Blank Missouri 4803 Template Access Editor Now

Blank Missouri 4803 Template

The Missouri 4803 form is a crucial document issued by the Missouri Department of Revenue, aimed at facilitating requests for information under the Driver’s Privacy Protection Act (DPPA). It serves to obtain details on motor vehicle and marine titling and registration records, requiring the provision of a DPPA access number by the requester. If individuals do not possess this access code, they are directed to submit a Request for Security Access Code (Form 4678) to learn about eligibility for acquiring such information.

For those in need of obtaining vehicle owner information, vehicle title history, mileage history, status of title, or a name history related to Missouri registered vehicles or marine crafts, the Form 4803 outlines specific criteria and necessary documentation. Proper completion and submission of this form enable access to a variety of records, ensuring compliance with privacy regulations.

To easily navigate the process of requesting this information, click the button below to fill out the Missouri 4803 form efficiently and securely.

Access Editor Now
Jump Links

In the realm of handling motor vehicle and marine ownership records in Missouri, Form 4803 from the Missouri Department of Revenue plays a crucial role in ensuring transparency and compliance with the Driver’s Privacy Protection Act (DPPA). This document serves as a request for information about the ownership of motor vehicles and marine crafts, including but not limited to, obtaining the name and address of the current owner along with the vehicle or marine craft details. It outlines the necessary steps and qualifications for individuals or organizations seeking access to such records. The form details the types of information available, such as current owner details, title history, mileage history, status of title, and name history, all subject to DPPA restrictions. Moreover, the form explains how to acquire a security access code if the requester lacks one, ensuring a secure process for accessing sensitive information. Various options for sending the request, including mail, fax, walk-in, and email, along with the associated fees and payment methods, are clearly described, ensuring a clear understanding for all potential requesters. Additionally, Form 4803 highlights the legal obligations and prohibitions regarding the use of the information obtained, specifically noting the ban on using this data for commercial purposes without explicit consent. Thus, Form 4803 serves as a comprehensive guide for appropriately requesting motor vehicle and marine ownership records in Missouri.

Preview - Missouri 4803 Form

Form

Missouri Department of Revenue

4803

Request for Information

Requester

Owner

Driver’s Privacy Protection Act (DPPA) - To obtain the name and address on motor vehicle and marine titling and registration records, you must provide your DPPA access number in the box below. All previous owner information is restricted. If you do not have an access code, please submit a Request for Security Access Code (Form 4678). Form 4678 will inform you of who may receive a security access code.

Name of Individual or Organization

 

Requestor’s Name - Last, First, Middle Initial

 

 

 

 

 

Street Address, R.R., Or P.O. Box Number

 

City

 

State

ZIP Code

 

 

 

 

 

 

Fax Number

Telephone Number

DPPA Access Number

(__ __ __)__ __ __-__ __ __ __

(__ __ __)__ __ __-__ __ __ __

 

 

 

The owner’s address must be provided to obtain a list of motor vehicle or marine craft owned by this individual.

Name - Last, First, Middle Initial

 

 

 

 

 

 

 

Street Address, R.R., Or P.O. Box Number

City

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Motor Vehicle

 

 

 

 

Year

Make

 

 

 

Title Number

 

1

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate Number

 

 

 

 

 

 

 

Expiration Year

 

 

 

 

 

 

 

 

 

 

 

 

__ __ __ __

 

 

 

 

Year

Make

 

 

 

Title Number

 

2

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate Number

 

 

 

 

 

 

 

Expiration Year

 

 

 

 

 

 

 

 

 

 

 

 

__ __ __ __

Marine Craft

 

 

 

Year

Make

Decal Number

Expiration Year

 

1

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

Make

Decal Number

Expiration Year

 

2

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identification Number

Additional Information

Requested Information

Payment Options

Please select below the type of information you want to receive. A brief explanation of information this office will provide follows each type of request.

rCurrent Owner (You must provide the license plate number or marine decal number or year, make, and identification number.) You will receive only the name and address of latest owner on file (subject to DPPA as noted above), in addition to the vehicle information and any lienholder of record.

rTitle History (You must provide the year, make and identification number.) You will receive a list that shows each time the ownership changed in this state. The list will include the owner’s name and address (subject to DPPA as noted above) and the title number, issue date, and mileage.

rMileage History (You must provide the year, make and identification number.) You will receive a list that shows each time the ownership changed in this state. The list will include the mileage, title number, and issue date.

rStatus of Title (Free only to current vehicle owner; however, you must provide a copy of your registration receipt you received when you applied for title.)

rName History (You must provide the owner’s name and address.) You will receive a list of the current vehicles registered in that owner’s name.

rCertified request for record information.

