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SHP 498

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13 views1 page

SHP 498

Uploaded by

tbailey7721
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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SHP-498B 04/23

MISSOURI STATE HIGHWAY PATROL


JUNK, SALVAGE, OR REBUILDING AFFIDAVIT

INSTRUCTIONS: This affidavit is not for use in determining title type or brand. This affidavit documents the
sale/purchase of a motor vehicle without a valid motor vehicle safety inspection. The buyer shall complete the
affidavit in the presence of a notary public; the notarized affidavit shall be retained by the seller.

Year Make Model

Vehicle Identification Number Vehicle Mileage Name of Seller

I, the buyer of the above-referenced motor vehicle, certify I am purchasing a vehicle for junk, salvage, repair or
rebuilding purposes that has not been safety inspected to ensure safe operating condition. I understand this
vehicle cannot be registered in Missouri until a Missouri motor vehicle safety inspection is performed (when so
required by law) and an approval certificate is issued. Furthermore, I understand this vehicle cannot be
operated on a public roadway until properly registered.

I make this purchase understanding that repair of any defective components identified during any Missouri
motor vehicle safety inspection is my financial responsibility.

I certify I have read the above statements, or the above statements have been read to me, and that I fully
understand the conditions under which this vehicle is being sold/purchased.

Purchaser’s Printed Name Purchaser’s Signature

Purchaser’s Mailing Address

NOTE: Operation of this vehicle, without proper inspection and registration, upon the public roadways of
Missouri is a violation of Section 307.380, RSMo., and may subject the operator to penalties pursuant to
Sections 307.380 and 307.390, RSMo., 1986. A valid Missouri motor vehicle safety inspection approval
certificate must be presented at the time of application for registration

----------------------------------------------FOR NOTARY PUBLIC USE ONLY----------------------------------------


--
Subscribed and sworn to before me this day of ,
Day Month Year

Notary Public

County of , State of Missouri.

My commission expires .

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