Form Lt-260 - Report Of Unclaimed Motor Vehicles
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1North Carolina Department of Transportation
DIVISION OF MOTOR VEHICLES
LICENSE AND THEFT BUREAU
REPORT OF UNCLAIMED MOTOR VEHICLES
Date: ___________________
The motor vehicle described below has been unclaimed for 10 days and is hereby reported to the North Carolina Division of Motor
Vehicles as required by law. (G.S. §20-77(d))
FRAUDULENT OR LATE FORMS MAY RESULT IN CRIMINAL PROSECUTION
INCOMPLETE FORMS WILL BE RETURNED TO SENDER FOR CORRECTION PRIOR TO PROCESSING
PLEASE PRINT OR TYPE FORM
Make _____________ Year ________ Serial No. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
1
2
3
4
5
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7
8
9
10
11
12
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17
Date vehicle left _________________
(Vehicles 1981 and newer will have 17 digits / does not contains letters I, O or Q)
Lic. Plate No. ______________ Year ___________ State __________ County (if shown on License) _________________________
Body: TL
2-Door
4-Door
SW
MC
TK
Other
Approximate value $ _______________________
Vehicle left for:
Parking
Repairs
Storage
Other
Explain _____________________________________________
__________________________________________________________________________________________________________
Location of vehicle (place stored) Name ________________________________________________________________________
Address ___________________________________ City________________________________ State ___________ Zip_________
(
)
Telephone No. _________________________________________
Name and address of the person authorizing your Firm to tow, store, and/or make repairs: (Required or explain)
Name or explanation _________________________________________________________________________________________
Address ____________________________________City _______________________________ State ___________ Zip _________
Any evidence in vehicle to assist in locating owner or in tracing _______________________________________________________
___________________________________________________________________________________________________________
Is vehicle in running condition? Yes
No
Wrecked? Yes
No
Remarks ___________________________________________________________________________________________________
___________________________________________________________________________________________________________
I ________________________________________________________________ certify that the above information is true and correct.
Signature (Authorized Agent of Your Firm)
Printed Name
_____________________________________________________ ____________________________________________________
Your Firm’s Name
Position or Title
Address
Acknowledged before me this
day of _
County _________________________________ State ___________
_______________
_______________________, ______________
Notary Public __________________________________________________________ My Commission expires the __________ day of _____________, _________
Mail to: DMV License and Theft Bureau Notice & Storage Unit
(SEAL)
3132 Mail Service Center
Raleigh, North Carolina 27699-3132
If you have questions, please call (919) 861-3187
LT-260 (Rev. 09/12)
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