Please send the above record(s) by: r Mail r Fax (Add $0.50 per page faxed)

Records can be obtained by walk-in, mail-in, or e-mail request. The fee is $2.82 per record. A convenience fee will be charged for credit or debit card transactions.

 

 

Cash

Check

Money

Debit

Discover

 

Visa

American

Mastercard

 

Total Record Fees

Convenience Fee

 

 

Order

Card

 

Express

 

$0.00 - $50.00

$1.25

 

Central Office Visit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$50.01 - $75.00

$1.75

 

Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$75.01 - $100.00

$2.15

 

Fax or E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$100.01 or more

2.15%

If you are paying by credit or debit card you must provide the following:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (as it appears on card)

 

 

 

Card Type

 

 

Card Number

 

 

Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

__ __ /__ __

Signature

I understand that Section 302.183.2, RSMo, (HB 361 effective August 28, 2009) prohibits the sale of data derived from a person’s application for commercial purposes, which includes purposes motivated primarily by financial gain such as, but not limited to, surveys, marketing or solicitations, without the express consent of the person to whom such information pertains. The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds.

Requestor’s Signature

Printed Name of Requestor

 

Date (MM/DD/YYYY)

 

 

 

__ __ /__ __ /__ __ __ __

 

 

 

 

 

 

Form 4803 (Revised 07-2016)

Mail to: Motor Vehicle Bureau

Phone: (573) 526-3669

 

Record Center, P.O. Box 2048

Fax: (573) 751-7060

Visit http://dor.mo.gov/

Jefferson City, MO 65105-2048

E-mail: mvrecords@dor.mo.gov

for additional information.

File Properties

Fact Name Description
Form Purpose The Missouri Department of Revenue 4803 form is used to request information on motor vehicle and marine titling and registration records.
DPPA Compliance Requesters must comply with the Driver’s Privacy Protection Act (DPPA) by providing a DPPA access number to obtain specific data.
Previous Owner Information All previous owner information is restricted under this form's guidelines.
Security Access Code Requirement Individuals without a DPPA access code must submit a Request for Security Access Code (Form 4678) to obtain one.
Information Requests Types Information such as current owner, title history, mileage history, status of title, and name history can be requested.
Payment Options Payment can be made via cash, check, money order, or credit/debit cards including Discover, Visa, Mastercard, and American Express.
Convenience Fees A convenience fee applies for credit or debit card transactions, with rates varying based on the total record fees.
Governing Law The form is governed by Section 302.183.2, RSMo, which prohibits the sale of data for commercial purposes without consent.
Submitting the Form Requests can be made by walk-in, mail-in, or e-mail, with the form and accompanying payment sent to the Motor Vehicle Bureau's Record Center.

How to Fill Out Missouri 4803

Completing the Missouri 4803 form is a straightforward process, but attention to detail is crucial. This form is necessary for requesting information under the Driver’s Privacy Protection Act (DPPA) regarding motor vehicle and marine titling and registration records. The steps listed below will guide you through filling out the form correctly. Please ensure all the information provided is accurate to avoid delays.

  1. Enter the Name of Individual or Organization making the request in the designated area.
  2. Fill in the Requestor’s Name with your last name, first name, and middle initial.
  3. Provide your Street Address, R.R., or P.O. Box Number in the appropriate field.
  4. Specify your City, State, and ZIP Code.
  5. Add your Fax Number and Telephone Number in the respective sections.
  6. Enter your DPPA Access Number. If you do not have one, submit a Request for Security Access Code (Form 4678) prior to completing this form.
  7. Under the section titled The owner's address must be provided, input the name and address of the vehicle or marine craft owner whose records you are requesting.
  8. For motor vehicle information, fill in the details for up to two vehicles including the Year, Make, Title Number, Vehicle Identification Number, License Plate Number, and Expiration Year.
  9. For marine craft, provide the Year, Make, Decal Number, Expiration Year, and Identification Number, for up to two crafts.
  10. In the Requested Information section, mark the box next to the type of information you want to receive and provide the necessary details as instructed.
  11. Select how you wish to receive the records: by mail or fax. Add $0.50 per page if opting for fax.
  12. Review the Payment Options. Records cost $2.82 each. Note the convenience fee for credit or debit card transactions and select your method of payment. Fill in credit or debit card information if applicable.
  13. Sign and date the form to acknowledge your understanding of the restrictions on the use of the information provided.
  14. Mail the completed form along with any necessary payment to: Motor Vehicle Bureau, Record Center, P.O. Box 2048, Jefferson City, MO 65105-2048, or use the provided contact information for other submission methods.

