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Car Title Generator

Car title certificates

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536 views

Car Title Generator

Car title certificates

Uploaded by

mrshollinshasclass
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OFFICE USE ONLY

Tennessee Department Of Revenue


Received Vehicle Services Division
44 Vantage Way, Suite 160
Returned Nashville, TN 37243-8050
(615) 741-3101 Fax (615) 253-4259
1-888-871-3171

REQUEST FOR VERIFICATION OF OWNERSHIP ON VEHICLES FOUND ABANDONED/IMMOBILE OR UNATTENDED


Note: A fee of $1.00 must be submitted with this form.
PART A: REQUESTING PARTY AND VEHICLE INFORMATION
Party Submitting Request

( )
Company Name Telephone Number

Applicant Name

Address

City State Zip

Date Storage Began: (Attach Copy of Law Enforcement Towing Form, if not available, attach explanation)

YEAR MAKE MODEL VEHICLE IDENTIFICATION NUMBER LICENSE PLATE STATE

**MUST FURNISH VERIFICATION OF VEHICLE IDENTIFICATION NUMBER WITH THIS REQUEST**


If available, please list the vehicle’s plate number and state of issue.

Tennessee Code Annotated, Section 55-16-105: A TENNESSEE LAW ENFORCEMENT AGENCY shall verify ownership information through the Tennessee
Enforcement System (TIES) for processing by the police agency or any towing company contracting with the police agency. Any response not on file with the TIES
system and queries made by persons other than a police agency or towing firm shall be referred to the Tennessee Department of Revenue, Vehicle Services Division.
All lienholders and owners must be notified by certified mail, return receipt requested, within three (3) business days from receiving verification of ownership of such
vehicle.

VEHICLE SERVICES USE ONLY

OFFICE USE ONLY

NOTE! -Pursuant to Tennessee Code Annotated, Section 55-16-102, Failure to submit notification within (10) days after the termination of the thirty (30) day period shall
forfeit all claims for storage or parking of such vehicle, and commits a Class C misdemeanor. Each day's FAILURE to report is a separate offense.

Signature “I certify that all information is true and correct” Date

Notice of thirty (30) day storage must be made by completing PART B on the reverse side and resubmitting this form to the Vehicle Services Division of the
Tennessee Department of Revenue by US Mail or fax to (615) 253-4259.
RV- F1310601 (Rev. 8-12) RDA 692
REQUEST FOR VERIFICATION OF OWNERSHIP ON VEHICLES FOUND ABANDONED/IMMOBILE OR UNATTENDED

PART B: REPORT OF MOTOR VEHICLE STORED FOR A PERIOD OF MORE THAN THIRTY (30) DAYS
YEAR MAKE MODEL VEHICLE IDENTIFICATION NUMBER LICENSE PLATE STATE

**MUST FURNISH VERIFICATION OF VEHICLE IDENTIFICATION NUMBER WITH THIS REQUEST**

NOTE! – If a vehicle has been stored, parked or left in a garage, trailer park, or any type of storage or parking lot for a period of more than thirty (30) consecutive days,
the owner of such garage, trailer park or lot shall report in writing the make and vehicle identification number of such motor vehicle to the Department of Revenue on
this form. Failure to submit this PART B within (10) days after the termination of the first (30) thirty days of storage is a Class C misdemeanor. Each day’s failure to
report is a separate offense. Additionally, any person who fails to submit this report shall forfeit all claims for storage or parking of the vehicle.

Pursuant to Tennessee Code 55-16-101(a), please be advised that the above referenced vehicle has been stored, parked, or left in the storage lot of our company for a
period of time more than thirty (30) consecutive days as of __________________________.

Under penalties of law, I certify and attest that all information and statements made herein are true and correct.

__________________________________ _____________________________________________ _____________________________


Signature Witness of Certification Date

Company Name___________________________________Address/City/State/Zip_________________________________________________________________

RV-F1310601 (Rev. 8-12) (for a timely response, submitting by fax is recommended) RDA 692

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