The Missouri 4803 form is a request for information from the Missouri Department of Revenue, specifically designed to help individuals obtain the names and addresses linked to motor vehicle and marine registration records. This form is governed by the Driver’s Privacy Protection Act (DPPA), which ensures that certain information remains confidential. If you need to access this information, consider filling out the form by clicking the button below.
The Missouri 4803 form serves as a vital tool for individuals and organizations seeking access to specific motor vehicle and marine craft records. Under the Driver’s Privacy Protection Act (DPPA), this form allows requesters to obtain the names and addresses associated with vehicle and marine titling and registration records, provided they have the necessary DPPA access number. The form requires detailed information from the requester, including their name, address, and contact details, as well as the owner’s information and vehicle specifics such as make, model, and identification numbers. Various types of information can be requested, including current ownership details, title history, mileage history, and status of title. Each request comes with a nominal fee, and options for receiving the information include mail, fax, or in-person visits. Importantly, the form emphasizes the protection of personal data, prohibiting the sale of information for commercial purposes without consent. This structured approach not only facilitates transparency but also ensures compliance with privacy regulations, making the Missouri 4803 form an essential resource for anyone needing access to vehicle-related information in the state.
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
Motor Vehicle
Year
Make
Title Number
1
__ __ __ __
Vehicle Identification Number
License Plate Number
Expiration Year
2
Marine Craft
Decal Number
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.
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