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The Missouri 4803 form, officially titled the Request for Information, serves as a crucial tool for individuals and organizations seeking access to specific motor vehicle and marine titling and registration records. This form is governed by the Driver’s Privacy Protection Act (DPPA), which mandates that requesters must provide a DPPA access number to obtain the name and address of vehicle or marine craft owners. Without this access code, individuals must complete a separate Request for Security Access Code (Form 4678) to determine eligibility for obtaining such information. The form requires detailed information about both the requester and the vehicle or marine craft in question, including the owner's name, address, and various identifiers such as the vehicle identification number (VIN) or marine decal number. Requesters can select from several types of information, including current ownership details, title history, mileage history, and status of title. Each request incurs a nominal fee, and options for receiving the information include mail, fax, or in-person visits. Importantly, the form also emphasizes the legal restrictions on using the obtained data for commercial purposes without explicit consent, ensuring that personal information remains protected. Overall, the Missouri 4803 form plays a vital role in facilitating access to important vehicle-related records while safeguarding individual privacy rights.

Missouri 4803 Preview

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

 

 

 

 

 

 

 

Street Address, R.R., Or P.O. Box Number

City

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Motor Vehicle

 

 

 

 

Year

Make

 

 

 

Title Number

 

1

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate Number

 

 

 

 

 

 

 

Expiration Year

 

 

 

 

 

 

 

 

 

 

 

 

__ __ __ __

 

 

 

 

Year

Make

 

 

 

Title Number

 

2

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate Number

 

 

 

 

 

 

 

Expiration Year

 

 

 

 

 

 

 

 

 

 

 

 

__ __ __ __

Marine Craft

 

 

 

Year

Make

Decal Number

Expiration Year

 

1

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

Make

Decal Number

Expiration Year

 

2

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

Dos and Don'ts

When filling out the Missouri 4803 form, it's important to follow certain guidelines to ensure your request is processed smoothly. Here are some things to do and avoid:

  • Do provide accurate information for all required fields.
  • Do include your DPPA access number if you are requesting owner information.
  • Do double-check the vehicle or marine craft details for accuracy.
  • Do sign and date the form before submitting it.
  • Do choose your preferred method of receiving the information clearly.
  • Don't leave any mandatory fields blank.
  • Don't submit the form without reviewing it for errors.

By following these tips, you can help ensure that your request for information is handled efficiently.

Key takeaways

Understanding the Missouri 4803 Form is essential for anyone seeking access to motor vehicle and marine craft registration records. Here are some key takeaways to keep in mind when filling out and using this form:

  • DPPA Access Number Required: To obtain information such as the name and address of a vehicle or marine craft owner, you must provide a Driver’s Privacy Protection Act (DPPA) access number. Without it, your request cannot be processed.
  • Information Availability: The form allows you to request various types of information, including current ownership details, title history, and mileage history. Each type of request has specific requirements, such as providing the vehicle identification number or license plate number.
  • Payment Options: The fee for obtaining records is $2.82 per record. Payment can be made through various methods, including cash, check, or credit/debit cards. Be aware that a convenience fee applies for card transactions.
  • Restrictions on Data Use: It's crucial to understand that the data obtained from this form cannot be sold or used for commercial purposes without consent. This restriction aims to protect personal information from being misused.

By keeping these points in mind, you can navigate the Missouri 4803 form process more effectively and ensure that your requests are handled properly.

Misconceptions

Understanding the Missouri 4803 form can be tricky. Here are ten common misconceptions about this form, along with clarifications to help you navigate the process.

  1. You can access any owner’s information without restrictions. The form is governed by the Driver’s Privacy Protection Act (DPPA), which restricts access to personal information.
  2. All previous owner information is available. Only the current owner's information can be obtained; previous owner details are restricted.
  3. You don’t need a DPPA access number. To access the name and address of a vehicle owner, you must provide a valid DPPA access number.
  4. Anyone can request information about any vehicle. Only authorized individuals with a valid DPPA access number can request this information.
  5. The form can be submitted online. Currently, submissions must be made via mail, fax, or in person.
  6. You can get detailed vehicle history without specific information. You must provide the year, make, and identification number to obtain a title or mileage history.
  7. Fees are the same for all types of requests. Different requests may incur varying fees, so it's important to check the specific costs associated with your request.
  8. Payment can only be made by check or cash. You can also pay by credit or debit card, but be aware of convenience fees.
  9. You can use the information for commercial purposes. The law prohibits using the data for commercial gain without express consent from the individual involved.
  10. Submitting the form guarantees you will receive the requested information. Requests can be denied if they do not comply with DPPA regulations or if the information cannot be verified.

By clearing up these misconceptions, you can approach the Missouri 4803 form with confidence and ensure you follow the necessary steps to obtain the information you need.

Similar forms

The Missouri 4803 form is a request for information related to motor vehicle and marine titling and registration records. It is designed to help individuals obtain specific details while adhering to the Driver’s Privacy Protection Act (DPPA). Several other documents serve similar purposes in terms of requesting information or access to records. Here are five such documents:

  • Form 4678 - Request for Security Access Code: This form is used to request a security access code necessary for accessing certain vehicle and marine craft records. Like the 4803, it ensures compliance with the DPPA by restricting access to sensitive information.
  • Form 100 - Application for Title: This document allows individuals to apply for a title for a vehicle or marine craft. Similar to the 4803, it requires specific information about the vehicle and the owner, facilitating the tracking of ownership and registration details.
  • Form 504 - Request for Vehicle History Report: This form enables a requester to obtain a detailed history of a vehicle's title changes, accidents, and other significant events. Much like the 4803, it provides important insights into a vehicle's past, helping potential buyers make informed decisions.
  • Form 101 - Application for Duplicate Title: Individuals can use this form to request a duplicate title if the original is lost or damaged. This process is similar to the 4803 in that it verifies ownership and requires personal details to ensure the correct issuance of the title.
  • Form 502 - Request for Lien Information: This form allows individuals to request information about liens on a vehicle or marine craft. Like the 4803, it helps protect the interests of potential buyers by providing crucial information about any financial claims against the property.