After the form and payment are received, the Missouri Department of Revenue will process your request. Depending on the method of delivery you selected, you will receive the information by mail or fax. Ensuring the form is filled out completely and accurately will facilitate a smooth process.

Understanding Missouri 4803

What is Form 4803 and why would I need it?

Form 4803, issued by the Missouri Department of Revenue, is a Request for Information form used under the Driver’s Privacy Protection Act (DPPA). It's designed for individuals or organizations seeking to obtain information about the name and address on motor vehicle and marine titling and registration records. You would need it if you're looking to get details about the current owner, title history, mileage history, status of the title, or a name history linked to a particular vehicle or marine craft within Missouri.

Who can request information using Form 4803?

The right to request information using Form 4803 is not open to everyone. It requires a DPPA access number, indicating that the requestor is authorized under the DPPA guidelines. Generally, those involved in government, law enforcement, or certain businesses with a legitimate need can obtain a security access code by submitting Form 4678, which then allows them to use Form 4803.

What information do I need to provide when submitting Form 4803?

To submit Form 4803 effectively, you need to include your DPPA access number and specific details about the vehicle or marine craft you're inquiring about. Depending on your request, this could include the license plate number, marine decal number, vehicle identification number (VIN), and the name and address of the owner. Additionally, you'll need to provide your own name, address, and contact details for the request to be processed.

What kinds of information can I receive from my request, and how can I receive it?

Based on your specific request on Form 4803, you can receive:

  • The current owner's name and address, plus vehicle information and any lienholder of record.
  • Title history, showing each change of ownership in Missouri, including the owner’s name and address, title number, issue date, and mileage.
  • Mileage history, detailing each time the ownership changed and including mileage, title number, and issue date.
  • Status of the title, available for free to current vehicle owners who provide a copy of their registration receipt.
  • Name history, showing a list of the current vehicles registered in the given owner’s name.
Requests can be sent by mail, fax (with an additional $0.50 per page), or obtained via walk-in, mail-in, or e-mail. Choose the method that works best for you on the form.

What are the fees associated with Form 4803?

The fee for each record requested through Form 4803 is $2.82. If you choose to pay with a credit or debit card, a convenience fee will be applied based on the total record fees:

  • $0.00 - $50.00: $1.25
  • $50.01 - $75.00: $1.75
  • $75.01 - $100.00: $2.15
  • $100.01 or more: 2.15%
Remember to include the card type, number, expiration date, and your signature if paying by card.

How do I submit Form 4803 and what are the processing times?

To submit Form 4803, mail it to the Motor Vehicle Bureau at the address provided, fax it to their number, visit in person, or send an email request. Processing times can vary depending on the method of submission and the current volume of requests. While mail-in requests may take longer to process, email and fax requests could be faster but might incur additional costs. It's best to allow several weeks for processing to ensure you receive the requested information in a timely manner.

Common mistakes

When filling out the Missouri Department of Revenue 4803 form, individuals commonly make a range of mistakes. These errors can delay the processing of requests, or lead to the outright rejection of the application. Highlighted below are eight frequent mistakes that should be avoided for a smooth submission process.

  1. Omitting the DPPA access number: Individuals often forget to include their DPPA access number, a critical piece of information if you're requesting details concerning motor vehicle or marine titling and registration records.
  2. Incomplete requester information: It's crucial to provide full and accurate details in the requester's section. Missing or incorrect information regarding the name, address, or contact numbers can lead to processing delays.
  3. Failure to specify the requested information type: The form allows requesters to select different types of information (e.g., current owner, title history). Not clearly indicating the desired information type can result in incomplete responses.
  4. Incorrect vehicle or marine craft details: Providing incorrect or incomplete information regarding the vehicle or marine craft, such as the title number, identification number, or year, can prevent the department from locating the correct records.
  5. Neglecting payment details: Applicants sometimes forget to include their payment information or select a payment method, which is necessary for processing the request.
  6. Overlooking signature and date: The form requires the requester’s signature and the date to verify the request. An unsigned form is typically not processed.
    • Using outdated or incorrect forms: Ensure that the version of Form 4803 being filled out is the most recent one, as using an outdated or incorrect form can result in your request being rejected.
    • Assuming previous owner information is accessible: The form notes that all previous owner information is restricted. It's a mistake to assume that this information can be obtained without understanding the privacy protections in place.

