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How to fill out New Hampshire DSMV 545A

The affidavit a rebuilder swears before a salvage inspection, and the document that turns a salvage certificate back into something registrable. It has two branches and they are very different: a vehicle that has been reconstructed to the condition it was in before the loss, and a vehicle that was stolen and recovered with no damage at all.

Written against DSMV 545A (Rev 10/2020), issued under RSA 261:22 and Saf-C 1922.01. The three sworn statements are about the parts as well as the vehicle. Certifying that the identification numbers of the restored vehicle and its parts have not been removed, destroyed, falsified, altered or defaced means somebody has to know where the major components came from - which is why a rebuild that used a donor car without paperwork is a rebuild that cannot honestly sign this form.

Two documents, and they are not the same thing. Take the blank DSMV 545A from the dmv.nh.gov copy so you get the revision that is current today, then print our DSMV 545A guide and keep it beside you while you fill theirs in.

Filled in

What a completed one looks like

This is the actual DSMV 545A, rendered from the PDF the New Hampshire Division of Motor Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.

The New Hampshire Salvaged Motor Vehicle Affidavit, form DSMV 545A, filled in as an annotated sample. The owner block names Rosalie B. Thibodeau of Franklin with a phone number and no business name. The vehicle block gives the identification number across a seventeen-cell comb with the year, make, model, colour, salvage title number and state. The first of the two alternatives, for a vehicle reconstructed to its prior operating condition, is marked and the stolen-and-recovered line is left blank. The three sworn statements are followed by a signature under the penalties of perjury with the day, month and year. The inspection block at the foot, with its NHI and NHB numbers and pass or fail boxes, is left empty.
The block at the foot is the inspector's and is shown greyed for that reason. Everything above it is sworn, including the certification about the identification numbers on the parts - which is a much wider statement than most people notice when they sign it.
Field by field

Every line, in the order you meet it

  1. 1
    You fill this in

    Owner or dealer information

    Name, address, business name if there is one, and a phone number.

    Watch out: The phone number is how the inspection location reaches you if the appointment moves. Give one that works.

  2. 2
    You fill this in

    The vehicle identification number

    Written into the comb one character at a time.

    Watch out: This is the number the inspector will read off the car. A transcription error here is the fastest way to a wasted appointment.

  3. 3
    You fill this in

    Year, make, model, colour

    The description block.

    Watch out: Colour as it is now, not as it was before the rebuild. The inspector is looking at the vehicle in front of them.

  4. 4
    You fill this in

    Salvage title number and state

    Off the salvage certificate.

    Watch out: Without it there is nothing connecting this affidavit to the salvage record, which is the point of the exercise.

  5. 5
    You fill this in

    Choose one of the two branches

    Reconstructed to prior operating condition, or stolen and recovered with no damage.

    Watch out: The second branch needs a letter from the insurance company stating no damage, and Saf-C 1922.13 requires it to be included. Get it before the appointment.

  6. 6
    You fill this in

    The three certifications and the signature

    Signed under the penalties of perjury, with the day, month and year written out.

    Watch out: Read the first of the three twice. It covers the parts, not just the vehicle.

  7. 7
    Somebody else fills this in

    Leave the inspection block alone

    NHI and NHB numbers, pass or fail, date and location.

    Watch out: That is the inspector's. What you control is arriving with everything else complete - an incomplete form means being turned away and rescheduling.

At a glance

What goes where

On the formWhat to put in it
Owner or dealer informationName, address, business name if applicable, and phone number.
Vehicle informationVehicle identification number in a seventeen-cell comb, then year, make, model, colour, salvage title number and the state that issued it.
The two alternativesOne line for a vehicle reconstructed or restored to the operating condition which existed prior to the event which caused the salvage title to be issued, under RSA 261:22 and Saf-C 1922.01; one line for a total loss salvage vehicle that was stolen and recovered with no damage, which under Saf-C 1922.13 requires a letter from the insurance company stating no damage.
The three sworn statementsThat the identification numbers of the restored or recovered vehicle and its parts have not been removed, destroyed, falsified, altered or defaced; that the salvage title document attached has not been forged, falsified, altered or counterfeited; and that all information on the application and its attachments is true and correct.
Signature blockSigned under the penalties of perjury, with the day, month and year written out.
Inspection blockNHI and NHB numbers, pass or fail, inspection date and location - completed at the inspection, not by the owner.

What gets this one rejected

Rules that decide whether it is accepted

Every line here was read off DSMV 545A (Rev 10/2020) itself — the PDF is here — and off the New Hampshire Division 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.

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

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