DMV Application for Salvage Title - Oregon

VEHICLE INFORMATION REASON FOR SALVAGE TITLE

DM V

DEPARTMENT OF TRANSPORTATION DRIVER AND MOTOR VEHICLE SERVICES 1905 LANA AVE NE, SALEM OREGON 97314

Application for Salvage Title

REMARKS:

Please read instructions on the back before completing this form.

Clear Form

A salvage title must be obtained for vehicles: (ORS 819.010; 819.012, 819.014 and 819.016)

? Declared a total loss by an insurer who is obligated to cover the loss (this includes damaged and un-recovered stolen); or

? That have sustained damage not covered by an insurer and the estimated repair cost is equal to at least 80% of the retail

market value prior to the damage. "Retail market value" is defined as the amount shown in publications used by financial

institutions (e.g., banks and lenders) in this state; or

? Wrecked, disassembled, dismantled, substantially altered, if the intention is to repair or rebuild the vehicle, transfer the

vehicle to anyone other than a licensed dismantler, or use the frame or unibody to repair or construct another vehicle.

Vehicle is:

Totaled and meets one of the above definitions. (ORS 801.527) Wrecked, dismantled or disassembled. (ORS 819.010) Substantially altered. (ORS 819.010)

VEHICLE IDENTIFICATION NUMBER (VIN)

1

PRESENT OREGON PLATE #

2

YEAR

MAKE

OREGON TITLE # STYLE

EQUIPMENT #

TRAILER OVER

YES

8 1/2 FEET WIDE:

NO

REFERENCE #

3

'!3 %,%#42)#

$)%3%, 02/0!.%

(9"2)$ 1$785$/ *$6

3/8*,1 + ................
................

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