New York State Department of Motor Vehicles STATEMENT OF ABANDONED VEHICLE THIS VEHICLE MAY NEVER BE TITLED AGAIN. IT MUST BE DISMANTLED OR SCRAPPED. This statement may be used by property owners to dispose of an abandoned vehicle in accordance with Section 1224 of the Vehicle and Traffic Law. It may be used only if the vehicle being disposed of: (1) has a wholesale value of $1,250 or less; and (2) is ten or more model years old; and (3) has been abandoned for at least one month. If the vehicle is less than ten years old, or if the vehicle dismantler or itinerant vehicle collector pays more than $1,250, he/she must obtain a title or a transferable registration from the property owner. Instructions: Please fill in all boxes, sign by the arrow at the bottom of this page, and attach a VIN tracing from the abandoned vehicle. Within 15 days of acquiring the vehicle, the vehicle dismantler or itinerant vehicle collector will send this completed form, VIN tracing, and copy 2 of form MV-907A to: New York State Department of Motor Vehicles Junk and Salvage Unit PO Box 2105 Albany NY 12220-0105 Vehicle Dismantler’s or Itinerant Vehicle Collector’s Information: Vehicle Dismantler’s/Itinerant Vehicle Collector’s Name Registration No. Vehicle Information: Year Color Make Model Style Vehicle Identification No. Property Owner’s Information: Location where vehicle was abandoned: Number and Street City State Zip Code Name and address of person and/or company owning this property: Last Name First Number and Street Apt. # M.I. City State Zip Code Delivery Agent’s Information: Last Name Motorist ID First Plate on Delivery Vehicle M.I. Date of Birth (Month/Day/Year) Signature of Delivery Agent (Sign Name in Full) Property Owner Statement: I, the undersigned, certify to the following: A. I understand that this vehicle meets the definition of an abandoned vehicle under Section 1224 of the Vehicle and Traffic Law. I also understand that this vehicle may never be titled again, and must be dismantled or scrapped. B. I own the property on which the vehicle described above has been abandoned for ___________________ months/years (minimum time: one month). The owner of the vehicle cannot be located. I have received $1,250 or less in payment for this vehicle. I disposed of this vehicle to the vehicle dismantler or itinerant vehicle collector named on this form. Signature (Sign Name in Full) (Date) IMPORTANT: To knowingly make a false statement or conceal a material fact in this statement is a criminal offense punishable under Section 210.45 of the Penal Law, and Section 392 of the Vehicle and Traffic Law. www.nysdmv.com MV-37 (10/07) American LegalNet, Inc. www.FormsWorkFlow.com