Form L-4 "Taxpayer's Application for Change of Motor Vehicle Assessment" - Connecticut

What Is Form L-4?

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 August 1, 2001;
  • 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 L-4 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 L-4 "Taxpayer's Application for Change of Motor Vehicle Assessment" - Connecticut

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TAXPAYER'S APPLICATION FOR
STATE OF CONNECTICUT
CHANGE OF MOTOR VEHICLE ASSESSMENT
DEPARTMENT OF MOTOR VEHICLES
L-4 REV. 8-2001
PROPERTY TAX UNIT
On The Web At http://dmvct.org
TOWN OF
ASSESSMENT LIST (Please check appropriate box(es) and fill in the year next to each)
GRAND YR
SUPPLEMENTAL YR
1. REGISTRATION INFORMATION AS IT APPEARS ON THE TAX BILL
NAME
CLASS CODE
MARKER PLATE NUMBER
MAKE
STREET ADDRESS
MODEL
YEAR
BODY STYLE
CITY AND STATE
VEHICLE IDENTIFICATION NUMBER
OWNER'S CT LICENSE NO. (9 digits)
2. CHANGE OR CORRECTION
DMV USE ONLY
SOLD TO:
NAME
STREET ADDRESS
CITY AND STATE
CHANGED TAX TOWN TO:
TOWN OF:
APPROXIMATE DATE:
CORRECTION OF INFORMATION
VEHICLE
OLD (On List)
NEW (Should Be Changed To)
INFORMATION
MARKER
NUMBER
MAKE
YEAR
MODEL
BODY STYLE
VEHICLE I.D.
NUMBER
I declare under the penalties of false statement that this application has been examined by me and to the
best of my knowledge and belief is complete, and the statements made herein are true and correct.
SIGNATURE (Customer)
DATE SIGNED
X
TAXPAYER'S APPLICATION FOR
STATE OF CONNECTICUT
CHANGE OF MOTOR VEHICLE ASSESSMENT
DEPARTMENT OF MOTOR VEHICLES
L-4 REV. 8-2001
PROPERTY TAX UNIT
On The Web At http://dmvct.org
TOWN OF
ASSESSMENT LIST (Please check appropriate box(es) and fill in the year next to each)
GRAND YR
SUPPLEMENTAL YR
1. REGISTRATION INFORMATION AS IT APPEARS ON THE TAX BILL
NAME
CLASS CODE
MARKER PLATE NUMBER
MAKE
STREET ADDRESS
MODEL
YEAR
BODY STYLE
CITY AND STATE
VEHICLE IDENTIFICATION NUMBER
OWNER'S CT LICENSE NO. (9 digits)
2. CHANGE OR CORRECTION
DMV USE ONLY
SOLD TO:
NAME
STREET ADDRESS
CITY AND STATE
CHANGED TAX TOWN TO:
TOWN OF:
APPROXIMATE DATE:
CORRECTION OF INFORMATION
VEHICLE
OLD (On List)
NEW (Should Be Changed To)
INFORMATION
MARKER
NUMBER
MAKE
YEAR
MODEL
BODY STYLE
VEHICLE I.D.
NUMBER
I declare under the penalties of false statement that this application has been examined by me and to the
best of my knowledge and belief is complete, and the statements made herein are true and correct.
SIGNATURE (Customer)
DATE SIGNED
X