By paying close attention to these details, individuals can improve the likelihood of a seamless process when requesting information through Form 4803 from the Missouri Department of Revenue. It's always advisable to review the form thoroughly before submission to ensure that all necessary information is complete and accurate.

Documents used along the form

When working with the Missouri Department of Revenue Form 4803, a plethora of other documents can often be necessary to complete comprehensive tasks related to motor vehicle and marine titling and registration. These documents each serve a unique purpose in ensuring thorough and proper handling of requests concerning vehicle information, ownership, and compliance with state regulations.

  • Form 4678 - Request for Security Access Code: This form is essential for those needing a security access code to submit Form 4803. It outlines the eligibility criteria for obtaining a code, which is required for access to protected information under the Driver's Privacy Protection Act (DPPA).
  • Form 108 - Application for Missouri Title and License: Used to apply for an original or replacement title and for vehicle registration. For parties completing Form 4803 for a newly purchased vehicle, Form 108 is a starting point to ensure the vehicle is properly titled and registered in the state of Missouri.
  • Form 5175 - Notice of Lien, Lien Release, or Authorization to Add/Remove Name from Title: This document is critical for recording or releasing a lien on a motor vehicle title. If Form 4803 is being used to determine lienholder information, Form 5175 may be necessary to update or alter that information with the Missouri Department of Revenue.
  • Form 768 - General Affidavit: This multipurpose affidavit can be used in conjunction with Form 4803 for various reasons, including but not limited to, declaring the purchase price of a vehicle, correcting information on a title or registration, or substantiating claims made in the request for information.
  • Form DOR-1140 - Motor Vehicle Owner and Encumbrance Report: Often used alongside Form 4803 to obtain detailed ownership and lien information on a motor vehicle, this report offers an official record that can be vital for legal, financial, or personal reasons.

Each document serves its purpose in the comprehensive process of vehicle titling, registration, and information retrieval. They ensure compliance with Missouri's stringent policies and facilitate smooth transactions and information access for Missouri residents and interested parties. Understanding and correctly utilizing these forms in conjunction with Form 4803 are pivotal steps in navigating Missouri's vehicle-related procedures efficiently.

Similar forms

The Missouri 4803 form is similar to various other documents used across different states for handling vehicle and marine craft documentation, specifically where privacy and access to certain types of information are regulated by similar laws, such as the Driver’s Privacy Protection Act (DPPA). These documents generally aim to balance the need for access to information for legitimate purposes against the need to protect individuals' privacy.

One document the Missouri 4803 form parallels is the California INF 70 form. Like the Missouri 4803, the INF 70 is used to request motor vehicle or vessel records in the state of California, ensuring that any disclosure of personal information complies with the DPPA. Both forms require the requester to specify the type of records they are requesting, such as current owner information or title history, and to provide identifying details of the vehicle or vessel. Moreover, each form mandates that the requester identify their eligibility under the DPPA by listing their qualifying reason for access to the protected information.

Similarly, the New York MV-15 form stands as another document akin to the Missouri 4803 form in its purpose and requirements. The MV-15 is used to request vehicle and driver records in New York, where, like in Missouri and California, such requests are tightly regulated to protect individuals' privacy under the DPPA. Requesters must provide specific details about the vehicle or driver whose records they are seeking, as well as justify their request by citing one of the permissible uses under the DPPA. Each of these forms, including the Missouri 4803, thus plays a crucial role in governing access to sensitive personal information, ensuring it is done legally and for legitimate reasons.

Another document with a similar function is the Texas VTR-275 form, used for requesting motor vehicle records that are protected under the DPPA. Just like the Missouri 4803 form, the Texas VTR-275 requires requesters to provide detailed information about the vehicle or individual whose records they are seeking. The form also obliges the requester to specify the reason for their request in alignment with the DPPA's permissible uses. Despite variations in state-specific procedures and nuances, the core elements of ensuring privacy protection while facilitating legitimate access to vehicle-related information remain consistent across these documents.

