Form H-127 "Campground Notice of Intent to Transfer" - Connecticut

What Is Form H-127?

This is a legal form that was released by the Connecticut Department of Motor Vehicles - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2018;
  • The latest edition provided by the Connecticut Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form H-127 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

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Download Form H-127 "Campground Notice of Intent to Transfer" - Connecticut

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STATE OF CONNECTICUT
CAMPGROUND NOTICE OF INTENT TO
DEPARTMENT OF MOTOR VEHICLES
TRANSFER
60 STATE STREET, WETHERSFIELD, CT 06161
H-127 Rev. 3-2018
DEALERS AND REPAIRERS SECTION
On The Web at ct.gov/dmv
INSTRUCTIONS
1.
Cannot be submitted until sixty (60) days after abandonment by camper(s).
2.
Complete all sections.
3.
Attach the following:
Copies of the mailings to recreational vehicle owner(s), camper(s) (if not recreational vehicle owner),
all lienholders and all secured parties and return receipts.
Copy of the signed campground agreement between the campground owner and camper(s).
4.
Mail original form to the address above with a check or money order made payable to DMV for $5.
5.
Upon receipt, DMV will notify you if the recreational vehicle is approved or rejected for sale via regular mail or e-mail.
VEHICLE IDENTIFICATION NUMBER
MARKER PLATE # (IF ANY)
MAKE
MODEL
YEAR
RECREATIONAL
NAME OF RECREATIONAL VEHICLE OWNER(S)
ADDRESS OF RECREATIONAL VEHICLE OWNER(S)
VEHICLE
INFORMATION
NAME OF CAMPER(S) (IF DIFFERENT FROM RECREATIONAL VEHICLE OWNER(S))
LIENHOLDER NAME(S)
SECURED PARTY NAME(S)
LIENHOLDER
AND/OR
SECURED PARTY
LIENHOLDER ADDRESS(ES)
SECURED PARTY ADDRESS(ES)
INFORMATION
NAME OF BUSINESS
NAME OF OWNER/PRINCIPAL OF BUSINESS
ADDRESS OF BUSINESS (No. and Street)
(City or Town)
(Zip Code)
(State)
BUSINESS
INFORMATION
AMOUNT FOR WHICH A LIEN IS CLAIMED BY CAMPGROUND
DATE RECREATIONAL VEHICLE ARRIVED AT
DATE OF ABANDONMENT BY CAMPER(S)
CAMPGROUND
The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, under penalty of false statement, in
accordance with the provisions of Sections 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
CERTIFICATION
above-cited laws.
AUTHORIZED SIGNATURE OF BUSINESS OWNER/PRINCIPAL
DATE SIGNED
X
STATE OF CONNECTICUT
CAMPGROUND NOTICE OF INTENT TO
DEPARTMENT OF MOTOR VEHICLES
TRANSFER
60 STATE STREET, WETHERSFIELD, CT 06161
H-127 Rev. 3-2018
DEALERS AND REPAIRERS SECTION
On The Web at ct.gov/dmv
INSTRUCTIONS
1.
Cannot be submitted until sixty (60) days after abandonment by camper(s).
2.
Complete all sections.
3.
Attach the following:
Copies of the mailings to recreational vehicle owner(s), camper(s) (if not recreational vehicle owner),
all lienholders and all secured parties and return receipts.
Copy of the signed campground agreement between the campground owner and camper(s).
4.
Mail original form to the address above with a check or money order made payable to DMV for $5.
5.
Upon receipt, DMV will notify you if the recreational vehicle is approved or rejected for sale via regular mail or e-mail.
VEHICLE IDENTIFICATION NUMBER
MARKER PLATE # (IF ANY)
MAKE
MODEL
YEAR
RECREATIONAL
NAME OF RECREATIONAL VEHICLE OWNER(S)
ADDRESS OF RECREATIONAL VEHICLE OWNER(S)
VEHICLE
INFORMATION
NAME OF CAMPER(S) (IF DIFFERENT FROM RECREATIONAL VEHICLE OWNER(S))
LIENHOLDER NAME(S)
SECURED PARTY NAME(S)
LIENHOLDER
AND/OR
SECURED PARTY
LIENHOLDER ADDRESS(ES)
SECURED PARTY ADDRESS(ES)
INFORMATION
NAME OF BUSINESS
NAME OF OWNER/PRINCIPAL OF BUSINESS
ADDRESS OF BUSINESS (No. and Street)
(City or Town)
(Zip Code)
(State)
BUSINESS
INFORMATION
AMOUNT FOR WHICH A LIEN IS CLAIMED BY CAMPGROUND
DATE RECREATIONAL VEHICLE ARRIVED AT
DATE OF ABANDONMENT BY CAMPER(S)
CAMPGROUND
The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, under penalty of false statement, in
accordance with the provisions of Sections 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
CERTIFICATION
above-cited laws.
AUTHORIZED SIGNATURE OF BUSINESS OWNER/PRINCIPAL
DATE SIGNED
X