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Missouri Abandoned Property Bill of Sale Form

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The Missouri abandoned property bill of sale form is a legal document provided by Motor Vehicle Bureau of Missouri Department of Revenue for the transfer of the abandoned property such as vehicles.

Missouri Abandoned Property Bill of Sale Form
Missouri Abandoned Property Bill of Sale Form
MISSOURI DEPARTMENT OF REVENUE
MOTOR VEHICLE BUREAU
P O BOX 2076 JEFFERSON CITY MO 65105-2076
(573) 526-3669 www.dor.mo.gov/mvdl
ABANDONED PROPERTY BILL OF SALE
MO 860-2698 (5-2006)
FORM
4579
(REV. 5-2006)
This form is for use by cities/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/county clerk/deputy must complete all applicable
information, sign in the designated area and affix the city/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 check one
of the following:
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.)
This vehicle is being sold as salvage. A salvage title will be issued. An original title may be issued if a Vehicle Examination Certificate (DOR-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.
This vehicle requires no repair or is rebuildable. An original title will be issued. A Vehicle Examination Certificate (DOR-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.
PURCHASER(S) NAME
ADDRESS
CITY STATE ZIP CODE
SELLER (CITY/COUNTY)
ADDRESS OF CITY/COUNTY OFFICE
CITY STATE ZIP CODE
ABANDONED PROPERTY DESCRIPTION
YEAR MAKE MODEL IDENTIFICATION NUMBER PURCHASE PRICE SALE DATE
ODOMETER READING (NO TENTHS)
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 checked.
Mileage in excess of its mechanical limits Mileage reading not actual (WARNING, ODOMETER DISCREPANCY)
SIGNATURE OF PURCHASER(S) SIGNATURE OF MUNICIPAL/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. Failing to complete or providing a
false statement may result in fines and/or imprisonment.
AFFIX MUNICIPAL OR COUNTY SEAL HERE
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Missouri Abandoned Property Bill of Sale Form
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