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How to fill out North Dakota SFN 2889

The one place in the North Dakota system where the answer is a refund rather than a credit - and the form says so by quoting the statute at length in its own body. Where a licensed vehicle is permanently and involuntarily destroyed, the owner may claim back the unused portion of the licence fee, computed pro rata by the month, one twelfth of the annual fee for each month remaining after the month in which the vehicle was destroyed. The condition is surrender: the title, registration card and licence plates all go back to the department. What comes the other way is a cheque and a salvage certificate of title, with $5 deducted from the refund to cover the cost of that certificate.

Written against SFN 2889 (4-2026), issued under NDCC 39-04-44, quoted in full on the face of the form. Do not send this in before you have settled with the insurer. The department wants the certificate of title surrendered as part of the claim, and an insurer settling a total loss will normally want that same certificate assigned to it. Work out which document goes where first - and remember that a total loss settlement is one of the numbered excise tax exemptions on the buyer's certification, which is a hint about how often these two processes collide.

Two documents, and they are not the same thing. Take the blank SFN 2889 from the dot.nd.gov copy so you get the revision that is current today, then print our SFN 2889 guide and keep it beside you while you fill theirs in.

Filled in

What a completed one looks like

This is the actual SFN 2889, rendered from the PDF the North Dakota Department of Transportation, Motor Vehicle Division publishes and completed end to end: letterhead, every field, and the blocks at the foot.

A completed North Dakota SFN 2889, Affidavit for Refund of License Fee of a Permanently Destroyed Vehicle. The owner block names Marlys J. Thorsrud, 1427 Chestnut St, Grand Forks, ZIP 58201. The vehicle rows show a 2013 Dodge Grand Caravan SXT minivan with its vehicle identification number and title number. The date of accident is 07/14/2026, with North Dakota licence number 907 HTM and licence year 2026. The name is printed and the signature of owner line signed. The Acknowledgement block beneath is shaded grey.
Everything above the signature is the owner's, and there is very little of it - the statute quoted in the body of the form does most of the talking. The acknowledgement block is grey because a notary completes it. The owner, the wrecked van, the plate and the numbers are all fictional.
Field by field

Every line, in the order you meet it

  1. 1
    You fill this in

    Owner(s) and address

    Your name and full mailing address, as the certificate of title has them.

    Watch out: This is where the refund cheque and the salvage certificate are posted, so a stale address costs twice.

  2. 2
    You fill this in

    Year, Make, Model, Style

    Year, make, model and style of the destroyed vehicle.

    Watch out: Take it from the certificate rather than from the insurer's letter. The two do not always describe a vehicle identically and the department works from its own record.

  3. 3
    You fill this in

    Vehicle Identification Number and Title Number

    The entries that tie the affidavit to the department's record.

    Watch out: Copy them before you surrender the certificate - once it goes in the envelope you no longer have them to hand.

  4. 4
    You fill this in

    Date of Accident

    The date the vehicle was destroyed, which the pro-rated refund is measured from.

    Watch out: The month of the loss itself earns nothing back. One twelfth of the annual fee is credited for each month remaining after that month, so a loss late in a month is worth exactly as much as one early in it.

  5. 5
    You fill this in

    North Dakota License Number and License Year

    The plate number and the registration year the unused fee is being claimed against.

    Watch out: The plates themselves go back with the affidavit, along with the registration card and the certificate of title. All three are conditions of the refund in the statute quoted on the form.

  6. 6
    You fill this in

    Name printed, and Signature of Owner

    Printed and signed before a Notary Public or Authorized Officer, under the oath set out at the head of the form.

    Watch out: The $5 deduction for the salvage certificate is noted immediately above this line. It is not a fee you can decline - the certificate is what the department issues in exchange.

  7. 7
    Somebody else fills this in

    The Acknowledgement block

    State and county, the sworn date, and then the notary's printed name, stamp, signature and expiry - four lines that are not the owner's.

    Watch out: The officer's block. Take the certificate of title and the registration card to the appointment so the whole package leaves in one envelope.

At a glance

What goes where

On the formWhat to put in it
The scope lineIn capitals across the head: this form is to be used only when a vehicle is permanently destroyed.
The oathThe subscriber being first duly sworn, under oath, deposes and says that he is the owner of the motor vehicle described, and that the statements made herein are in all respects true and correct.
Owner(s), and addressName, mailing address, city, state and zip code.
Vehicle descriptionYear, make, model and style on one line, with the identification number and the title number on the next.
Date of AccidentThe date the vehicle was destroyed, from which the pro-rated months are counted.
State of North Dakota License Number and License YearThe plate and the registration year the refund is claimed against.
The statutory recitationThe body of the form quotes NDCC 39-04-44 in full, including the condition that the number plates, registration card and certificate of title are returned to the department.
The salvage noteA salvage title will be sent to you. We will deduct $5 from your refund to cover the cost of the Certificate of Title to the salvage motor vehicle.
Name (Type or Print) and Signature of OwnerThe owner prints and signs in front of a Notary Public or Authorized Officer, under the oath set out at the head.
AcknowledgementThe officer's block: state, county, the day the owner swore to it, a printed name, the stamp, a signature and a commission expiry.
PENALTYAny person violating any of the provisions of chapter 39-04 for which another penalty is not specifically provided is guilty of a class B misdemeanor.

What gets this one rejected

Rules that decide whether it is accepted

Every line here was read off SFN 2889 (4-2026) itself — the PDF is here — and off the North Dakota Department of Transportation, Motor Vehicle Division pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

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