Form HSMV 84490. Statement of Builder - Florida

Form HSMV 84490 is used in Florida as a statement of builder for vehicles that are assembled or reconstructed by an individual or business. This form is typically required when registering or titling custom-built or reconstructed vehicles.

The form consists of sections and important fields, including:

• Builder Information: This section requires the builder's name, address, contact information, and any applicable identification numbers.
• Vehicle Information: Here, details about the vehicle being assembled or reconstructed are provided, such as the make, model, year, Vehicle Identification Number (VIN), and any other relevant information.
• Assembly/Reconstruction Details: This field includes a description of the assembly or reconstruction process, including the source of major parts used and any modifications made to the vehicle.
• Statement and Signature: The builder must sign the form, affirming the accuracy of the information provided.

When filling out this form, it is crucial to provide accurate and complete information about the builder and the vehicle. Detailed descriptions of the assembly or reconstruction process and the origin of major parts are important for compliance with state regulations. This form is used to declare the builder's responsibility for the construction or reconstruction of the vehicle.

A related form is Form HSMV 82042, the Application for Certificate of Title With/Without Registration - Florida. While Form HSMV 84490 focuses on the builder's statement for custom-built or reconstructed vehicles, Form HSMV 82042 is the general application for obtaining a certificate of title for various types of vehicles in Florida.