Vsd 851 PDF Details

Are you looking for a new way to keep your business organized and in compliance with state regulations? If so, you may want to consider using the Vsd 851 form. This form is designed to help businesses stay compliant with state regulations and keep their records in order. In this blog post, we will discuss the benefits of using the Vsd 851 form and provide some tips on how to use it effectively.

Below are some information regarding vsd 851. This page will provide information about the form's size, completion time, and the blanks you're required to fill.

QuestionAnswer
Form NameVsd 851
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesrevoke plates, illinois plates revoked, illinois plates revocation, license plates revocation

Form Preview Example

Secretary of State

VEHICLE LICENSE PLATES

REVOCATION REQUEST

Secretary of State

Vehicle Services Department Special Plates Division

501 S. Second St., Rm. 520 Springfield, IL 62756

Fax (217) 785-1038 www.cyberdriveillinois.com

This space for use by

Secretary of State

Please print or type

License Plate Number

Vehicle Identification Number

Vehicle Make

Vehicle Year

 

 

 

 

Last Name

First Name

 

Middle Initial

 

 

 

 

Last Name

First Name

 

Middle Initial

 

 

 

 

Address

City

State

ZIP Code

 

 

 

 

Phone Number(s)

Driver’s License Number(s)

 

 

 

 

 

 

Reason for License Plate Revocation (check one):

o Vehicle sold with license plates attached

o Registered owner moved out of state

o License plates lost/missing/destroyed

o Vehicle towed/junked with license plates

o Registered owner deceased (copy of death certificate required)

o Vehicle donated to charity with license plates

o Divorce (single owner only, copy of divorce decree required)

o Non-possession of license plates

o License plates stolen (copy of police report required)

o Vehicle repossessed with license plates

Each request must include the correct owner(s) and vehicle information, reason for revocation and signature(s) of the registered/titled owner(s). Failure to include this information will prevent the request from being processed. A leased vehicle record must include the lessor’s signature. Revocation of the license plate does not remove your name from that particular vehicle record.

Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief as to such matters the undersigned certifies as foresaid that he verily believes the same to be true. (735 ILCS 5/1-109)

__________________________________________________________

______________________________

Registered Owner’s Signature

Date

__________________________________________________________

______________________________

Registered Owner’s Signature

Date

Printed by authority of the State of Illinois. September 2012 – 1 – VSD-851

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