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The Connecticut H 110 form serves as a crucial document in the process of notifying former vehicle owners about the sale of abandoned motor vehicles. When a vehicle is left unclaimed, dealers or repairers must adhere to specific legal requirements to ensure compliance with state regulations. This form requires detailed information about the vehicle, including its make, model, color, and vehicle identification number (VIN). Additionally, it captures the odometer reading and the approximate value of the vehicle, which helps determine the next steps in the sale process. The form also prompts the seller to indicate whether a notice of intent to sell was sent to the previous owner, emphasizing the importance of communication in this procedure. Alongside the H 110, it is necessary to attach the Affidavit of Compliance (H-76) and mail a copy to the former owner of record. Various charges related to storage, towing, and repairs must be documented, providing transparency in the sale process. Finally, the seller must affirm that all information is accurate and that they have fulfilled their legal obligations, underscoring the seriousness of providing truthful statements to the Connecticut Department of Motor Vehicles.

Documents used along the form

The Connecticut H 110 form is a crucial document for notifying the former owner of an abandoned motor vehicle sale. It is often used alongside several other forms and documents to ensure compliance with state regulations and to facilitate the sale process. Below is a list of related forms that may be required in conjunction with the H 110.

  • Affidavit of Compliance (H-76): This form is essential for confirming that all legal obligations have been met prior to the sale of an abandoned vehicle. It serves as a sworn statement by the seller.
  • Notice of Intent to Sell (H-107): This document is sent to the vehicle's last registered owner, informing them of the intent to sell the abandoned vehicle. It provides them with an opportunity to reclaim their property.
  • Application for Certificate of Title (H-1): If the vehicle is sold, the new owner must complete this application to obtain a new title. This form ensures that the title is transferred legally and correctly.
  • Bill of Sale (H-5): This document acts as proof of the transaction between the seller and the buyer. It outlines the details of the sale, including the sales price and vehicle information.
  • Towing and Storage Authorization (H-58): This form is used to authorize towing and storage of the abandoned vehicle. It outlines the charges incurred for towing and storage services.
  • Vehicle Inspection Report: If applicable, this report documents the condition of the vehicle at the time of sale. It may be required for the buyer to understand the state of the vehicle.
  • Release of Liability (H-13): This document protects the seller from any future claims or liabilities related to the vehicle after the sale is completed. It confirms that the seller is no longer responsible for the vehicle.
  • Texas RV Bill of Sale: This document is essential for recording the transaction details between a buyer and seller when an RV is sold. For those looking to finalize their RV purchase, ensure to complete the required forms, including the billofsaleforvehicles.com/editable-texas-rv-bill-of-sale.
  • Power of Attorney (H-14): If someone other than the owner is completing the sale, this form grants them the authority to act on behalf of the owner in the sale process.

Using these forms in conjunction with the Connecticut H 110 ensures a smoother transaction process and compliance with state regulations. Each document plays a specific role in the overall procedure, helping to protect the interests of both the seller and the buyer.

Preview - Connecticut H 110 Form

STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
TITLE SECTION
60 STATE STREET, WETHERSFIELD, CT 06161
On The Web at ct.gov/dmv

ABANDONED MOTOR VEHICLE SALE NOTIFICATION

H-110 REV. 3-2016

INSTRUCTIONS:

1. Print clearly or type.

2.Attach H-110 to the Affidavit of Compliance (H-76)

3.Mail copy to former owner of record.

YEAR

MAKE/MODEL

ODOMETER READING

COLOR

VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

VEHICLE IDENTIFICATION NUMBER

 

 

 

 

 

 

APPROXIMATE VALUE OF VEHICLE

 

 

 

 

 

 

 

 

 

 

 

$1500 OR LESS

OVER $1500

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

WAS NOTICE OF INTENT TO SELL SENT TO OWNER?

OWNER OF

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RECORD

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF DEALER/REPAIRER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SELLER

ADDRESS OF DEALER/REPAIRER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE VEHICLE PLACED IN CUSTODY OF DEALER/REPAIRER

 

DEALER/REPAIRER LICENSE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STORAGE CHARGES (If any)

 

 

TOWING CHARGES (If any)

 

 

REPAIR CHARGES (If any)

 

 

 

LIEN

$

 

 

 

 

 

$

 

 

 

 

 

INFORMATION

OTHER CHARGES (If any, specify)

 

 

 

 

 

 

TOTAL OF ALL CHARGES

 

 

 

 

 

$

 

 

 

 

 

$

 

 

 

 

 

 

 

NAME (Owner)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

PURCHASER(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF SALE

PLACE OF SALE

 

 

 

 

 

 

 

SALES PRICE

 

 

 

 

 

 

 

 

 

 

$

 

 

 

I have mailed this notification to the former owner of record identified above and have complied with all relevant legal requirements. The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, under penalties of false statement, in accordance with the provisions of Section 14-110 and 53a-157b of the Connecticut General Statutes. I understand that if I make a statement which I do not believe to be true, with the intent to mislead the Commissioner, I will be subject to prosecution under the above cited laws.

