Form Center

Report the Move, Sale, or Disposal of a Vehicle

2. First Name*

3. Last Name*

5. Address*

7. City*

8. State*

9. Zip*

11. Account Number*

12. Vehicle Year*

14. Vehicle Make*

15. Vehicle Model*

16. Vehicle Identification Number (VIN)*

20. If you have sold or disposed of the vehicle, please provide the following:

22. Date of Purchase
    Date of Purchase

23. Date Sold
    Date Sold

25. If you no longer live in the City of Norfolk, please provide the date you moved and the new locality:

27. Move-Out Date
    Move-Out Date

28. New Garage Jurisdiction (Ex. Virginia Beach)

30. Upload Documents

    (Please attach any supporting documents such as a bill of sale, vehicle title or registration, or insurance claim.)

34. Taxpayer Declaration
    I hereby certify that all of the information provided is both true and correct and that I am fully aware that under § 58.1-11 of the Code of Virginia, any person who willfully submits a return which he does not believe to be true and correct shall be guilty of a Class 1 misdemeanor.

    I hereby certify that all of the information provided is both true and correct and that I am fully aware that under § 58.1-11 of the Code of Virginia, any person who willfully submits a return which he does not believe to be true and correct shall be guilty of a Class 1 misdemeanor.

36. Signature*

37. Date*
    Date

Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field