Affidavit Of Reconstruction/special Assembly (Page 2 of 2) in pdf

Affidavit Of Reconstruction/special Assembly Page 2

Side B - Motorcycles

This affidavit must accompany the application to title your reconstructed or specially assembled motorcycle. Original titles,

manufacturer's certificates of origin and/or receipts for all major parts used in the construction must accompany this affidavit. Please

refer to the Guide For Reconstructed Vehicles for minimum proof of ownership requirements. If you are doing a reconstruction that

would require the removal of a vehicle identification number (VIN), such as cutting the neckpiece for a custom rake, you must contact

the Inspection Unit at 651-296-9520 before beginning the reconstruction.

Current License Plate Number: ___________________

Current Title Number: ___________________________

Part

Part Number/VIN of Parts Vehicle

Obtained From

Frame

Engine

Engine Cases

Note: If the engine was not

purchased as a complete assembly,

receipts for motor parts and cases

required.

Transmission

Note: If the transmission was not

purchased as a complete assembly,

receipts for transmission parts and

cases are requried.

Fork Assembly

Front Wheel Assembly

Rear Wheel Assembly

Other Changes:

Describe fully any other changes.

Subscribed and sworn to me before this

day of

Repair Shop Name/Phone

Notary Public’s Signature

Assembler’s/Rebuilder’s Signature

Notary Public County of

Owner’s Name

My Commission Expires:

PS2015B-09

Affidavit Of Reconstruction/special Assembly Page 2