New Jersey > Statewide > Motor Vehicle Commission
Salvage Inspection Application OS-SS-3 - New Jersey
| Salvage Inspection Application Form. This is a New Jersey form and can be used in Motor Vehicle Commission Statewide . |
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Motor Vehicle Commission SALVAGE INSPECTION APPLICATION Toll free in NJ: (888) 486-3339 ext. 5063 PLEASE PRINT Proper delivery depends on a complete address. OWNER NAME: Special Title Unit P.O. Box 017 Trenton, NJ 08666-0017 Out-of-State: (609) 292-6500 ext. 5063 DATE. RE: VEHICLE I.D. NO. YEAR MAKE/MODEL SALVAGE TITLE CONTROL NO. BUSINESS PHONE: PHONE: ________ _____________________ (HOME) (CELL) E-MAIL: _________________________________________________ STREET ADDRESS: CITY, STATE AND ZIP CODE: NOTICE OF APPOINTMENT FOR VEHICLE IDENTIFICATION INSPECTION Your vehicle must be physically inspected to determine if it conforms to the vehicle description and identification as noted on the salvage title presently held by you in your name before a valid negotiable title can be issued by the Motor Vehicle Commission. NOTE: To comply with the Motor Vehicle Commission and Traffic regulations (Title 39) of the State of New Jersey. YOU MUST tow your vehicle to the inspection site or obtain a 5 day temporary registration at your local Motor Vehicle Agency. If you are a dealer, dealer plates may be used. CHECK INSPECTION SITE BLCOK: Asbury Park, 1010 Comstock St. Westfield, 410 South Ave. Winslow, 250 Spring Garden Rd. Phone Numbers 732-869-8333 609-468-9664 609-567-0190 609-567-0652 Date: Fax Numbers 732-869-8332 Time: $200.00 Fee paid (clerk's initials) $100.00 (Motorcycles only) (NON-REFUNDABLE AND EXPIRES IN ONE YEAR) NO CASH. Check or Money Order Only IMPORTANT 1. The inspection will take approximately one hour. You may NOT observe the inspection of your vehicle. 2. Do NOT bring children with you. 3. Failure to appear for your scheduled appointment will result in forfeiture of your inspection fee unless you request a rescheduling at least 5 working days prior to the above date. If you are late for the scheduled appointment, you also forfeit the inspection fee and must reapply. COMPLETE THE INFORMATION BELOW AND BRING TO INSPECTION SITE: PREVIOUS OWNER'S NAME CITY VEHICLE CONDITION - Check all boxes that apply VEHICLE IDENTIFICATION PLATE MISSING, ALTERED, OR DEFACED STREET ADDRESS STATE., ZIP CODE MAJOR COMPONENT PARTS REPLACED ENGINE COWL SHOCK TOWER OR APRON TRANSMISSION HOOD OR FRONT END ASSY. FRONT OR REAR BUMPER (S) ROOF DOOR(S) FRAME MUST SURRENDER TITLE IF AVAILABLE DECKLID TAILGATE OR HATCHBACK FRONT OR REAR FENDER (S) OR PANEL (S) OTHER (SPECIFY) SHORT CLIP (REAR CLIP WITHOUT ROOF) REAR CLIP (REAR SHEET METAL, FRAME SECTION, ROOF) ASSEMBLED ITEMS: NOSE (FENDERS, HOOD BUMPER. RADIATOR) FRONT CLIP (COWL, FRAME SECTION, SHOCK & APRON STRUCTURE) Receipts for parts replaced must accompany the salvage title at inspection. The identification number of the vehicle they were removed from must be on the receipt. Also required before & after color pictures and work order. CONSENT FOR INSPECTION OF VEHICLE IDENTIFICATION NUMBER I certify the information on this application is true and consent to have the identification of my motor vehicle verified by employees or authorized representatives of the State of New Jersey. This verification may include the removal of parts. Signature of Owner Date For the regulations pertaining to Salvage Certificate of Title (N.J.A.C. 13:21-22), please visit our website at www.njmvc.gov/biz OS/SS-3 (R12/11) American LegalNet, Inc. www.FormsWorkFlow.com New Jersey Motor Vehicle Commission P.O. Box 017 Trenton, NJ 08666-0017 The Motor Vehicle Commission requires before and after photos of the vehicle. These photos must clearly show all four sides of the vehicle. The requirements and restrictions of the photos are as follows: · · · · · · · The vehicle must be clean and free of any debris or snow. Color photos are required. Photos must be clear. Photos cannot cut off any portion of the vehicle. Photos must be standard size or larger (2¼ X 4¼). Polaroid photos are acceptable. Photo quality paper is required if pictures are self printed. Note: If you do not have before photos you must first contact the previous owner. If you are unsuccessful in obtaining acceptable before photos, a damage report from the insurance company is required. This will only substitute for the before photos. A B C D E F G A, B, & C are all acceptable photos. D is an unacceptable photo and will be rejected because the rear bumper is cut off. E & F are acceptable photos. This is an example of taking a picture that captures two sides of the vehicle in a single picture. G is an unacceptable photo because it cuts off the front, driver side of the vehicle. If you have any questions, feel free to contact any one of the following specialty sites: Asbury Park: (732) 8698333 Westfield: (609) 4689664 Winslow: (609) 5670190 OS/SS-3 (R12/11) American LegalNet, Inc. www.FormsWorkFlow.com
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