Form - Vr-460 - Disclosure Of Former Vehicle Use - Motor Vehicle Administratio - 2013
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1Motor Vehicle Administration
VR-460 (04-13)
6601 Ritchie Highway, N.E.
Glen Burnie, Maryland 21062
Disclosure of Former Vehicle Use
The following disclosure of vehicle use is set out in the Code of Maryland Regulations 11.12.01.14M. This
form is not intended to be all inclusive. There may be other disclosures required by state or federal laws.
Instructions to Dealer: Please print information in ink.
The vehicle being sold has been previously used: (check all that apply)
❑
Motor Vehicle Enforcement Warranty (Lemon Law);
❑
For public or governmental purposes and normally driven by multiple drivers;
❑
As an executive driven vehicle;
❑
As a demonstrator;
❑
For driver training;
❑
As a taxicab; or
❑
As a short-term rental vehicle;
❑
Other (Specify)
The word “commercial” or similar ambiguous terms may not be used to describe these vehicles.
Vehicle Information
Year ____________ Make ______________ Model _____________
Body Type _________________________
Vehicle Identification No. _______________________________________________________________________
Certification
Any willful misinformation provided with fraudulent intent may be prosecuted under Maryland
Law. I solemnly affirm under penalties of perjury and upon personal knowledge the contents of the
foregoing document are true and correct to the best of my knowledge, information and belief. I
further certify that I read and understand the above requirements.
Name of Dealership ________________________________________
Dealer License# ____________________
by
Date
Dealer Signature
Capacity
Printed Name
by
Date
Applicant Signature
Printed Name
by
Date
Applicant Signature
Printed Name
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:
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Parent category: Miscellaneous