Form Hsmv 82363 - Application For Salvage Title Certificate Of Destruction Page 2
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2MOTOR VEHICLE IDENTIFICATION NUMBER VERIFICATION
THIS SECTION REQUIRES A PHYSICAL INSPECTION AND A VERIFICATION OF THE VEHICLE IDENTIFICATION NUMBER
OF THE MOTOR VEHICLE DESCRIBED ON THIS FORM BY A LICENSED DEALER, FLORIDA NOTARY PUBLIC, POLICE
OFFICER, FLORIDA DIVISION OF MOTOR VEHICLES EMPLOYEE OR TAX COLLECTOR EMPLOYEE. IF THE VIN IS
VERIFIED BY AN OUT OF STATE MOTOR VEHICLE DEALER, THE VERIFICATION MUST BE SUBMITTED ON THEIR
LETTERHEAD STATIONERY. COMPLETE THIS SECTION ON ALL USED MOTOR VEHICLES, INCLUDING TRAILERS
(WITH ABBREVIATION OF TL AND A WEIGHT OF 2,000 POUNDS OR MORE) NOT CURRENTLY TITLED IN FLORIDA.
I, the undersigned, certify that I have physically inspected the vehicle described on side 1 of this form and found the
vehicle identification number to be:
________________________________________________________
(Vehicle Identification Number)
___
DATE
SIGNATURE
PRINTED NAME
Law Enforcement Officer or Florida Dealer/Agency Name
Badge # or Florida Dealer #_________________
____________________________________
Florida DMV/Tax Collector Employee _____________________________________________________________
(Notary Stamp)
Florida Compliance Examiner/Inspector Badge or ID Number __________________________________________
Commissioned Name of Florida Notary
Notary's Signature
____________________________________
___________________________________________
(Print, Type or Stamp)
WHEN DOES THE VIN VERIFICATION ON THIS FORM NOT HAVE TO BE COMPLETED?
THE VIN VERIFICATION ON THIS FORM DOES NOT HAVE TO BE COMPLETED ON NEW MOTOR VEHICLES, MOBILE
HOMES, TRAVEL TRAILERS, CAMPING TRAILERS, FIFTH WHEEL RECREATIONAL VEHICLES, TRAILERS OR SEMI
TRAILERS WITH A NET WEIGHT OF LESS THAN 2,000 POUNDS, WHEN A FLORIDA CERTIFICATE OF TITLE IS SUBMITTED
AS PROOF OF OWNERSHIP OR WHEN FORM HSMV 82042 HAS BEEN COMPLETED AND IS ATTACHED.
WHEN SHOULD THE ODOMETER DECLARATION ON THIS FORM NOT BE COMPLETED?
THE ODOMETER DECLARATION IN SECTION 8 OF THIS FORM DOES NOT HAVE TO BE COMPLETED WHEN THE VEHICLE
BEING TITLED IS EXEMPT FROM ODOMETER DISCLOSURE REQUIREMENTS. EXEMPTIONS: WHEN THE VEHICLE IS
TEN YEARS OLD OR OLDER, HAS A GROSS VEHICLE WEIGHT RATING (GVWR) OF MORE THAN 16,000 POUNDS OR IS
NOT SELF PROPELLED.
WHO IS AUTHORIZED TO USE THIS FORM?
Any person, or authorized agent of any person or business, required to make application for a Florida Salvage
Certificate of Title/Certificate of Destruction.
WHEN SHOULD THIS FORM BE USED?
1.
When an insurance company has paid a "Total Loss" on a motor vehicle or mobile home and must make application for a
Salvage Certificate of Title/Certificate of Destruction in the name of the insurance company.
2.
When an Uninsured or Self-Insured has a motor vehicle or mobile home that has been wrecked or damaged, and at the
time of loss the cost of repairing or rebuilding the motor vehicle or mobile home is 80% or more of the cost to the owner of
replacing the wrecked or damaged motor vehicle or mobile home with one of like kind or quality.
3.
When applying for a duplicate Certificate of Destruction.
NOTE: If requested, a Salvage Rebuildable or Salvage Rebuildable Flood certificate of Title for an uninsured motor
vehicle or mobile home may be issued if the cost of repairing or rebuilding the vehicle is less than 80 percent.
FILING:
1.
ALL APPLICABLE SECTIONS OF THIS FORM MUST BE COMPLETED LEGIBLY.
ONE
2.
THIS FORM MUST BE DOCUMENTED BY THE ATTACHMENT OF
OF THE FOLLOWING, UNLESS APPLYING FOR
A DUPLICATE CERTIFICATE OF DESTRUCTION:
(A) FLORIDA CERTIFICATE OF TITLE.
(B) MANUFACTURER'S CERTIFICATE OF ORIGIN.
(C) OUT-OF-STATE TITLE OR OTHER OFFICIAL PROOF OF OWNERSHIP.
NOTE: When an insurance company pays the vehicle owner to replace the wrecked or damaged vehicle with one of
like kind or quality, or when an insurance company pays the owner upon the theft of the motor vehicle or
mobile home, the insurance company must have the title/Certificate of Destruction issued in their name.
NOTE: A certificate of title will not be issued on a used motor vehicle that has been stolen from an out-of-state
owner until the motor vehicle has been recovered and the required VIN verification can be performed.
NOTE: This form has been combined with form HSMV 82042.
HSMV 82363 (Rev. 09/06) S
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