SIGNATURE OF SELLER

X

DATE SIGNED

Common Questions

What is the Connecticut H 110 form?

The Connecticut H 110 form is a notification document used to inform the former owner of an abandoned motor vehicle about its sale. This form is part of the process required by the Connecticut Department of Motor Vehicles (DMV) when a vehicle is placed in the custody of a dealer or repairer.

Who needs to fill out the H 110 form?

The form must be completed by the dealer or repairer who has taken custody of the abandoned vehicle. This includes providing details about the vehicle, any charges incurred, and confirming that the former owner has been notified of the intent to sell.

What information is required on the H 110 form?

The form requires specific details about the vehicle, including the year, make/model, odometer reading, color, and vehicle identification number (VIN). Additionally, it asks for information about the former owner, the dealer or repairer, and any charges related to storage, towing, and repairs.

How do I notify the former owner of the vehicle?

After completing the H 110 form, you must mail a copy to the former owner of record. This notification is a crucial step in ensuring compliance with legal requirements before selling the vehicle.

What are the penalties for false statements on the H 110 form?

Submitting false information on the H 110 form can lead to serious consequences. If a seller knowingly provides incorrect details with the intent to mislead, they may face prosecution under Connecticut General Statutes Section 14-110 and 53a-157b.

Is there a fee associated with filing the H 110 form?

There is no specific fee for filing the H 110 form itself. However, any charges related to towing, storage, or repairs must be documented on the form and may need to be settled before the sale of the vehicle.

What should I do if I have additional questions about the H 110 form?

If you have further questions, it is best to contact the Connecticut DMV directly or visit their website at ct.gov/dmv for more resources and assistance.

Where can I obtain the H 110 form?

The H 110 form can be downloaded from the Connecticut DMV website or obtained directly from the DMV office. Ensure you have the most current version, as forms may be updated periodically.

Guide to Filling Out Connecticut H 110

Completing the Connecticut H 110 form requires careful attention to detail. After filling out the form, it is essential to attach it to the Affidavit of Compliance (H-76) and send a copy to the former owner of record. This process ensures that all necessary notifications and legal requirements are met.

  1. Begin by printing or typing clearly on the form.
  2. Fill in the vehicle information, including the year, make/model, odometer reading, color, and vehicle identification number (VIN).
  3. Indicate the approximate value of the vehicle by checking either the box for $1500 or less or for over $1500.
  4. Provide the name and address of the owner of record.
  5. Answer the question regarding whether a notice of intent to sell was sent to the owner by checking "Yes" or "No."
  6. Enter the name and address of the dealer or repairer selling the vehicle.
  7. Document the date the vehicle was placed in the custody of the dealer or repairer.
  8. Include the dealer or repairer license number.
  9. List any storage charges, towing charges, repair charges, and other charges, specifying the amounts where applicable.
  10. Calculate the total of all charges and enter this amount.
  11. Provide the name and address of the purchaser(s).
  12. Fill in the date of sale and place of sale.
  13. Enter the sales price of the vehicle.
  14. Sign the form, affirming that you have mailed the notification to the former owner and complied with all legal requirements.
  15. Date your signature.

Dos and Don'ts

When filling out the Connecticut H-110 form, it’s important to follow specific guidelines to ensure that your submission is accurate and complete. Here’s a list of things you should and shouldn’t do:

  • Do print clearly or type your information to avoid any confusion.
  • Do attach the H-110 form to the Affidavit of Compliance (H-76).
  • Do mail a copy of the completed form to the former owner of record.
  • Do provide accurate details about the vehicle, including the make, model, and VIN.
  • Do specify all charges, including storage, towing, and repair charges.
  • Don't leave any sections blank; complete every required field on the form.
  • Don't forget to sign and date the form before submitting it.
  • Don't provide false information, as this can lead to legal consequences.
  • Don't ignore the requirement to notify the former owner of record.