Form Mvt 5-10 - Motor Vehicle Inspection Form By A Federal, State, County Or Municipal Law Enforcement Officer
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1A
D
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MVT 5-10
LABAMA
EPARTMENT OF
EVENUE
3/97
M
V
D
– T
S
OTOR
EHICLE
IVISION
ITLE
ECTION
FOR USE BY
COUNTY OFFICIALS
Montgomery, Alabama 36132
ONLY
Motor Vehicle Inspection Form by a
Federal, State, County or Municipal Law Enforcement Officer
SUPPORTING DOCUMENT TO AN APPLICATION FOR A FIRST ALABAMA CERTIFICATE OF TITLE
COMPLETE THIS FORM WITH DARK INK FOR MICROFILMING
PART I – Vehicle Inspection by Law Enforcement Officer (complete in full)
NOTE: Examine Public VIN Plate and make certain that the rivets are intact and the VIN has not been altered.
Vehicle Identification Number: ___________________________________________________________________________________
Make: ______________________________ Year: ______________________________ Model: _____________________________
Body Type: ___________________________________________
Number of Cylinders: ___________________________________
Color:________________________________________________
Odometer Reading: _____________________________________
Other Description or Comments (if any): ___________________________________________________________________________
____________________________________________________________________________________________________________
I hereby certify that I completed the information above from a physical inspection of the motor vehicle and that all infor-
mation is true and correct.
Name of Officer (Print): _________________________________________________ Badge No.: _____________________________
Signature: ________________________________________________________ Date: __________________________________
Law Enforcement Agency: ______________________________________________ Phone No.: ______________________________
Agency Address: _____________________________________________________________________________________________
________________________________________________________________________________ Zip Code: ___________________
PART II – Appointment of Deputy by a Probate Judge, License Commissioner or Director of Revenue
I hereby accept the certification of physical inspection of the motor vehicle as completed above and I appoint this law
enforcement officer as my deputy for the purpose of this physical inspection required of me personally or through any of
my deputies by State law. I further certify that the vehicle identification number and vehicle description completed above
are the same as the information shown on application for certificate of title number: ____________________________________
Signature: ________________________________________________________ Date: __________________________________
County Official: __________________________________________ Designated Agent No.: _________________________________
(Probate Judge, License Commissioner or Director of Revenue)
NOTE: This form may be provided to owners of motor vehicles that cannot be driven or delivered to the Courthouse for
a physical inspection because of the size of vehicle or for other special reasons.
Please instruct the owner to deliver this form and the vehicle to a governmental law enforcement officer for
inspection.
Please be reminded that the vehicle to be titled must be located in Alabama and required to be registered in
Alabama before vehicle can be inspected for title in this state.
THIS FORM MAY BE REPRODUCED
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