Form Mv-220 - Application For Abandoned Vehicle Identification Request Or Vehicle Record And Privacy Disclosure Release

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APPLICATION FOR ABANDONED VEHICLE IDENTIFICATION REQUEST OR
VEHICLE RECORD AND PRIVACY DISCLOSURE RELEASE
APPLICANT AND VEHICLE INFORMATION
Applicant Name
Daytime Phone #
Email Address
(
)
-
Mailing Address
City
State
ZIP
Vehicle Make
Year
VIN
Model
Body Style
Color
License Plate No. w/Exp. Date (If
Title # (If Applicable)
State License Plate is from (If
Applicable)
Applicable)
Owner Name (If Applicable)
TYPE OF APPLICATION-IF UNSURE PLEASE CALL YOUR COUNTY CLERK AND DESCRIBE YOUR SITUATION
BONDED - You bought a vehicle and are unable to obtain a title- PROCEED TO STEPS 4, 5 AND 6
STORAGE/MECHANIC LIEN SALE - You have a verbal or written agreement with a vehicle owner resulting in an
unpaid bill- PROCEED TO STEPS 4, 5 AND 6
ABANDONED-IN WYOMING ONLY! - The vehicle was left unattended on private property IN WYOMING, without
the express consent of the owner for at least 30 days. COMPLETE STEP 3 THEN PROCEED TO STEPS 5 AND 6
OTHER Please check the appropriate box in Step #4 on the back of this form THEN PROCEED TO STEPS 5 AND 6
WYOMING ABANDONED VEHICLE INFORMATION
(Complete only if you have checked “Abandoned” above)
Address where the vehicle was abandoned
City
State
ZIP
Describe how the vehicle came into your possession
Date vehicle was abandoned or
towed
IF VEHICLE WAS MOVED TO ANOTHER LOCATION, PLEASE COMPLETE BELOW
Name of Person who removed the vehicle
Date of Removal
Time of Removal
Mailing Address where vehicle is currently located
City
State
ZIP
*The above described vehicle has been abandoned on my private property or towed by my company
and left in excess of 30 consecutive days. I understand Wyoming statue 31-13-109 can only be used
when a vehicle is abandoned without the consent of the owner or person in lawful control of the
I understand vehicles
property for 30 days after the date agreed upon by both parties.
purchased without clear title and vehicles left with consent cannot be processed
as abandoned
, as there is no provision for expiration of consent. I understand the department is
vested only with the responsibility of making reasonable efforts to identify the vehicle’s owner and any
lien holder of record and forward the information obtained.
Was the vehicle tagged by law enforcement?
Yes
No
TURN OVER
MV-220 (10/15)

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Parent category: Legal
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