in these blank fields - To be completed by applicant q, Signature of Applicants or, If a company must be signed by an, Date, Printed Name of Applicants, Date, Business Name FEIN, Date, For more information please call, and TTY for the hearing impaired.

TTY for the hearing impaired, To be completed by applicant q, and If a company must be signed by an in maryland dmv form vr 028

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