Dos and Don'ts

When dealing with the Missouri Department of Revenue Form 4803, it's essential to navigate the process correctly to ensure your request for information is processed swiftly and accurately. This form is vital for those seeking information under the Driver’s Privacy Protection Act (DPP. Here are some do's and don'ts to help guide you through filling out the form:

Do:
  • Double-check your DPPA access number. Having your DPPA access number at hand and ensuring it's correctly entered on the form is crucial. If you haven't obtained one, complete the Request for Security Access Code (Form 4678) first.
  • Provide accurate requester information. Verify that the requester's name, address, and contact details are correct to avoid delays in processing.
  • Specify the type of information you need clearly. The form offers various options for the kind of information you're requesting, such as current owner, title history, mileage history, status of title, or name history. Make sure to select the appropriate box to match your informational needs.
  • Include all necessary vehicle or marine craft details. Depending on your information request, you’ll need to include details such as license plate number, marine decal number, or the vehicle identification number (VIN).
  • Choose your delivery method. Indicate whether you prefer to receive the records by mail, fax, or another method, and be prepared to cover any associated costs.
Don't:
  • Forget to sign the form. Your signature is necessary to validate the request. Unsigned forms will not be processed.
  • Omit the payment information. Remember to calculate the total record fees correctly and provide your payment information, especially if you’re using a credit/debit card.
  • Provide incomplete vehicle or marine craft details. If the form asks for the year, make, title number, or identification number, make sure all these details are filled in to ensure your request can be processed without unnecessary hindrance.
  • Use the form for unauthorized purposes. Missouri law prohibits using information obtained via Form 4803 for commercial purposes without express consent. Ensure your intended use of the information complies with the law.
  • Ignore the convenience fees. If opting for faxed documents or using a credit/debite card for payment, consider the convenience fee in your total payment to avoid underpayment.

By closely following these guidelines, you can streamline the process of requesting information with Form 4803. Whether you're performing a routine check or conducting more thorough research, attention to detail will facilitate a smoother experience with the Missouri Department of Revenue.

Misconceptions

  • One common misconception is that anyone can request information using the Missouri 4803 form. This is not accurate because the form is subject to the Driver’s Privacy Protection Act (DPPA), which requires requesters to provide a DPPA access number. This means that access to the information is restricted to individuals or organizations that have a legitimate reason and the necessary authorization, as outlined by the DPPA.

  • Another misconception is that the Missouri 4803 form provides access to comprehensive vehicle and owner history, including all previous owners. The reality is that all previous owner information is restricted. The form allows access to the current owner’s name and address, along with specific vehicle information such as the title number and mileage, but does not provide a full history of previous owners.

  • Many believe that the Missouri 4803 form can be used for commercial purposes, including marketing and surveys. However, Section 302.183.2, RSMo, explicitly prohibits the use of data obtained through this form for commercial purposes without the express consent of the individual to whom the information pertains. This limitation ensures that personal information is protected and used responsibly.

  • It's often thought that the information obtained through the Missouri 4803 form is free. While the form itself might not have a direct cost associated with its submission, there is a fee of $2.82 per record requested. Additionally, if the request is made via fax, mail, or email, and payment is processed through credit or debit card, there will be an additional convenience fee based on the total record fees. This fee structure is in place to cover the administrative costs associated with processing record requests.

  • Lastly, there is a misconception that the Missouri 4803 form offers instant access to requested information. In reality, the process of obtaining records involves submitting the form to the Motor Vehicle Bureau and waiting for the request to be processed. Requests can be made by walk-in, mail-in, or e-mail, but all require processing time, and instant access is not available. This ensures that each request is properly verified and processed in compliance with the DPPA and state regulations.

Key takeaways

When handling the Missouri 4803 form, it's crucial to understand its purpose and the process for obtaining vehicle or marine craft owner information. Here are key takeaways to ensure compliance and efficiency in using this form:

  • DPPA Compliance: To request information, providing a DPPA access number is mandatory due to privacy regulations. For individuals without this number, acquiring it involves submitting Form 4678, which outlines eligible recipients.
  • Specific Information Requirement: Clearly specify the type of information needed by selecting the appropriate request type on the form. Options include current owner details, title history, mileage history, status of title, and name history, each requiring specific vehicle or marine craft details for processing.
  • Multiple Submission Methods: The Missouri Department of Revenue accepts submissions by walk-in, mail-in, and e-mail. Each method necessitates careful adherence to the instructions for the desired method to ensure prompt and accurate response to the request.
  • Payment and Fees: A fee of $2.82 applies per record request, with additional convenience fees for credit or debit card transactions varying based on the total record fees. Highlight the preferred mode of record delivery (mail or fax) and consider the associated costs, especially when opting for fax delivery to manage expenses.

Overall, diligent completion and submission of the Missouri 4803 form, respecting the outlined procedures and requirements, facilitate access to vital vehicle or marine craft ownership information while adhering to privacy laws.

Please rate Blank Missouri 4803 Template Form
4.72
(Incredible)
191 Votes

Discover Common Documents