Fillable Printable Report Of Unclaimed Motor Vehicles ( Lt-260 )

Report Of Unclaimed Motor Vehicles ( Lt-260 )

North Carolina Department of Transportation

DIVISION OF MOTOR VEHICLES

LICENSE AND THEFT BUREAU

REPORT OF UNCLAIMED MOTOR VEHICLES

LT-260 (Rev. 09/12)

Date: ___________________

The motor vehicle described below has been unclaimed for 10 days and is hereby reported to the North Carolina Division of Motor

Vehicles as required by law. (G.S. §20-77(d))

FRAUDULENT OR LATE FORMS MAY RESULT IN CRIMINAL PROSECUTION

INCOMPLETE FORMS WILL BE RETURNED TO SENDER FOR CORRECTION PRIOR TO PROCESSING

PLEASE PRINT OR TYPE FORM

Make _____________ Year ________ Serial No. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Date vehicle left _________________ (Vehicles 1981 and newer will have 17 digits / does not contains letters I, O or Q)

Lic. Plate No. ______________ Year ___________ State __________ County (if shown on License) _________________________

Body: TL 2-Door 4-Door SW MC TK Other Approximate value $ _______________________

Vehicle left for: Parking Repairs Storage Other Explain _____________________________________________

__________________________________________________________________________________________________________

Location of vehicle (place stored) Name ________________________________________________________________________

Address ___________________________________ City________________________________ State ___________ Zip_________

Telephone No. _________________________________________

Name and address of the person authorizing your Firm to tow, store, and/or make repairs: (Required or explain)

Name or explanation _________________________________________________________________________________________

Address ____________________________________City _______________________________ State ___________ Zip _________

Any evidence in vehicle to assist in locating owner or in tracing _______________________________________________________

___________________________________________________________________________________________________________

Is vehicle in running condition? Yes No Wrecked? Yes No

Remarks ___________________________________________________________________________________________________

___________________________________________________________________________________________________________

I ________________________________________________________________ certify that the above information is true and correct.

Signature (Authorized Agent of Your Firm) Printed Name

_____________________________________________________ ____________________________________________________

Your Firm’s Name Position or Title Address

Acknowledged before me this _______________ day of ________________________, ______________ County _________________________________ State ___________

Notary Public __________________________________________________________ My Commission expires the __________ day of _____________, _________

Mail to: DMV License and Theft Bureau Notice & Storage Unit (SEAL)

3132 Mail Service Center

Raleigh, North Carolina 27699-3132

If you have questions, please call (919) 861-3187

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