The License Plate Surrender WV form is a document used to officially report the loss or theft of a vehicle registration plate in West Virginia. By completing this form, individuals affirm under penalty of false swearing that they cannot surrender the plate to the Division of Motor Vehicles as mandated by state law. For those needing to fill out this form, please click the button below.
The License Plate Surrender WV form serves an essential purpose for vehicle owners in West Virginia who need to officially report the loss or theft of their vehicle registration plates. This form, known as WV-4S REV 2/15, requires individuals to provide their names as they appear on the vehicle title, ensuring that the information is accurate and traceable. By signing this document, owners affirm under penalty of false swearing that they are unable to surrender the lost or stolen plate to the Division of Motor Vehicles. The form also captures vital details such as the license plate number, title number, vehicle make, model, and year, along with the date of the signed statement. This structured approach not only facilitates the processing of the surrender but also helps maintain the integrity of vehicle registration records in the state. By understanding the significance of this form, vehicle owners can navigate the necessary steps with confidence and clarity.
WV-4S REV 2/15
VEHICLE REGISTRATION PLATE SURRENDER FORM
LIST NAME(S) AS SHOWN ON VEHICLE TITLE:
NOTICE OF SURRENDER:
I/We hereby state under penalty of false swearing, the above vehicle registration plate has been lost or stolen and cannot be surrendered to the Division of Motor Vehicles as required by West Virginia Law Code §17D-2A-1 et. seq.
(X)
OWNER SIGNATURE
LICENSE PLATE NUMBER
TITLE NUMBER
VEHICLE MAKE
MODEL YEAR
DATE OF THIS SIGNED STATEMENT
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