Form 40-1001 "Bonded Title Application - Vehicle" - Arizona

What Is Form 40-1001?

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

Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the Arizona Department of Transportation;
  • 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 40-1001 by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.

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Download Form 40-1001 "Bonded Title Application - Vehicle" - Arizona

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BOND TITLE APPLICATION
VEHICLE
Clear
40-1001 R01/21
azdot.gov
STEP 1 - Vehicle Inspection -
Must be completed by a certified inspector at an MVD field office, Authorized Third Party, or Law Enforcement agency
Vehicle Identification Number (VIN)
th
5
10th
17th
Year
Make
Model
Odometer (Miles)
Trailer Length & Width
Motorcycle Engine/Federal Vehicle Identification Number (If different from VIN above)
th
5
10th
17th
 Federal VIN Label Match
Higher Level Inspection:
Comments:
 Federal Vehicle Identification/Motorcycle Engine appears to be altered, tampered with, missing or unreadable
 Federal Vehicle Identification/Motorcycle Engine is printed in another language than English
 Other
I certify I have made a physical verification of the vehicle described above.
Inspector Name & Agency
Signature & RACF/Badge/Employee ID #
Date
STEP 2 - Applicant Affidavit
Applicant Name
DL / ID Number
Phone Number
Reason for filing the bond application?
 I purchased the vehicle
 Vehicle was a gift
 I do not have a title or the most current title
 The title was not properly signed by the owner(s), dealer(s) or lien holder(s)
 I built the vehicle / trailer and I do not have the receipts or documents for the essential parts
 Other:
STEP 3 - Owner & Lien Holder Notifications -
Per the Motor Vehicle Record request process, vehicle owner information may be obtained by a person
applying for a bonded title. ($3 fee applies) * For an out of state MVR request, you will need proof of the out of state response.
Notification Letter
Lien holder on file - A lien release is required or proof the lienholder is out of business if the letter is not returned. If not provided, bond process stops and becomes
a judicial matter.
Out of State record found - If the State provides lienholder information, you must contact the lienholder and provide a response. If not provided, bond process stops
and becomes a judicial matter.
Owner record found - It is your responsibility to contact the owner for proper documentation to obtain a title.
STEP 4 - Surety Bond
** BE ADVISED **
Pursuant to A.R.S. §28-2057, the bond must cover any prior owner and lien holder and any subsequent purchaser of the vehicle or person acquiring any security interest
in it and their respective successors in interest. Please consult with the issuer of the bond regarding the terms and conditions of the bond.
Vehicle / Trailer Average Value:
X1.5 = Bond Amount:
Bond Must Contain:
AAMVA/NVITIS verified and Bond Amount Set
Applicant full name & signature
*
Vehicle Identification Number
*
By:
Year
*
Signature / RACF / Date
*
Make
STEP 5 - Submit Bond for Title
-
Return to the MVD and submit your bond, along with any supporting documents, for a title. If you wish to register the
vehicle at that time, an emissions test may be required.
Sign & Witness at the time of bond submission: By signing this form, I fully understand the purpose of the surety bond, and I am fully aware that the vehicle can be
awarded back to the original owner(s) or lien holder(s). By signing I am certifying that I have made all attempts to contact the owner(s) and lien holder(s) in order to
obtain the proper documents to title the vehicle.
Applicant Name
Applicant Signature
Date
Notary or MVD Agent Signature
Acknowledged before me this date.
Date
County
State
Commission Expires
BOND TITLE APPLICATION
VEHICLE
Clear
40-1001 R01/21
azdot.gov
STEP 1 - Vehicle Inspection -
Must be completed by a certified inspector at an MVD field office, Authorized Third Party, or Law Enforcement agency
Vehicle Identification Number (VIN)
th
5
10th
17th
Year
Make
Model
Odometer (Miles)
Trailer Length & Width
Motorcycle Engine/Federal Vehicle Identification Number (If different from VIN above)
th
5
10th
17th
 Federal VIN Label Match
Higher Level Inspection:
Comments:
 Federal Vehicle Identification/Motorcycle Engine appears to be altered, tampered with, missing or unreadable
 Federal Vehicle Identification/Motorcycle Engine is printed in another language than English
 Other
I certify I have made a physical verification of the vehicle described above.
Inspector Name & Agency
Signature & RACF/Badge/Employee ID #
Date
STEP 2 - Applicant Affidavit
Applicant Name
DL / ID Number
Phone Number
Reason for filing the bond application?
 I purchased the vehicle
 Vehicle was a gift
 I do not have a title or the most current title
 The title was not properly signed by the owner(s), dealer(s) or lien holder(s)
 I built the vehicle / trailer and I do not have the receipts or documents for the essential parts
 Other:
STEP 3 - Owner & Lien Holder Notifications -
Per the Motor Vehicle Record request process, vehicle owner information may be obtained by a person
applying for a bonded title. ($3 fee applies) * For an out of state MVR request, you will need proof of the out of state response.
Notification Letter
Lien holder on file - A lien release is required or proof the lienholder is out of business if the letter is not returned. If not provided, bond process stops and becomes
a judicial matter.
Out of State record found - If the State provides lienholder information, you must contact the lienholder and provide a response. If not provided, bond process stops
and becomes a judicial matter.
Owner record found - It is your responsibility to contact the owner for proper documentation to obtain a title.
STEP 4 - Surety Bond
** BE ADVISED **
Pursuant to A.R.S. §28-2057, the bond must cover any prior owner and lien holder and any subsequent purchaser of the vehicle or person acquiring any security interest
in it and their respective successors in interest. Please consult with the issuer of the bond regarding the terms and conditions of the bond.
Vehicle / Trailer Average Value:
X1.5 = Bond Amount:
Bond Must Contain:
AAMVA/NVITIS verified and Bond Amount Set
Applicant full name & signature
*
Vehicle Identification Number
*
By:
Year
*
Signature / RACF / Date
*
Make
STEP 5 - Submit Bond for Title
-
Return to the MVD and submit your bond, along with any supporting documents, for a title. If you wish to register the
vehicle at that time, an emissions test may be required.
Sign & Witness at the time of bond submission: By signing this form, I fully understand the purpose of the surety bond, and I am fully aware that the vehicle can be
awarded back to the original owner(s) or lien holder(s). By signing I am certifying that I have made all attempts to contact the owner(s) and lien holder(s) in order to
obtain the proper documents to title the vehicle.
Applicant Name
Applicant Signature
Date
Notary or MVD Agent Signature
Acknowledged before me this date.
Date
County
State
Commission Expires