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Fill in a Valid 4669 Missouri Template

The Form 4669 is an Abandoned Property Report used in Missouri to document the towing of abandoned vehicles from private property. This form must be completed by the property owner, lessee, or security manager, as well as the towing company and law enforcement agency involved in the tow. Proper completion and timely submission of this form are essential to ensure compliance with state regulations.

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Article Guide

The 4669 Missouri form, also known as the Abandoned Property Report, serves a vital role in the process of towing abandoned vehicles from private property. This form must be filled out by the owner, lessee, or property manager, who must certify that the vehicle was abandoned on their property. The form requires specific details, such as the reason for the tow, which can include factors like unauthorized parking or the vehicle being left unattended for a certain period. It also includes sections that must be completed by the towing company and law enforcement agency, ensuring that all parties are informed and involved in the process. Timeliness is crucial; the towing company is required to submit the report to law enforcement within a specific timeframe, depending on the reason for the tow. Additionally, the form contains sections for identifying the vehicle, including its make, model, and VIN, as well as any known lienholders. This comprehensive approach helps streamline the towing process and ensures compliance with state regulations, making it an essential document for anyone involved in the management of abandoned vehicles.

4669 Missouri Preview

Form

4669	Abandoned Property Report

Owner, Lessee, Property	Must Complete
A — Private Property	or Security Manager
Section

Section B — Towing Company Must Complete


— Law Enforcement Agency	Must Complete
Section C

I authorize the vehicle to be towed based on the reason indicated below. Select a reason:

r 1. A sign not less than 17 x 22 inches in size containing lettering not less than one inch in height is displayed within plain view prohibiting public parking. I will notify the law enforcement agency within one hour of the tow.

r2. The abandoned property was left unattended on owner-occupied residential property with four units or less. I have notified the

__________________________________________ law enforcement agency and ten hours have elapsed since that notification.

r3. The abandoned property was left unattended on private property. I have notified the _________________________________

law enforcement agency and ninety-six hours have elapsed since that notification.

I certify that the vehicle listed below was abandoned on property of which I am the owner, lessee, or property or security manager. This form is for tows from private property not authorized by law enforcement. I have authorized the towing company listed below to remove the vehicle from my property and witnessed the removal of the vehicle. I further certify that all information contained herein is true and accurate to the best of my knowledge. I understand this is a legal declaration subject to criminal penalties.

Signature of Owner, Lessee, Property or Security Manager	Phone Number of Owner, Lessee, Property
	or Security Manager (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___
Printed Name of Owner, Lessee, or Property Security Manager	Date of Tow (MM/DD/YYYY)
	___ ___ / ___ ___ / ___ ___ ___ ___

Location of Abandoned Property to be Towed (Street Address, City, State, and Zip Code)

Name and Address of the Abandoned Property or Driver Owner, If Known

Name and Address of the Lienholder of the Abandoned Property, If Known

Description of Damage to the Abandoned Property

Year

Make

Model

Vehicle Identification Number

Mileage

Plate Number

State

Storage Location of the Abandoned Property

Law Enforcement Agency Notified (Must be Same Agency in Section A)

Date Notified (MM/DD/YYYY)

Time Notified

___ ___ / ___ ___ / ___ ___ ___ ___

Law Enforcement Agency Address

City

Law Enforcement Agency Phone Number

(___ ___ ___) ___ ___ ___ - ___ ___ ___ ___

Name of Towing Company

Tower Has Online Access

Towing Company Phone Number

to DOR Records

r Yes

r No

(___ ___ ___) ___ ___ ___ - ___ ___ ___ ___

Address of Towing Company

City

State

Zip Code

Note: This report must be given to the law enforcement agency shown above within two hours of the tow if reason 1 is checked above or within twenty-four hours for all other tows.

Signature of Towing Operator	Printed Name of Towing Operator

Must be Completed by Law Enforcement Agency under Section 304.157, RSMo.

Law Enforcement Agency

Date Notified of Tow (MM/DD/YYYY)

Date Report Filed (MM/DD/YYYY)

___ ___ / ___ ___ / ___ ___ ___ ___

Inquiry Date (MM/DD/YYYY)

NCIC (Provide Number) ___________________

MULES

REJIS

Other

___ ___ / ___ ___ / ___ ___ ___ ___

MSHP Number

Report, Case, Incident, Tow Number

Abandoned Property Owner’s Name

Address

City

State

Zip Code

Lienholder’s Name

Address

City

State

Zip Code

Signature of Officer

Printed Name of Officer

Badge

Form 4669 (Revised 08-2022)

Abandoned Property Report Instructions

•Owner, lessee, property, or security manager completes and signs this form;

•Towing company completes, signs, and delivers this report to the law enforcement agency within two hours of the tow if reason one is checked on front or within twenty-four hours for all other tows;

•Law enforcement officer completes and signs this form and retains a copy for their files;

•Towing company sends the original Form 4669 to the Missouri Department of Revenue (Department) if property remains unclaimed after ten days and the tow company does not have online access to Department records;

•Towing company retains their copy of the Form 4669 for three years;

•Towing company must notify the Department in writing of any address change;

•Towing companies with online record access must check Department records online for owner and lienholder information;

•If the towing company does not find owner or lienholder information using the online record check, the towing company, within ten days of the tow, must send a copy of the completed “No Record” screen from the online record search and the Form 4669 to the address below for further research.

