Application For Salvage Certificate Of Title Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application For Salvage Certificate Of Title Form. This is a New Jersey form and can be use in Motor Vehicle Commission Statewide.
Loading PDF...
Tags: Application For Salvage Certificate Of Title, OS-SS-61, New Jersey Statewide, Motor Vehicle Commission
New Jersey
Motor Vehicle Commission
32 %R[
7UHQWRQ 1-
67$7( 2) 1(: -(56(<
LQ VWDWH
RXW RI VWDWH
Fee: $60.00 ($85.00 if Lien)
Application for Salvage Certificate of Title
Vehicle
7KH RULJLQDO FHUWLILFDWH RI WLWOH PXVW DFFRPSDQ\ WKLV DSSOLFDWLRQ IRU LVVXDQFH RI WKH 1HZ -HUVH\ VDOYDJH WLWOH
Vehicle Identification Number
Year
Body Type
Make
Model
Color
$FWXDO SUHVHQW WUXH PLOHDJH (Odometer reading):
First Name
Street Address
City
Middle Initial
State
Zip
Co-Owner
NJ Driver License No. (if Business-Corpcode)
Last Name
Lienholder
Owner
Last Name
7HQWKV
First Name
Lienholder Name
Street Address
City
Middle Initial
State
Zip
NJ Driver License No. (if Business-Corpcode)
Address
City
State
Zip
Lienholder Corpcode (15 digit)
Statement RI KRZ YHKLFOH ZDV DFTXLUHG DQG WKH W\SH RI ORVV VXIIHUHG ILUH FROOLVLRQ HWF
, WKH XQGHUVLJQHG KHUHE\ FHUWLI\ WKH DERvH LQIRUPDWLRQ LV WUXH DQG FRUUHFW WR WKH EHVW RI P\ NQRwOHGJH , DOVR FHUWLI\ WKDW , KDYH
FRPSDUHG WKH LGHQWLILFDWLRQ QXPEHU RQ WKLV DSSOLFDWLRQ ZLWK WKDW RQ WKH YHKLFOH DQG IRXQG WKDW WKH\ DJUHH LQ HYHU\ SDUWLFXODU
XBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
2ZQHU 6LJQDWXUH
Affix Stamp
'DWH
XBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
&R2ZQHU 6LJQDWXUH
'DWH
2666 5
American LegalNet, Inc.
www.FormsWorkFlow.com