Mvd 11268 Form PDF Details

Have you heard about the MVD 11268 form, but not sure what it is or if it applies to you? You’ve come to the right place! In this blog post, we will provide a full rundown of MVD 11268 - from what it is and who needs to file one, all the way down to how to fill out and submit the form. With our step-by-step guide and helpful tips, by the end of this blog post you’ll be able to confidently determine if filing an MVD 11268 is necessary for your situation. Let's get started!

QuestionAnswer
Form NameMvd 11268 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnm mvd non, nm affidavit state, nm mvd affidavit, new mexico affidavit non use

Form Preview Example

MVD– 1 1 2 6 8 REV. 10/ 11

N e w M e x ico Ta x a t ion & Re v e n u e D e p a r t m e n t , M ot or V e h icle D iv ision

AFFI D AV I T OF N ON - USE OF VEH I CLE

( or )

AFFI D AV I T OF OUT- OF- STATE V EH I CLE I N SURAN CE

 

Ow n e r I n for m a t ion

Nam e ( last , fir st , m iddle in it ial)

 

 

Dat e of Bir t h

 

 

 

 

Addr ess

 

 

Phone Nu m ber

 

 

 

 

Cit y, St at e, Z I P Code

 

Dr iver ’s Licen se Nu m ber and St at e

 

 

 

 

V e h icle I n for m a t ion

Make

 

Model

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plat e Nu m ber

Vehicle I dent ificat ion Nu m ber ( VI N)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N on - Use I n for m a t ion

 

 

 

 

Please init ial box

 

 

 

 

 

 

 

 

 

 

 

 

 

The v ehicle ident ified above is not being oper at ed for r easons t hat m ay include but are not lim it ed t o m ilit ar y

 

 

 

 

deploy m ent , m echanical issues, and st or age or seasonal usage. Please ent er ant icipat ed non- use dat es below .

 

 

Fr om :

 

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* *

Th e N ON - U SE por t ion of t h is a f f id a v it is on ly v a lid for a m a x im u m of ON E YEAR.

 

 

 

 

* *

A n e w Af f id a v it of N on - U se of V e h icle M U ST b e com p le t e d e a ch y e a r t h a t t h e v e h icle w ill n ot b e d r iv e n .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ou t - of - St a t e I n f or m a t ion

 

 

 

 

M I N I M UM M AN D ATORY LI ABI LI TY LI M I TS § 6 6 - 5 - 2 0 8 :

$ 25,000 Bodily inj ur y or deat h of one per son in any one accident

 

 

 

 

 

$ 50,000 Bodily inj ur y or deat h of t wo or m or e persons in one accident

 

 

 

 

 

$ 10,000 Dest r uct ion of pr opert y of ot hers in any one accident

Please init ial box

 

 

 

 

 

 

 

 

 

 

 

 

 

I curr ent ly hav e insur ance cover age in com pliance w it h t he New Mex ico Mandat or y Financial Responsibilit y Act ,

 

 

 

 

§§ 66 - 5 - 201 t hr ough 66 - 5 - 239 NMSA 1978 .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I nsur ance Com pany

 

 

 

Policy Num ber

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Nu m ber

 

Effect ive Dat es

t o

 

 

 

 

 

 

 

 

N ot e : You M UST a t t a ch a copy of a cu r r e n t insu r a n ce ca r d a n d de cla r a t ion pa ge con t a inin g lia bilit y lim it s.

* *

Th e OU T - OF- STATE p or t ion of t h is a f f ida v it is on ly v a lid d u r in g t h e e f f e ct iv e da t e s of y ou r in su r a n ce p olicy .

* *

A n e w Af f id a v it of Ou t - of - St a t e V e h icle I n su r a n ce M U ST b e com ple t e d e a ch t im e t h e p olicy r e n e w s.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Aff ir m a t ion

 

 

 

 

I sw e a r or a ffir m u nde r pen a lt y of pe r j u r y t ha t t h e a bov e st a t e m e nt s a r e t r u e a nd cor r e ct .

 

 

 

 

 

Pr int ed Nam e

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signat ur e

 

 

 

 

 

Dat e

 

 

 

 

 

 

 

 

 

 

 

 

A new affidav it m ust be com plet ed ev ery t im e a v ehicle st at us changes or , at a m inim um , annually .

 

 

 

 

Vehicles r egist ered and oper at ed in New Mex ico MUST hav e insur ance cover age t hat m eet s t he m inim um liabilit y r equirem ent s

of t he New Mex ico Mandat ory Financial Responsibilit y Act , §§ 66 - 5 - 201 t hr ough 66 - 5 - 239 NMSA 1978 .

 

 

 

 

Bona fide New Mex ico residency is r equired for vehicle r egist r at ion ( § 66 - 3 - 4 NMSA 1978) .

 

 

 

 

Please ret ur n COM PLETED affidav it and ALL requir ed docum ent at ion t o t he New Mex ico I nsur ance I dent ificat ion Dat abase ( I I DB) . Mail t o: P. O. Box 30147, Albuquerque, NM 87190 - 0147 OR FAX t o: 505 - 243 - 6605

For m or e infor m at ion, please call t he I I DB t oll- free at 866 - 891 - 0665 .

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nm mvd affidavit completion process shown (stage 1)

2. Once your current task is complete, take the next step – fill out all of these fields - Please init ial box, I curr ent ly have insur ance, I nsurance Com pany, Phone Nu m ber, Policy Num ber, Effect ive Dat es, t o, N ot e You M UST a t t a ch a, Th e OUT OF STATE port ion of t, A n ew Affida vit of Out of St, Aff ir m a t ion, I sw e a r or a ffir m u nde r pen, Print ed Nam e, Signat ure, and Dat e with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Phone Nu m ber, Policy Num ber, and Effect ive Dat es in nm mvd affidavit

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