How to fill out Maine MVT-103

Two forms printed back to back, doing opposite jobs. Part A is the account of a rebuild: every component that went into the vehicle, whether it was new, used or repaired, and where each used part came from. Part B is the notice that a salvage vehicle has been scrapped, dismantled, compressed or destroyed, and is not coming back. Which side you are looking at decides who signs, and a private owner is on the Bureau's side of neither - Part A is signed by the repairer.

Top of the blank Maine MVT-103, Affidavit of Rebuilt or Repaired Salvage Vehicle, and Disposition of Salvage Vehicle, as the agency publishes it

Step 1 · the form itself Blank MVT-103 — Affidavit of Rebuilt or Repaired Salvage Vehicle, and Disposition of Salvage Vehicle PDF at maine.gov · new tab View the blank MVT-103

Top of page 1 of our filled-in example of Maine MVT-103, Affidavit of Rebuilt or Repaired Salvage Vehicle, and Disposition of Salvage Vehicle

Step 2 · how to fill it in Our filled-in MVT-103 guide PDF · 3 pages · 690 KB · new tab See our filled-in example

Two documents, and they are not the same thing. Take the blank MVT-103 from the maine.gov copy so you get the revision that is current today, then print our MVT-103 guide and keep it beside you while you fill theirs in.

Written against MVT-103 (Rev 9-2021), issued under 29-A M.R.S. section 654. A vehicle stops being a motor vehicle in Maine only when the certificate of title or the certificate of salvage has been surrendered to the Secretary of State - the Bureau states that in its own training material, with asterisks around it. Until that happens the paperwork is still live, whatever condition the vehicle is in.

Last updated August 22, 2026.

Filled in

What a completed one looks like

This is all 2 pages of the actual MVT-103, rendered from the PDF the Maine Bureau of Motor Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.

Amber — you write it
Grey — not yours to fill
Numbered — explained below

The Maine MVT-103 affidavit of rebuilt or repaired salvage vehicle filled in as an annotated sample. Solange B. Gagnon of Machias is named as final vehicle owner of a 2011 Ford Escape with its identification number. Four rows of Part A are completed: a left front door and a left quarter marked used with their donor vehicle identification numbers, title state, title number and surrender date, a new airbag with a serial number, and a transmission marked repaired. Bold Coast Collision has signed as repairer with an address and telephone number. — Page 1 of 2. Part A, the rebuild account. Four rows are used and the rest are greyed. Each used part carries its donor vehicle's identification number, title state, title number and the date that title was surrendered, and the key column records whether each component was new, used or repaired.

Page 2 of the filled-in MVT-103: Part B, which is the opposite transaction and is not filled in here. It exists to tell the Secretary of State that a salvage vehicle has been scrapped, dismantled, compressed or destroyed, and its own instruction says to use Part A instead where the vehicle has been rebuilt. — Page 2 of 2. Part B, which is the opposite transaction and is not filled in here. It exists to tell the Secretary of State that a salvage vehicle has been scrapped, dismantled, compressed or destroyed, and its own instruction says to use Part A instead where the vehicle has been rebuilt.

Field by field

Every line, in the order you meet it

1
You fill this in
Final vehicle owner
Name, address, telephone, and the vehicle's make, model and identification number with the Bureau's reference number.
Watch out: Final vehicle owner means whoever will hold the rebuilt title, not the repairer. It is the one block on Part A that is about you.
2
Somebody else fills this in
Key each component
N for new, U for used, R for repaired, beside every part in the list.
Watch out: Repaired is a real answer and it is the one that keeps the count down. A panel straightened rather than swapped is an R and does not add to the tally.
3
Somebody else fills this in
Left or right
The narrow column beside the part name takes an L or an R.
Watch out: It matters for fenders, doors and quarters, which is why the column is there. A row that does not say which side is a row the Bureau has to query.
4
Somebody else fills this in
Donor details for every used part
The donor's identification number, title state, title number and the date that title was surrendered.
Watch out: All four columns. A donor number with no surrender date leaves an open title somewhere in the record and that is exactly what the columns exist to close.
5
Somebody else fills this in
The airbag rows
Serial numbers for each new airbag; the donor identification number for a used one.
Watch out: The instruction is printed inside the row itself rather than in the notes, which is why it is missed. There are two separate airbag rows for that reason.
6
Somebody else fills this in
Clips get their own numbers
If a full front or rear clip is used, record the identification number of the vehicle it came from.
Watch out: A clip is the biggest single donor contribution there is, and it carries the donor's own structure and stampings with it.
7
Somebody else fills this in
No repairs made
The line for a totalled vehicle repaired without replacing anything, with a space to explain.
Watch out: This is how a title gets coded Repaired rather than Rebuilt. It still needs the repairer's signature and it still needs the explanation.
8
Somebody else fills this in
The repairer signs
Date, signature, address and telephone, under a certification given under penalties of false statement.
Watch out: The certification is that Part A is true and correct. It is the repairer's statement about their own work and not something an owner can sign on their behalf.

