Form Vr-198 - Application For Assigned Vehicle Identification Number

Download a blank fillable Form Vr-198 - Application For Assigned Vehicle Identification Number in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Vr-198 - Application For Assigned Vehicle Identification Number with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Motor Vehicle Administration
VR-198 (07-15)
6601 Ritchie Highway, N.E.
Glen Burnie, Maryland 21062
Application for Assigned / Replacement Vehicle Identification Number
Under the applicable provisions of the Maryland Vehicle Law, when the vehicle identification number of a vehicle becomes illegible, obliterated or has
been removed, the owner must make immediate application for an assigned vehicle identification number to the State Motor Vehicle Administration.
Original VIN Replacement
Assigned VIN
VIN number assigned
Owner’s Name (please print)
Co-Owner’s Name (please print)
Owner’s Street Address
Co-Owner’s Street Address
City or Town
County
State
Zip + 4 Code
City or Town
County
State
Zip + 4 Code
In making this application for an assigned vehicle identification number, I agree that the number will be used on a homemade trailer or a substitution
of the vehicle identification plate issued by the manufacturer. When properly affixed, it will become the identification number of the vehicle in all
future transactions.
Year ____________________ Make _______________________________ Model _______________________________ Body Style _______________________________
If vehicle is a homemade trailer, check type:
Boat Trailer
Utility Trailer
Camping Trailer
Other (specify)
If not a homemade trailer, check reason for application:
V.I.N. missing _______________________________________________
Other (specify) ________________________________________________________
In making this application, permission is granted to Maryland State Police or Motor Vehicle Administration representative to search the vehicle listed
for the vehicle identification numbers. Full permission is granted to remove any part of the vehicle or any item necessary to facilitate the search. I
assume full responsibility for this action and absolve the Agency and its representative from all liability should any damage occur to the vehicle.
Should any litigation arise from the issuance of an assigned vehicle identification number, I will indemnify and save harmless the State of Maryland,
Motor Vehicle Administration and its representatives, Authorized Maryland Law Enforcement Agencies.
I certify, under penalty of perjury that the statements made within are true and correct to the best of my knowledge, information and belief.
Owner’s Signature
Date
Co-Owner’s Signature
Date
MVA Use Only:
I, the undersigned authorized representaitves of the Motor Vehicle Administration, declare that this assigned number was affixed to the above
referenced vehicle on the:
(Location) ____________________________________________________ by: _____________________________________________________________________________
MVA Representative
Odometer Reading at time of inspection: ____________________________________________________
P.V.I.N. missing
N.I.C.B. / N.C.I.C. Search
______________________________________________________________
Signature of Agent
Date
FSCL
C-VIN
ENGINE
TRANSMISSION
BODY-PLATE
PARTS-LABEL
CPL
For more information, please call: 410-768-7000 (to speak with a customer agent).
TTY for the hearing impaired: 1-800-492-4575. Visit our website at:

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go