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How to fill out Virginia VSA 59

The one form in this whole file that exists purely to protect the buyer from the seller, and the one a private seller is most likely to be prosecuted for skipping. Virginia Code 46.2-1602(A)(4) makes it unlawful for any person to sell a rebuilt vehicle without first having disclosed the fact that the vehicle is a rebuilt vehicle to the buyer. This single page is that disclosure, and both parties keep a copy of it.

Written against VSA 59 (07/01/2017), issued under Va. Code 46.2-1602. There is no DMV submission address on this form and no fee, which makes it easy to treat as optional. It is the opposite - it is the only piece of Virginia paperwork in this file whose omission is itself named as unlawful in a statute quoted on the form's own face, and the seller keeping a signed copy is the only evidence that the disclosure ever happened.

Two documents, and they are not the same thing. Take the blank VSA 59 from the dmv.virginia.gov copy so you get the revision that is current today.

Filled in

What a completed one looks like

This is the actual VSA 59, rendered from the PDF the Virginia Department of Motor Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.

The Virginia DMV VSA 59 filled in for a rebuilt 2011 Jeep: the statute and definition printed at the top, the vehicle identification number, year, make, body type, title number and state, the notice that the certificate has been branded rebuilt, and both seller and buyer signing and dating on 08/22/2026.
A page with no fee, no address and no application on it. The two signature rows are the whole point - they are the record that the buyer was told before the sale rather than after it.
Field by field

Every line, in the order you meet it

  1. 1
    You fill this in

    The vehicle

    VIN, year, make and body type, off the branded certificate.

    Watch out: Take them off the title rather than the car. The title is what carries the brand and the title number is asked for beside them.

  2. 2
    You fill this in

    Title number and state

    The certificate number and the state that issued it.

    Watch out: Where the brand was carried in from another state, that is the state to name - the notice paragraph is written for exactly that case.

  3. 3
    You fill this in

    Seller name and signature

    Print, sign and date - before the sale, not with the rest of the paperwork afterwards.

    Watch out: Keep your copy. It is the only proof that the disclosure was made first, and the statute is worded around that word.

  4. 4
    The buyer fills this in

    Buyer name and signature

    The buyer prints, signs and dates, and takes a copy away.

    Watch out: A buyer who will not sign it has told you something. The form is not the argument - it is the record of a conversation that has to have happened.

At a glance

What goes where

On the formWhat to put in it
Virginia code informationTwo paragraphs printed at the top of the form. The first is the prohibition itself. The second is the definition from 46.2-1600: a rebuilt vehicle is either a salvage vehicle that has been repaired for use on the public highways, or a late model vehicle that has been repaired where the estimated cost of repair exceeded 75% of its actual cash value, excluding the cost to repair damage to the engine, transmission or drive axle assembly.
Rebuilt vehicle informationVehicle identification number, year, make, body type, title number and the state that issued it.
The noticeA printed paragraph confirming that the certificate of title issued by the Virginia Department of Motor Vehicles for the vehicle has been branded rebuilt, and that the title may indicate a brand carried forward from another state or be based upon a vehicle examination conducted by a DMV agent.
SignaturesSeller name printed, seller signature and date; buyer name printed, buyer signature and date. Two rows and nothing else.

What gets this one rejected

Rules that decide whether it is accepted

Every line here was read off VSA 59 (07/01/2017) itself — the PDF is here — and off the Virginia Department 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 Virginia seller paperwork, or what selling a car in Virginia involves.

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