Mvt 10-1a Form - Alabama Department Of Revenue Motor Vehicle

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MVT 10-1A

LABAMA

EPARTMENT OF

EVENUE

4/12

OTOR

EHICLE

IVISION

• S

ITLE

ECTION

URETY

OND

NIT

P.O. Box 327640 • Montgomery, AL 36132-7640 • titles@revenue.alabama.gov

The Alabama Department of Revenue acknowledges your request for information on obtaining a certificate of title for a motor vehicle by

posting a surety bond. The amount of the bond, if approved by the Department, will be the amount as specified by rule 810-5-75-.34

(see reverse side of form) and will be in effect for three years pursuant to Section 32-8-36, Code of Alabama 1975. You may post the

entire bond in cash or pay an insurance company to underwrite the surety bond.

The insurance company will charge a fee based on the amount of the bond.

This form is required for a motor vehicle title under bond.

VEHICLE IDENTIFICATION NUMBER (VIN)*

YEAR

MAKE

MODEL

BODY TYPE

CYLINDERS

OWNER MUST COMPLETE THE FOLLOWING:

Provide a detailed explanation as to why you are requesting a title under bond and what efforts were made to obtain a properly assigned

valid certificate of title.

_________________________________________________________________________________________________

Additional sheets may be attached if needed.

Is the vehicle a utility trailer?**

Yes

Was the vehicle purchased as a body, parts, salvage or without an engine?

Yes

___________________________________________________________________

Name of person vehicle purchased from:

__________________________________________________________________________________________

Address:

__________________________________

_______________

_________________________

City:

State:

Date of Purchase:

Provide at least one of the following documents to substantiate ownership of the vehicle:

1. Bill of sale with vehicle identification number.

2. Outstanding title or registration in name of applicant or assigned to applicant.

Upon approval of this request, a partially completed surety bond and instruction sheet will be forwarded to you for completion. If you

desire to post a cash bond instead of a surety bond, please check the block

_____________________________________________________________________________________

Name of owner:

__________________________________________________________________________________________

Address:

_________________________

______________________

________

___________________

City:

County:

State:

Zip Code:

(______)____________________

Contact telephone number (weekdays 8 a.m.-5 p.m.):

_____________________________________________________________________________

Mailing address if different:

_________________________________________________________________________________________________

Email address: ___________________________________________________________________________________________

I hereby certify that all information provided is true and correct to the best of my knowledge:

______________________________________________________________________________________

(Signature of Owner(s))

*All VINs for 1981 and subsequent year model vehicles that conform to federal anti-theft standards are required to have 17 digits/characters.

**A utility trailer is defined as a vehicle without motive power designed to be drawn by a passenger car or pickup truck. All utility trailers, other than

folding or collapsible camping trailers more than 20 model years old, are exempt from titling.