The only inspection in the whole South Dakota titling system, and the third of three motor-vehicle forms that has to be notarised. It is how a salvage-branded car, a kit car or a vehicle built up out of parts becomes something that can be titled and driven, and it is priced accordingly: all information on this form must be complete and submitted to the county treasurer with a $25 inspection fee. Two pages. The first is a component inventory - thirteen named parts, each wanting the origin and the part number - and the second is the sworn affidavit and the notary block. A Department of Revenue employee then certifies that they have personally examined the vehicle, its major component parts and the ownership documents.
Written against Form 1016 (no revision printed), issued under South Dakota Department of Revenue, Motor Vehicle Division, inspection under SDCL 32-3-53 and 32-3-53.2. Do not start the rebuild by throwing away the paperwork. This form is an audit of provenance as much as of workmanship: thirteen component rows wanting an origin with a complete address, original titles or certificates of origin for major components, and photocopied receipts for parts and labour. A car rebuilt over two winters from parts bought at auctions and from a neighbour is exactly what the form is for, and exactly the case where the documents were never kept. Collect them as you go, keep the salvage title itself, and remember that the affidavit is sworn before a notary or a county treasurer and carries an indemnity to the state.
Two documents, and they are not the same thing. Take the blank Form 1016 from the sddor.seamlessdocs.com copy so you get the revision that is current today, then print our Form 1016 guide and keep it beside you while you fill theirs in.
This is all 2 pages of the actual Form 1016, rendered from the PDF the South Dakota Department of Revenue, Motor Vehicle Division publishes and completed end to end: letterhead, every field, and the blocks at the foot.
Name, address, phone and email for the vehicle's owner, at the head of page one.
Watch out: Use a phone number that is answered. The inspection is a physical appointment with a division employee, arranged through the county treasurer.
For each of the three, where the component came from with a complete address, and its part number, which the form marks required.
Watch out: These three are the ones that need paper behind them. Ownership evidence - a bill of sale, a title, or a manufacturer's certificate of origin - is required if an engine, frame or body is used.
Transmission, fenders, hood, doors, bumpers, quarter panels, tailgate or deck lid, cargo box, cab and roof or floor pan, with origins and part numbers where available.
Watch out: Leave a row blank only where the original part is still on the car. A replaced part with no origin recorded is what turns an inspection into a second visit.
The free-text block: what the vehicle started as, what was replaced and in what order.
Watch out: Write it for someone who has never seen the car. The inspector reads this before examining the vehicle, and a clear account is what makes the examination short.
Parts or material on hand; a manufactured kit; purchased parts with receipts attached; or purchased as is from a rebuilder.
Watch out: Ticking purchased parts commits you to the receipts. The affidavit says receipts attached in the box label itself, so an unsupported tick is a failed application.
Year, make, model, type and weight, then the affiant's full legal name split across first, middle and last, with a licence number or date of birth and a phone number.
Watch out: The make box reads make if a manufactured kit. A vehicle built from scratch may genuinely have no make, and inventing one creates a record nothing else will match.
Two full rows. The physical address is where the vehicle actually is.
Watch out: They are not the same question. A rural route mailing address will not tell an inspector which yard the car is standing in.
Subscribed and sworn before a notary public or county treasurer, then a Department of Revenue employee certifies the personal examination of the vehicle, the components and the ownership documents.
Watch out: Sign in front of whoever takes the acknowledgement, not before. And leave the certification block entirely alone - it is the department's, and a pre-filled one is the fastest way to have the file returned.
| On the form | What to put in it |
|---|---|
| Applicant Information | Name, address, city, state, zip, phone and email. |
| Component Information - engine, frame, body | Three rows, each wanting the origin of the component or where it was purchased from, with a name and complete address, and the component part number, which the form marks required. A note beneath: ownership evidence, a bill of sale or title, is required if an engine, frame or body is used. |
| Component Information - the other ten | Transmission, fenders, hood, doors, bumpers, quarter panels, tailgate or deck lid, pickup cargo box, cab of a truck, and roof or floor pan. Origin and part number where available. |
| Explanation of Vehicle Construction | A large free-text block for the account of how the vehicle was put together. |
| The affidavit, page two | The undersigned, being duly sworn upon oath, deposes and says they are the owner of the vehicle listed below - rebuilt or built from parts and materials on hand, or parts and materials purchased from a supplier, or a manufactured kit purchased from a supplier, or purchased as is from a rebuilder, or otherwise lawfully acquired - and will indemnify and hold harmless the State of South Dakota. |
| Check all boxes that apply | Four ticks: constructed from parts or material on hand; assembled from a manufactured kit; built from purchased parts or material, receipts attached; purchased as is from a rebuilder. |
| Vehicle row | Year, make - the form adds if a manufactured kit - model, type and weight or engine capacity. |
| Affiant's Full Legal Name, Driver's License or ID or DOB, Telephone Number | The owner, identified. First, middle and last are separate boxes. |
| Affiant's Physical Address and Mailing Address | Two full address rows, because a rebuilt vehicle is inspected where it is rather than where the post goes. |
| Affiant's Signature, Date, and the notary block | State of South Dakota, County of ___, subscribed and sworn to before me, then Notary Public or County Treasurer. |
| Certification from SD DOR, office use only | An employee signature, printed name and title, certifying that they have personally examined the above vehicle, major component parts and ownership documents, and that the completed rebuilt vehicle conforms to South Dakota Codified Law and Administrative Rules. |
Every line here was read off Form 1016 (no revision printed) itself — the PDF is here — and off the South Dakota Department of Revenue, 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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