Motor Vehicle Bureau, Record Center PO Box 2048

Jefferson City MO 65105-2048

•The Department will perform a record search for the name and address of the owner and lienholder of record within five working days of receipt of the Form 4669 submitted by tow company (no online access) or a completed “No Record” screen from the online record search and the Form 4669 submitted by the towing company (with online access). A Department search will be done by:

1)Searching the Department files; or

2)Initiating an inquiry with another state if the evidence presented indicates the abandoned property was registered or titled in another state.

•The Department will send a notification letter to the towing company within 15 working days after the search is completed with the following information:

1)The name and address of the owner and lienholder; or

2)Instructions if there is no record information available (please see below).

•Towing company must send a completed Vehicle Owner and Lienholder Notification (Form 4577) by certified mail, return receipt requested within ten days to the owner or lienholder as provided from the Department records.

No Information Found on	Record Notification Received

Apply for Original, Salvage, or	Abandoned Property Titles
How to	Junk

If the Department has no record of the abandoned property, the towing company must certify that a physical search of the abandoned property disclosed no other evidence of ownership. The towing company must also certify that a good faith effort was made to establish the prior state of registration and title by checking the items below:

1)The abandoned property for any type of license plates, license plate record, temporary permit, inspection sticker, decal, or other evidence that may indicate a state of possible registration and title;

2)The tow ticket or report of the tow operator to see if a license plate was on the abandoned property at the beginning of the tow, if a private tow; and

3)The tow ticket or report of the tow operator to see if any information is indicated for the Driver, Owner, or Lienholder of the vehicle.

Note: The Department will provide the tower with a notification letter to certify the above checks have been made. This certification must accompany the application for title.

Send all title applications on abandoned property to the address below.

Submit the following when applying for a title for an abandoned vehicle:

1)Application for title with appropriate fees, properly completed in the towing company’s name. The title type must be marked “Original”, “Salvage”, or “Junking Certificate” (Tow company not required to pay title fee, or sales tax.);

2)Abandoned Property Affidavit (Form 4576) properly completed, signed by the tower, and notarized by a notary public;

3)A copy of the Vehicle Owner and Lienholder Notification (Form 4577) issued to any owner and lienholder of record. This must be sent by certified mail;

4)A copy of the certified mail return receipt(s) at least 30 days old, indicating all owners and lienholders of record, if applicable, have been sent Form 4577 (see 3 above);

5)A copy of the notification the Department of Revenue issued to the towing company or a copy of the “Record Lookup Results” screen from the online record search;

6)A completed and signed Vehicle Examination Certificate (Form 551), if applying for an “Original” title (contact the nearest Highway Patrol Headquarters for vehicle inspection); and

7)Abandoned Property Report (Form 4669) completed by owner, lessee, property or security manager, tow company, and local law enforcement agency.

Important: Mileage must be shown on the application for title for vehicles model year 2011 and newer until the vehicle reaches the age of twenty years old. If the mileage is unobtainable, write in an estimated mileage and a statement at the bottom of the application that mileage is only estimated. Complete and attach an odometer disclosure statement (Form 3019) and include the reason for mileage estimate: fire, digital dash inoperable, or other. This must accompany the application for title.

Form 4669 (Revised 08-2022)

Mail to: Motor Vehicle Bureau P.O. Box 2048

Jefferson City, MO 65105-2048

Phone: (573) 526-3669

Visit dor.mo.gov/motor-vehicle/titling-abandoned-property/

for additional information.

Ever served on active duty in the United States Armed Forces?

If yes, visit dor.mo.gov/military/ to see the services and benefits we offer to all eligible military individuals. A list of all state agency resources and benefits can be found at veteranbenefits.mo.gov/state-benefits/.

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Dos and Don'ts

When filling out the Missouri Form 4669, it is important to follow specific guidelines to ensure accuracy and compliance. Below is a list of things to do and avoid during this process.

Do complete all required sections of the form, including the owner’s information and details about the abandoned property.
Do ensure that the towing company completes their section and submits the report to the law enforcement agency within the specified time frame.
Do provide accurate and truthful information, as this is a legal declaration that may have consequences if falsified.
Do keep a copy of the completed form for your records, especially if you are the towing company.
Don’t forget to notify the appropriate law enforcement agency before or immediately after towing the vehicle, as required by law.
Don’t submit the form without verifying that all information is correct, including the vehicle identification number and contact details.

