State Form 55018: Indiana Application for Certificate of Authority Disposal of a Vehicle

Under SECTION 1A - APPLICANT INFORMATION, enter the Name of Applicant(s) (first, middle, last, or company name), the Mailing Address (number and street), City, State and ZIP Code.

Enter the Telephone Number (required) and the E-mail.

Under SECTION 1B - SALVAGE RECYCLER INFORMATION, if applying on behalf of the applicant in section 1A, enter the Name of Automotive Salvage Recycler (company name), the Mailing Address (number and street), City, State and ZIP Code.

Enter the Dealer Number, the Telephone Number (required) and the E-mail.

Mail the completed application, supporting documentation and the $4.00 application fee to the address printed in the top-right hand corner of this form (checked November 8, 2026).

Indicate your preferred method of delivery by checking the box for Email or USPS Mail in Section 1.

Preferred Method of Delivery: check USPS Mail or E-Mail.

Enter the Vehicle Identification Number, or check No Vehicle Identification Number.

If no VIN, Physical Inspection of a Vehicle or Watercraft - State Form 39530 must be completed by a police officer.

Enter the Vehicle Year, Vehicle Make, Vehicle Model, Vehicle Type and Vehicle Color.

Under Reason for Request, check Abandoned Vehicle or Certificate of Title is faulty, lost or destroyed.

Include a concise statement regarding the reason a certificate of title is unavailable, explain how the vehicle came into your possession (if applicable), and provide the reasons for disposal of the vehicle. Attach additional sheets if necessary.

You swear or affirm under the penalties for perjury that the information you have entered on this form is true and correct and that no material fact has been withheld. Making a false statement may constitute the crime of perjury.

Enter the Signature of Applicant, Printed Name and Date Signed (mm/dd/yyyy).

In SECTION 4 - AUTOMOTIVE SALVAGE RECYCLER USE ONLY, after destroying or dismantling the vehicle, complete this section and mail this form to BMV Document Management 100 N. Senate Ave., Rm. 412 Indianapolis, IN 46204. After delivery of this Certificate to the BMV, a certificate of title will not be issued for the motor vehicle on this form.

The company certifies that this vehicle was destroyed or dismantled and should be recorded as 'JUNK' in BMV records, and swears or affirms under the penalties for perjury that this statement is correct. Enter the Name of Company and Dealer Number.

Enter the Street Address (number and street), City, State and ZIP Code, then the Signature of Representative, Printed Name and Date Signed (mm/dd/yyyy).