Form 4579 Abandoned Property Bill Of Sale
User Manual: 4579
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Reset Form Form 4579 Print Form Missouri Department of Revenue Abandoned Property Bill of Sale This form is for use by cities or counties that have filed a statement with the Missouri Department of Revenue certifying that they have an ordinance regulating the sale of abandoned property that is consistent with Sections 304.155 to 304.158 of Missouri law. The city or county clerk or deputy must complete all applicable information, sign in the designated area and affix the city or county seal. The purchaser must sign this form in the appropriate area. All vehicles (motor vehicles, trailers, boats, outboard motors, or all-terrain vehicles) sold on an Abandoned Property Bill of Sale will receive an original title, salvage title, or junking certificate. The purchaser of this abandoned property must make application within 30 days of purchase. The seller must select one of the following: r This vehicle is being sold as junk or parts. A junking certificate will be issued. No title fee or taxes are due. A $2.50 processing fee will be charged. (See checklist on back.) r This vehicle is being sold as salvage. A salvage title will be issued. An original title may be issued if a Vehicle Examination Certificate (Form 551) is submitted. The title will be branded “Prior Salvage”. An $8.50 title fee and state and local taxes are due. A $2.50 processing fee must also be included. r This vehicle requires no repair or is rebuildable. An original title will be issued. A Vehicle Examination Certificate (Form 551) must be submitted to obtain an original title, in addition to an $8.50 title fee and state and local taxes, if applicable. A $2.50 processing fee must also be included. See reverse for additional information. Seller (City or County) Address Address of City or County Office City City Abandoned Property Purchaser(s) Name State Year Zip Code Make State Zip Code Model Identification Number Purchase Price Sale Date (MM/DD/YYYY) $ __ __ / __ __ / __ __ __ __ Signature I state that the odometer now reads the aforementioned miles and to the best of my knowledge that it reflects the actual mileage of the vehicle described herein, unless one of the following statements is selected. r r Odometer Reading (No Tenths) Mileage in excess of its mechanical limits Mileage reading not actual (Warning, Odometer Discrepancy) Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. Signature of Purchaser(s) Signature of Municipal Clerk, County Clerk, or Deputy Printed Name(s) of Purchaser(s) Printed Name of Seller Federal law (and State law, if applicable) requires that you state the mileage upon transfer of ownership. Affix Municipal Or County Seal Here Failing to complete or providing a false statement may result in fines or imprisonment. Form 4579 (Revised 03-2014) This form must be attached to your motor vehicle registration application. Motor Vehicle Bureau P.O. Box 2076 Jefferson City, MO 65101-2076 Phone: (573) 526-3669 Visit http://dor.mo.gov/motorv/ for additional information. Below are checklists outlining the documents and fees needed to title your newly purchased abandoned property. Checklist for an “Original” or a “Salvage” title r An application for title properly completed in your (purchaser’s) name(s). The title type must be marked “Salvage” or “Original” title; – An Application for Title and License (Form 108) for motor vehicles, motorcycles, trailers and all terrain vehicles; or – An Application for Missouri Watercraft or Outboard Motor Title and Registration (Form 93) for boats and outboard motors. r This bill of sale completed and issued by the city or county that sold the abandoned property in accordance with its local ordinance; r A completed and signed Vehicle Examination Certificate (Form 551) if applying for an “original” title; r Title penalty fees, if applicable; r An $8.50 title fee; and Note: The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds. r A $2.50 processing fee must also be included. r State and local taxes unless tax exempt, e.g., you are a registered dealer, leasing company, etc. Checklist for a “Junking Certificate” r An application for junking certificate properly completed in your (purchaser’s) name(s). The title type must be marked “Junk” and – An Application for Title and License (DOR-108) for motor vehicles, motorcycles, trailers and all-terrain vehicles; or – An Application for Missouri Watercraft or Outboard Motor Title and Registration (DOR-93) for boats and outboard motors. r A $2.50 processing fee must also be included. r This bill of sale completed and issued by the city or county that sold the abandoned property in accordance with its local ordinance. Note: No title fee or taxes are required when applying for a Junking Certificate. Applications, supporting documents and applicable fees must be mailed to the Missouri Department of Revenue, Motor Vehicle Bureau, 301 W High St, PO Box 2076, Jefferson City Missouri 65105-2076. Form 4579 (Revised 02-2014)
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