Get In Sf 39530 2011

Reset Form PHYSICAL INSPECTION OF A VEHICLE OR WATERCRAFT State Form 39530 R5 / 12-11 Approved by State Board of Accounts 2011 INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS 1. Approved inspector must complete information in blue or black ink or print form* 2. The vehicle identification number VIN or hull identification number HIN must be inspected to verify the existence and condition of the number. An ownership document is not required to be submitted for inspection* 3. Inspections may be performed by an employee of a dealer designated by the Indiana Secretary of State a military policeman assigned to a military post in Indiana a police officer or a designated employee of a BMV full or partial service license branch. 4. Police officers completing this form may not charge a fee of more than 5. 00 for vehicles. No fee may be collected for watercraft inspections. Authorized Indiana dealers and BMV full or partial service license branches may not assess a fee. 5. Dealers may not perform watercraft inspections. OWNER INFORMATION Name last first middle initial or company name Address number and street City State ZIP Code VEHICLE OR WATERCRAFT INFORMATION NONE select if no identification number found Identification Number Year Make Model Plate Number / State Type Watercraft Registration Number if applicable For assembled vehicles or watercraft include serial numbers for major component parts if present Engine / Motor Transmission Body Chassis Front Assembly Rear Clip Frame Other specify IDACS / NCIC Check required if form is completed by a police officer Date Check Performed mm/dd/yyyy Comments I swear or affirm that the information I have entered on this form is correct. I understand making a false statement may constitute the crime of perjury. Signature of Inspector Printed Name Title Date mm/dd/yyyy Badge / Branch / Dealer Number Police Department / Branch / Dealership Telephone Number Email Address. Approved inspector must complete information in blue or black ink or print form* 2. The vehicle identification number VIN or hull identification number HIN must be inspected to verify the existence and condition of the number. An ownership document is not required to be submitted for inspection* 3. Inspections may be performed by an employee of a dealer designated by the Indiana Secretary of State a military policeman assigned to a military post in Indiana a police officer or a designated employee of a BMV full or partial service license branch. An ownership document is not required to be submitted for inspection* 3. Inspections may be performed by an employee of a dealer designated by the Indiana Secretary of State a military policeman assigned to a military post in Indiana a police officer or a designated employee of a BMV full or partial service license branch. 4. Police officers completing this form may not charge a fee of more than 5. 00 for vehicles. No fee may be collected for watercraft inspections. 4. Police officers completing this form may not charge a fee of more than 5. 00 for vehicles. No fee may be collected for watercraft inspections. Authorized Indiana dealers and BMV full or partial service license branches may not assess a fee. 5. .