Form HSMV 84058. Vehicle Air Pollution Control Statement - Florida

Form HSMV 84058 is utilized in Florida to provide a statement regarding the air pollution control equipment of a vehicle. The form serves as a declaration that the vehicle complies with the state's air pollution control requirements.

The form consists of several sections and important fields, including:

• Vehicle Information: This section requires details about the vehicle, such as the make, model, year, Vehicle Identification Number (VIN), and license plate number.
• Owner Information: Here, the owner's name, address, contact information, and any necessary identification numbers are provided.
• Air Pollution Control Statement: This field includes a declaration stating that the vehicle's air pollution control equipment complies with Florida's regulations.
• Signature: The form must be signed by the vehicle owner.

When completing this form, it is essential to accurately provide the required vehicle and owner information. The owner's signature is also required for the form to be valid. This form is typically used during vehicle registration or title transfer processes in Florida to ensure compliance with the state's air pollution control requirements.

An analogous form related to this is Form HSMV 83009, which is the Application for Temporary Fuel Use Permit - Florida. While Form HSMV 84058 pertains to the vehicle's air pollution control statement, Form HSMV 83009 is used to request a temporary fuel use permit in Florida for vehicles that do not comply with emission standards but require temporary operation within the state.