H116 vehicle 2025

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179 votes

The document is a Vehicle Statement of Value form completed by a licensed dealer or repairer in Connecticut, assessing a vehicle's value at less than $1,500 due to various damages such as body/frame damage, missing parts, or high mileage. It requires the dealer/repairer to provide their contact information, details about the vehicle, and includes a declaration under penalty of false statement.

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Click ‘Get Form’ to open the h116 vehicle document in the editor.
Begin by entering the 'Vehicle Year', 'Make', and 'Model' in the designated fields. Ensure accuracy as this information is crucial for identification.
Input the 'Vehicle Identification Number' (VIN) carefully, as it uniquely identifies your vehicle.
Fill in the 'Name of the Dealer/Repairer' along with their phone number. This establishes contact for any follow-up inquiries.
Provide the complete address of the dealer/repairer, including street number, city or town, state, and zip code.
Select reasons for valuation under $1,500 by checking relevant boxes. If applicable, provide additional explanations in the 'Other' section.
Attach photographs of any vehicle damage as required to support your assessment.
Finally, ensure that you sign and date the form at the bottom to validate your submission.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (179 Votes)
2000	4.4 Satisfied (282 Votes)

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