Form Rv-F1313801 - Vehicle Information Request
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TENNESSEE DEPARTMENT OF REVENUE
VEHICLE SERVICES DIVISION
VEHICLE INFORMATION REQUEST
This request must be completed before motor vehicle information can be obtained from the Tennessee Department of Revenue. Knowledge of
what access and uses are permitted under the listed State and Federal Acts is the responsibility of the requester.
SECTION A. Requester Information
Name (Individual, Firm, Corp. or Government Entity)
_________________________________________________________________
Name and Title (Person requesting information)
_____________________________________________________________________
Street Address
________________________________________ City, State, Zip
_______________________________________
E-mail Address ________________________________________
Telephone No. _______________________________________
Mailing Address
_______________________________________________________________________________________________
(if different from above)
SECTION B. Vehicle Information Requested (Itemize any additional requests on a separate list and attach.)
Check Items Requested.
Computer printout of vehicle records: $1.00 per record
Other (Describe specific information requested.)
Certified computer printout of vehicle record: $1.50 per record
__________________________________________
Photocopies of all documents for the:
__________________________________________
Current motor vehicle record: $5.00 per record
__________________________________________
Complete history of vehicle: $15.00 per history
__________________________________________
Provide any known vehicle information below.
Make _____________ Year _____________ VIN ____________________________________________ Tag # _________________
Name and address of last known owner ______________________________________________________________________________
SECTION C. Authorization: Please check the statement(s) below that describe the purpose(s) for which you will use the requested
information.
I (we) are authorized under the Federal Driver's Privacy Protection Act, 18 U.S.C. §§ 2721-2725 (2012), and the Tennessee Uniform Motor
Vehicle Records Disclosure Act, T
. C
A
. §§ 55-25-101 through -112 (2012 & Supp. 2013) to obtain the identified records and
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personal information for the following use(s):
Use by a government agency, including any court or law enforcement agency, in carrying out its functions, or any private person or entity
acting on behalf of a federal, state, or local agency in carrying out its functions. T
. C
A
. § 55-25-107(b)(1). Your request for
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information must be accompanied by a statement on agency letterhead verifying employment status. T
. C
A
. § 55-25-107(b)(1).
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Use in connection with matters of motor vehicle or driver safety and theft, motor vehicle emissions, motor vehicle product alterations,
recalls, or advisories, performance monitoring of motor vehicles, motor vehicle parts and dealers, motor vehicle market research activities,
including survey research, and removal of non-owner records from the original owner records of motor vehicle manufacturers. T
.
ENN
C
A
. § 55-25-107(b)(2).
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RV-F1313801 (Rev. 5-14)
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Parent category: Financial