Form 5046 Sample - 40 Year Or Older Reconstructed Motor Vehicle Valued At 3,000 Dollars And Below Affidavit Of Ownership And Inspection Page 2

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“Any false statement in this application is a violation of the law and may be punished by fine or imprisonment or both.” (301.420 RSMo)
THIS INSPECTION FORM EXPIRES SIX MONTHS FROM THE DATE OF COMPLETION.
PLEASE REVIEW THE DEFINITION BELOW AS YOUR VEHICLE WILL BE CLASSIFIED AND TITLED ACCORDINGLY.
RECONSTRUCTED MOTOR VEHICLE – A vehicle that is altered from its original construction by the addition or substitution of two or more
new or used major component parts, excluding motor vehicles made from all new parts, and new multistage manufactured vehicles. The
title will be branded “RECONSTRUCTED MOTOR VEHICLE”.
MAJOR COMPONENT PARTS
COWL - sheet metal formed by severing the vehicle across the floor in the vicinity of the front seat, severing the windshield posts (not
including removing the parts forward to the firewall).
REAR CLIP - the complete rear sheet metal assembly formed by severing the vehicle across the floor and either through the windshield
post or through the rear window post.
FRAME - the steel basic structure which runs the entire length of the vehicle onto which the suspension parts are bolted to the lower side
and the body is bolted to the top side.
BODY - the shell, either of a unibody or frame-type passenger vehicle, which consists of one-piece, integrated sheet metal construction
extending from the firewall back. The body includes a cowl but not a front-end assembly. It may or may not include an interior, doors, and
deck lid.
CAB - the passenger compartment of a common truck. It is a one-piece sheet metal construction which may or may not include glass,
instrumentation, steering column, and seat.
FRONT CLIP - all parts of the front end assembly plus complete cowl, and may include instrumentation and steering column. Requires
cutting of the floor and windshield post.
FRONT END ASSEMBLY - an entire unit consisting of that portion of the body from the firewall forward (i.e., hood, both fenders, inner skirt
or fenders, radiator or core support, grille).
MAJOR COMPONENT PARTS - MOTORCYCLE
FRAME - the basic skeletal structure onto which the major and/or essential* component parts are secured for the construction and
completion of the vehicle.
MOTOR
TRANSMISSION
*ESSENTIAL COMPONENT PARTS - driveline parts, fenders, gas tank, or suspension parts.
These definitions are subject to change. The Missouri Department of Revenue’s current Administrative Rule on this subject shall control.
RETURN TO:
MISSOURI DEPARTMENT OF REVENUE
MOTOR VEHICLE BUREAU
PO BOX 3325 OR PO BOX 3310 (QUICK TITLE)
JEFFERSON CITY MO 65105-3325
CHECKLIST
1.
This form completed and notarized;
2.
Application for Missouri Title and License, DOR-108;
3.
Certificate of Title, Manufacturer’s Certificate of Origin, or any other proof of ownership;
4.
Receipts, Bills of Sale, or other titles for each of the parts listed on the front of this affidavit;
5.
$150 Motor Vehicle Reconstruction fee; and
6.
Title fee, processing fees, and taxes owed.
The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds.
MO 860-3030 (9-04)

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