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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