Form 4579 Abandoned Property Bill Of Sale

User Manual: 4579

Open the PDF directly: View PDF PDF.
Page Count: 2

DownloadForm 4579 - Abandoned Property Bill Of Sale
Open PDF In BrowserView PDF
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)



Source Exif Data:
File Type                       : PDF
File Type Extension             : pdf
MIME Type                       : application/pdf
PDF Version                     : 1.7
Linearized                      : Yes
Author                          : Missouri Department of Revenue
Create Date                     : 2017:07:21 13:53:00-05:00
Modify Date                     : 2017:07:21 14:05:08-05:00
Has XFA                         : No
Tagged PDF                      : Yes
XMP Toolkit                     : Adobe XMP Core 5.4-c006 80.159825, 2016/09/16-03:31:08
Metadata Date                   : 2017:07:21 14:05:08-05:00
Creator Tool                    : Adobe InDesign CS6 (Windows)
Instance ID                     : uuid:cda77e27-30d1-46a0-b62a-3508606a7f04
Original Document ID            : xmp.did:21F2BB657051E011A12DB2E6707ACDF0
Document ID                     : xmp.id:1B5018CE456EE711B161E974CF827322
Rendition Class                 : proof:pdf
Derived From Instance ID        : xmp.iid:1A5018CE456EE711B161E974CF827322
Derived From Document ID        : xmp.did:4B728AD3FB8CE311B7D4963755CB9FF1
Derived From Original Document ID: xmp.did:21F2BB657051E011A12DB2E6707ACDF0
Derived From Rendition Class    : default
History Action                  : converted
History Parameters              : from application/x-indesign to application/pdf
History Software Agent          : Adobe InDesign CS6 (Windows)
History Changed                 : /
History When                    : 2017:07:21 13:53-05:00
Format                          : application/pdf
Title                           : Form 4579 - Abandoned Property Bill of Sale
Creator                         : Missouri Department of Revenue
Producer                        : Adobe PDF Library 10.0.1
Trapped                         : False
State                           : 1
Version                         : 1.1
Page Count                      : 2
Signing Date                    : 2017:07:21 14:05:08-05:00
Signing Authority               : ARE Acrobat Product v8.0 P23 0002337
Annotation Usage Rights         : Create, Delete, Modify, Copy, Import, Export
Document Usage Rights           : FullSave
Form Usage Rights               : Add, FillIn, Delete, SubmitStandalone
Signature Usage Rights          : Modify
EXIF Metadata provided by EXIF.tools

Navigation menu