Key takeaways

The Form 4669 is used to report abandoned property in Missouri, specifically for vehicles that have been towed from private property.
Sections of the form must be completed by the owner, lessee, property or security manager, as well as the towing company and law enforcement agency.
The owner or lessee must authorize the towing of the vehicle, providing a valid reason for the tow.
Notification to law enforcement is required within specified timeframes based on the reason for towing: one hour for public parking violations and ten or ninety-six hours for abandoned property.
The towing company is responsible for submitting the completed form to the law enforcement agency within two hours or twenty-four hours, depending on the situation.
If the property remains unclaimed after ten days, the towing company must send the original form to the Missouri Department of Revenue.
It is essential for the towing company to retain a copy of the form for three years for their records.
Online access to Department records is necessary for towing companies to verify owner and lienholder information efficiently.
If no records are found, the towing company must provide documentation of their search efforts along with the form to the Department for further investigation.

Misconceptions

Understanding the Form 4669 in Missouri can be tricky. Here are six common misconceptions about this form:

Misconception 1: Only law enforcement can authorize a tow.

This is not true. Property owners, lessees, or security managers can authorize a tow from private property without law enforcement intervention, provided they complete the necessary form.

Misconception 2: The form must be submitted immediately after towing.

While timely submission is important, the deadline varies. If the tow is based on a posted sign, the form must be submitted within two hours. For other reasons, it can be submitted within twenty-four hours.

Misconception 3: The towing company doesn't need to notify the law enforcement agency.

This is incorrect. The towing company must notify the law enforcement agency about the tow. This notification is crucial for tracking and record-keeping purposes.

Misconception 4: All abandoned vehicles can be towed without notice.

This is a misunderstanding. Different rules apply depending on the situation. For example, if a vehicle is on owner-occupied residential property, the owner must notify law enforcement and wait for a specified time before towing.

Misconception 5: The form can be completed by anyone.

This is not accurate. Only the owner, lessee, or property/security manager can complete and sign the form. This ensures accountability and accuracy in the towing process.

Misconception 6: Once the form is filed, the towing company has no further responsibilities.

This is misleading. The towing company must keep a copy of the form for three years and must also follow up with the Missouri Department of Revenue if the property remains unclaimed after ten days.

Similar forms

The Form 4669, or the Abandoned Property Report, serves a specific purpose in documenting the towing of abandoned vehicles from private property in Missouri. Several other documents share similarities with this form, primarily in their intent to establish ownership, facilitate communication between parties, and comply with legal requirements. Here’s a look at nine documents that are similar to Form 4669 and how they relate:

Form 4576 - Abandoned Property Affidavit: This form is used to affirm the towing company's efforts to establish ownership of an abandoned vehicle. Like Form 4669, it requires detailed information about the vehicle and the towing process.
Form 4577 - Vehicle Owner and Lienholder Notification: This document notifies the registered owner or lienholder of the abandoned property. It parallels Form 4669 in its requirement for timely communication regarding the status of the vehicle.
Form 3019 - Odometer Disclosure Statement: This form is needed when applying for a title on vehicles, especially those from model year 2011 and newer. It complements the information required in Form 4669 by addressing mileage disclosures.
Florida Firearm Bill of Sale Form: To ensure proper documentation during firearm transfers, refer to our detailed firearm bill of sale guidelines for a legally binding transaction.
Form 551 - Vehicle Examination Certificate: This certificate is required for certain title applications. It is similar to Form 4669 in that both documents require verification of the vehicle's condition and details before proceeding with ownership claims.
Tow Ticket: This document is issued by the towing company at the time of the tow. It serves as a record of the towing event, much like Form 4669, which documents the authorization for the tow and the circumstances surrounding it.
Incident Report: Often filed by law enforcement, this report details the circumstances of an incident involving an abandoned vehicle. It shares a purpose with Form 4669 in documenting events related to the vehicle's abandonment.
Notice of Impoundment: This notice is provided to inform the owner of a vehicle that it has been impounded. Similar to Form 4669, it serves to communicate important information regarding the status of the vehicle.
Property Release Form: Used when a vehicle is released from a towing company's custody, this form parallels Form 4669 by documenting the transfer of responsibility and ownership back to the owner.
Title Application Form: This form is submitted when applying for a new title for a vehicle. It is similar to Form 4669 in that both require comprehensive information about the vehicle and its ownership history.

Each of these documents plays a vital role in the process surrounding abandoned vehicles, ensuring that the rights of property owners and vehicle owners are respected and that legal procedures are followed correctly.