Form K-174 "Received Junk Vehicles Report" - Connecticut

What Is Form K-174?

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 April 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 K-174 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 K-174 "Received Junk Vehicles Report" - Connecticut

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RECEIVED JUNK VEHICLES REPORT
K-174 REV. 4-18
STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
SPECIALIZED REGISTRY SERVICES
INSTRUCTIONS:
A list of all motor vehicles received must be submitted twice monthly to the Department of Motor Vehicles, per C.G.S. 14-67m(a).
1.
FIRST REPORT: Due by the 20th of each month to cover the first 15 days of the current month.
SECOND REPORT: Due by the 5th of each month to cover the 16th through the last day of the previous month.
Surrendered CERTIFICATE OF TITLES must accompany this list. A Title vehicle must not be received unless the Title is surrendered with the vehicle.
2.
A report is required for each reporting period even if no vehicles were received.
3.
Indicate the type of ownership document used by abbreviating the type of document received:
4.
T-Title, A-Aba Paper, B-Bill of Sale (pre 1970 Vehicles), H-H-109 Form, D-H-6B Lost or Duplicate Title.
TO: Department of Motor Vehicles, Specialized Registry Services, 60 State Street, Wethersfield, Connecticut 06161-1022
MONTH
YEAR
Check ( Ö ) if no vehicles were
REPORTING
First (1st) thru fifteenth (15th) of:
PERIOD
received during this reporting
Sixteenth (16th) thru last day of:
period.
(Check one)
BUSINESS NAME (As appears on Recycler's License)
LICENSE NUMBER
BUSINESS
INFORMATION
BUSINESS ADDRESS
TELEPHONE NUMBER
MAKE OF VEHICLE
YEAR
ENGINE NUMBER (if any)
VEHICLE IDENTIFICATION NUMBER OWNERSHIP DOCUMENT
STATE
SIGNATURE OF AUTHORIZED OFFICIAL (Service Manager or Designee)
TITLE OF AUTHORIZED OFFICIAL
DATE SIGNED
DISTRIBUTION:
White - DMV
Canary - Licensee
RECEIVED JUNK VEHICLES REPORT
K-174 REV. 4-18
STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
SPECIALIZED REGISTRY SERVICES
INSTRUCTIONS:
A list of all motor vehicles received must be submitted twice monthly to the Department of Motor Vehicles, per C.G.S. 14-67m(a).
1.
FIRST REPORT: Due by the 20th of each month to cover the first 15 days of the current month.
SECOND REPORT: Due by the 5th of each month to cover the 16th through the last day of the previous month.
Surrendered CERTIFICATE OF TITLES must accompany this list. A Title vehicle must not be received unless the Title is surrendered with the vehicle.
2.
A report is required for each reporting period even if no vehicles were received.
3.
Indicate the type of ownership document used by abbreviating the type of document received:
4.
T-Title, A-Aba Paper, B-Bill of Sale (pre 1970 Vehicles), H-H-109 Form, D-H-6B Lost or Duplicate Title.
TO: Department of Motor Vehicles, Specialized Registry Services, 60 State Street, Wethersfield, Connecticut 06161-1022
MONTH
YEAR
Check ( Ö ) if no vehicles were
REPORTING
First (1st) thru fifteenth (15th) of:
PERIOD
received during this reporting
Sixteenth (16th) thru last day of:
period.
(Check one)
BUSINESS NAME (As appears on Recycler's License)
LICENSE NUMBER
BUSINESS
INFORMATION
BUSINESS ADDRESS
TELEPHONE NUMBER
MAKE OF VEHICLE
YEAR
ENGINE NUMBER (if any)
VEHICLE IDENTIFICATION NUMBER OWNERSHIP DOCUMENT
STATE
SIGNATURE OF AUTHORIZED OFFICIAL (Service Manager or Designee)
TITLE OF AUTHORIZED OFFICIAL
DATE SIGNED
DISTRIBUTION:
White - DMV
Canary - Licensee