BMV FORM NO: (2019-10) – REV. Jun. 11-2019
BMV FORM NO: (2019-10) – REV. Jun. 11-2019 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES VEHICLE ALTERATION PERMIT PURSUANT TO ACT NO. 4482, BILL NO. 13-0148 OF THE VIRGIN ISLANDS CO DE, I, REGISTERED OWNER OF Pl ate Nu mber HEREBY REQUEST A VEHICLE A LTERATION PERMIT FROM THE BUREAU OF MOTOR VEHICLES TO CHANGE MY VEHICLE IN THE FOLLOWING M ANNER: FROM TO Present Colors: Proposed Colors: VEHICLE TOP VEHICLE TOP Color: Color: Shade: Shade: VEHICLE BOTTOM VEHICLE BOTTOM Color: Color: Shade: Shade: Other Vehicle ALTERATIONS: (List in detail) _______________________________________________ _____________________________________________________________________________________ Replacement Engine or New Engine: Engine Changes: Present Engine No.___________________________ New Engine No. ____________________ Leased from: Pl a te No. …
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BMV FORM NO: (2019-10) – REV. Jun. 11-2019 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES VEHICLE ALTERATION PERMIT PURSUANT TO ACT NO. 4482, BILL NO. 13-0148 OF THE VIRGIN ISLANDS CO DE, I, REGISTERED OWNER OF Pl ate Nu mber HEREBY REQUEST A VEHICLE A LTERATION PERMIT FROM THE BUREAU OF MOTOR VEHICLES TO CHANGE MY VEHICLE IN THE FOLLOWING M ANNER: FROM TO Present Colors: Proposed Colors: VEHICLE TOP VEHICLE TOP Color: Color: Shade: Shade: VEHICLE BOTTOM VEHICLE BOTTOM Color: Color: Shade: Shade: Other Vehicle ALTERATIONS: (List in detail) _______________________________________________ _____________________________________________________________________________________ Replacement Engine or New Engine: Engine Changes: Present Engine No.___________________________ New Engine No. ____________________ Leased from: Pl a te No. LIST BELOW THE NAME AND ADDRESS OF THE COMPANY OR PERSONS WHO WILL MAKE THE ABOVE ALTERATIONS OR COLOR CHANGES: Address of Company or Individuals: Name of Individuals: ___________________________________________________________________________ Address of Company or Individuals: I hereby certify that the above information is true and correct. SIGNED __________________________ Owner of Vehicle APPROVED Bureau of Motor Vehicles DATE OF APPROVAL SIGN BMV FORM NO: (2019-10) – REV. Jun. 11-2019 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES VEHICLE ALTERATION PERMIT REQUEST FOR VEHICLE ALTERATION INSTRUCTIONS Vehicle Alteration Form • This form is filled out by the owner of the vehicle who is requesting alteration of their vehicle. • This form must be filled out and work must be approved prior to the alteration of the vehicle. • Work, once approved, must be based on the noted specifications on this form. • Alterations are authorized or denied after the Bureau of Motor Vehicles collaborates with experienced mechanics in the field and/or manufacturers of the vehicle for qualified opinions based on the requested alteration on the form. • Upon completion of the vehicle alteration, owner must return to the BMV for inspection and approval. • If the alteration is not approved, the above steps must be repeated. WE DO NOT ACCEPT VOTERS REGISTRATION CARDS OR FOODHANDLERS CARDS FOR IDENTIFICATION Please Note: If you have any questions please ask before leaving the premises. Thank you BMV FORM NO: (2019-10) – REV. Jun. 11-2019 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES VEHICLE ALTERATION PERMIT