Fillable Vehicle Registration/Plate Status Form (The State of New Jersey)

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Vehicle Registration/Plate Status Form (The State of New Jersey)

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The Vehicle Registration/Plate Status Form (The State of New Jersey) form is 1 page long and contains:

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Vehicle Registration/Plate
Status Form
Vis
it us at www.NJMVC.gov
New Jersey is an Equal Opportunity Employer
RSC-6 (R3/21)
Division of Compliance and Safety
Uninsured Motorist Enforcement Unit
P.O. Box 132
Trenton, NJ 08666-0132
609-292-7500 ext. 5028
Fax: 609-777-3178; 609-777-3179
um.info@mvc.nj.gov
Compl
ete the following information (please print):
FRO
M: Name: ____________________________________________ Date: ______________________
(Registered Owner of Vehicle)
Address: _________________________________________ Phone Number:_______________
Driver License #: _______________________________________________________________
Vehicle ID #: __________________________________________________________________
Year/Make of Vehicle: ___________________________________________________________
Plate #: _______________________________________________________________________
The veh
icle has been (check one):
Sold Junked Repossessed Impounded
Not-in-use
(explain): ________________________________________________
____
____________________________________________
The license plates were (check one):
Dest
royed Left on the vehicle Transferred
Surr
endered to MVC on ___________________ at _______________________
(date) (location)
Lost (Explain): ____________________________________________________
__
___________________________________________________
Sto
len (not recovered)
The registration certificate was (check one):
Dest
royed Left on the vehicle
Surr
endered to MVC on ___________________ at _______________________
(date) (location)
Lost (Explain): ____________________________________________________
__
___________________________________________________
Sto
len (not recovered)
I certify that the above information is true:
Sig
nature _______________________________________ Date ____________________
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Vehicle RegistrationPlate Status Form (The State of New Jersey)

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Completed 24 February 2022

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