State Form 39530 PDF Details

When it comes to ensuring the legitimacy and safety of vehicles or watercrafts, the State 39530 form plays a crucial role. As a detailed document issued by the Bureau of Motor Vehicles in Indianapolis, Indiana, this form serves as a comprehensive inspection report, covering vehicles and watercrafts alike. The process requires an approved inspector, who must complete the form strictly in blue or black ink. The form focuses on verifying the vehicle identification number (VIN) or hull identification number (HIN), to confirm the existence and condition of these identifiers, crucial for distinguishing every vehicle or watercraft uniquely. Notably, the submission of an ownership document alongside the form is not necessary, simplifying the procedure. Inspections are authorized to be carried out by various professionals, including dealer employees, military policemen within Indiana, police officers, and specific BMV employees. An interesting aspect of the procedure is the nominal fee of not more than $5.00 that may be charged by police officers conducting the inspection, separate from any BMV charges. The form also collects detailed owner information, vehicle or watercraft specifics, and requires a declaration from the inspector attesting to the accuracy of the information provided under penalty of perjury. This essential document ensures the integrity of vehicle and watercraft identification, which is fundamental for owner verification, law compliance, and safety checks.

QuestionAnswer
Form NameState Form 39530
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesindiana form 39530, state form 39530 physical inspection, indiana state form 39530, indiana sf 39530

Form Preview Example

PHYSICAL INSPECTION OF A VEHICLE OR WATERCRAFT

State Form 39530 (R7 / 4-19)

BUREAU OF MOTOR VEHICLES

100 N. Senate Avenue, Room N411

Indianapolis, IN 46204

(888)692-6841 www.bmv.in.gov

INSTRUCTIONS: 1. Approved inspector must complete information in blue or black ink or print form.

2.The vehicle identification number (VIN) or hull identification number (HIN) must be inspected to verify the existence and condition of the number. An ownership document is not required to be submitted for inspection.

3.Inspections may be performed by an employee of a dealer licensed under IC 9-32, a military policeman assigned to a military post in Indiana, a police officer, a designated employee of a BMV license branch, or a designated employee of a BMV full or partial service provider.

4.Police officers completing this form may charge a fee of not more than $5.00 for this inspection under IC 9-17-2-12. This fee is not collected by the Bureau of Motor Vehicles and should not be submitted with this form. The police officer completing this form will advise the Owner of the amount of the fee, if any, and the method by which it should be paid.

OWNER INFORMATION

Name (last, first, middle initial or company name)

Address (number and street)

City

State

ZIP Code

VEHICLE OR WATERCRAFT INFORMATION

 

Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NONE (Select if no identification number found.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

 

 

Make

 

 

Model

 

 

 

 

Type

 

 

 

Plate Number / State

 

 

Watercraft Registration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number, if applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For assembled vehicles or watercraft include serial numbers for major component parts if present:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Engine / Motor

 

 

 

 

 

 

 

 

 

 

Transmission

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Body Chassis

 

 

 

 

 

 

 

 

 

 

Front Assembly

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rear Clip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Frame

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (specify):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*IDACS / NCIC Check (required if form is completed by a police officer)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Check Performed (mm/dd/yyyy)

Comments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I swear or affirm that the information I have entered on this form is correct. I understand making a false statement may

 

 

constitute the crime of perjury.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Inspector

 

 

 

 

 

Printed Name

 

 

 

 

 

Title

 

 

 

Date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Badge / Branch / Dealer Number

 

 

 

 

 

Police Department / Branch / Dealership

 

City

 

 

 

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

 

 

 

 

 

E-mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Writing part 1 in indiana state form 39530 fillable

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