At a glance

What goes where

On the form	What to put in it
Final Vehicle Owner	Name, address, city, state, postcode and telephone, then the vehicle make and model, the identification number, and the Bureau's own reference number for the application.
Part A, the key column	Beside every part listed, a single letter: N for a component replaced with a new part, U for a used one, or R for a part that was repaired rather than replaced.
Part A, the parts	Fender, front door, rear door, quarter, airbags, complete front clip, complete rear clip, roof, hood, tailgate or hatchback or lid, cargo bed, frame, engine, transmission, transfer case, and for a motorcycle the front fork and crankcase. Left and right are distinguished by an L or an R in their own column.
Part A, the donor columns	For each used part: the donor vehicle's identification number, the title state, the title number and the date that title was surrendered.
Part A, the airbag rules	Printed inside the table rather than in a footnote. Serial numbers for each new airbag; the identification number if a used airbag; and if a full clip is used, record the identification number.
Part A, no repairs made	A line for the case where the vehicle was declared totalled and repaired without replacing anything, with a space to explain.
Part A, the repairer	Date, repairer's signature, address and telephone, above a certification given under penalties of false statement.
Part B, the notice	A capitalised warning that a salvage vehicle's title must be surrendered as soon as any component part listed in Part A is removed, or as soon as the vehicle is scrapped, compressed or destroyed, even if the title is from another state.
Part B, the table	The person or company surrendering the titles, then a row per vehicle with the title number, the state and the identification number, under a certification that the vehicles described were scrapped, dismantled, compressed or destroyed.

What gets this one rejected

•A used part listed with no donor identification number. Vehicle identification numbers for used parts are required and the Bureau repeats it in its recycler material.
•A new part listed without a bill of sale. The Part A instructions say bills of sale for new components must accompany this form, and the recycler guidance adds that new parts require receipts.
•A new airbag with no serial number, or a used airbag with no donor identification number. Both rules are printed inside the airbag rows themselves.
•A full clip used with no donor identification number recorded, which the two clip rows ask for by name.
•Part A signed by the owner rather than by the repairer, when the certification is the repairer's own.
•Part B filed for a rebuilt vehicle. The instruction says if the salvage vehicle has been rebuilt, use Part A on the reverse instead.

Rules that decide whether it is accepted

•Which brand you end up with is a matter of counting. The Bureau's dealer material states the arithmetic: one to four component parts replaced codes the title Rebuilt; five or more codes it Rebuilt Salvage; and a vehicle declared totalled and repaired with no parts replaced is coded Repaired on the strength of this form completed by the repairer.
•The donor titles go too. Titles for the vehicles that supplied parts must be surrendered as junk. The four donor columns on Part A exist so the Bureau can match each one.
•Thirty days on the way out. Part B's own instruction sets the clock: the destruction of the vehicle must be reported to the Secretary of State within thirty days, and the form is only needed where a title or certificate of salvage is not submitted.
•Put your name on the back of what you surrender. The Bureau's closing note on Part B: make sure your name is on the back of every surrendered title or on a transfer form attached to the title.

Every line here was read off MVT-103 (Rev 9-2021) itself — the PDF is here — and off the Maine Bureau of Motor Vehicles pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

Forms that go with this one

Part B is for a vehicle already scrapped; if yours still sits outside a Bangor home, read what Bangor's property code says about damaged vehicles stored outdoors.

Back to all Maine seller paperwork, or what selling a car in Maine involves.

How to fill out Maine MVT-103

What a completed one looks like

Every line, in the order you meet it

Final vehicle owner

Key each component

Left or right

Donor details for every used part

The airbag rows

Clips get their own numbers

No repairs made

The repairer signs

What goes where

What gets this one rejected

Rules that decide whether it is accepted

Forms that go with this one

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