ࡱ> ?A> @ bjbj)) +KzKz ****>%^^^^^ +---J  $$&R)X$L " L L $^^K$ L "^^+ L + V@^R ]*n "  $0% q) q)q) ly  $$$  Town of Windham Assessors Office 979 Main Street, Willimantic, CT 06226 Telephone: 860/465-3026 Fax: 860/465-3012 PETITION FOR REMOVAL OF MOTOR VEHICLE FROM OCTOBER 1 ASSESSMENT DATE Grand List of October 1, _________ List number as it appears on bill: Year: Make: Model Reg. # Check One: 1. I attest that I did not own the vehicle listed above on October 1, and that it is no longer garaged on my premises. 2. I attest that the vehicle listed above was registered out-of-state on October 1, . It is no longer registered to the State of Connecticut, as my legal residence is and the vehicle is most frequently garaged out-of-state. ATTEST: Please print or type name of owner Signature of owner  Motor Vehicle Standard Forms of Documentation A. Plate Receipt from DMV indicating that the registration has been canceled, lost or stolen prior to October 1. If your place receipt is dated after October 1, then one of the following documents must be provided to establish the actual date of occurrence: 1. A copy of the bill of sale and a plate receipt from DMV indicating that the registration has been canceled. (The bill of sale is now on the bottom of vehicle owners registration form and transfer information must be recorded on the back of the registration form before being submitted to DMV - therefore the sellers obligation is to provide a copy of the signed registration form along with the plate receipt to the Assessor.) 2. A copy of the Transfer to Title - The seller must provide the assessor with a copy of the signed title and the plate receipt. 3. Out of state registration - a copy of registration showing the date the vehicle was registered outside the State of Connecticut. Owner must provide a plate receipt from DMV indicating the Connecticut registration has been canceled. 4. Stolen Vehicle - a statement from the insurance company indicating that the vehicle was stolen and not recovered. Owner must provide a plate receipt from DMV indicating that the registration has been canceled. 5. Totaled vehicle - a statement from the insurance company indicating that the vehicle was totaled. Owner must provide a plate receipt from DMV indicating that the registration has been canceled. 6. Junked vehicle - a notarized receipt from the junkyard and a plate receipt from DMV indicating that the registration has been canceled. 7. Trade-in vehicle - a copy of the purchase agreement identifying the trade-in vehicle and a plate receipt from DMV indicating that the registration has been canceled. 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