Fillable Mv2731 MV2731 Junk Frame Statement

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Mv2731 MV2731 Junk Frame Statement

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JUNK FRAME STATEMENT
MV2731 4/2014 WI Admin. Code Trans 149 & 305.23
Wisconsin Department of Transportation (WisDOT)
http://wisconsindot.gov
I certify that the vehicle frame on the junked vehicle listed below has not been damaged. The frame is sound and able to be used
to repair a vehicle as of the date this form is signed.
I also understand that any person who knowingly makes a false statement to the Wisconsin Department of Transportation in an
application for title is guilty of a Class H Felony under s.342.06(02) Wisconsin Stats.
X
X
(Supplier Signature)
(Date – m/d/yyyy)
(Buyer/Authorized Agent Signature)
(Date – m/d/yyyy)
This form must be submitted with the repaired salvage vehicle application to the Wisconsin Salvage Vehicle Inspector.
FRAME SUPPLIER or FRAME SELLER
If not typed, complete form using BLUE or BLACK ink.
Dealer or Salvage Dealer Number
Address, City, State, ZIP Code
FRAME FROM VEHICLE
Year
Make
Model
Vehicle Identification Number (VIN)
1
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Completed 10 July 2020

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