Certificate of Verification for Street Rod - PDF document

1 4 4 4 4 4 4 4 4 Certificate of Verificat
4 4 4 4 4 4 4 4 Certificate of Verification for Street Rod Department of Motor VehiclesAgency of Transportation 120 State StreetMontpelier, Vermont 056030001802.828.2000 dmv.vermont.gov VEHICLE DESCRIPTION Make: Model: Body Type: Color GVW Year (of manufacture) SR or SRR VIN: OWNERINFORMATION Name: Last First Middle Street Address City State Zip Printed Name of Person Making Certification Signature of Person Making Certification Name of Business Date NOTICE:Thisdocument is NOT a certificate of title or registration, nor does possession of this document mean that the vehicle described herein has been inspected and found fit tobe driven on any highway in this State. NSTRUCTIONS This Certificate of Verificationfor a Street Rod or Replica of a Street Rod must be completed and submitted along with a completed Vermont Registrationorm 119) to register a vehicle as a street rod and display Vermont “Street Rod” license plates issued bthe Departmentof Motor Vehicles. Vehicles must be inspected within 15 days of registration. Oneopy(Owner’s Copy) of the Certificate of Verificationmust be available for examination by the mechanic inspecting the St

2 reet Rod. Any licensed Vermont Inspecti
reet Rod. Any licensed Vermont Inspection Station may perform annual inspections of previously certified Street Rods. Certified Street Rods currently registered in Vermont and displaying standard pleasure car or truck license plates will be issued Vermont “Street Rod” license plates for areplacement plate fee of $20.00, in addition to any registration renewal fee due. A photocopy of a previously completed Certificate of Verification must be submitted along with a completed form VDIf the original manufacturer's VIN cannot be verified or is not located in a place easily accessible to any law enforcement officer or inspection mechanic, a Vermont Assigned VIN shall be issued. The application for Vermont Assigned VIN (Form VT03) must be made to the Department of Motor Vehicles. A Motor Vehicle Inspector or a certified street rod inspector must attach the VIN plate before the Certificate of Verification can be completed.The VIN plate is to be attached either on the firewall or the door pillarpost of the driver's side of the vehicle. The following mechanics have been authorized by the Department of Motor Vehicles to inspect anverify that a vehicle qualifies to be registered as a street rod or street rod replica:Kim's Car CareRoute 103ChesterMaglaris Automotive Services49 Commerce AvenueSouth BurlingtonPetry’s GarageRoute 7, Box 9East DorsetSkidmore’s Service CenterRoute 116 South, Box 906BristolSummer Street Auto41 Pearl StreetBarreTCS Body & Paint Shop1365 Burr RoadFair HavenViking Auto Repair530 Tyler Hill RoadVernon