Five boxes and one sworn sentence for the plate you cannot hand back: I/we hereby state under penalty of false swearing, the above vehicle registration plate has been lost or stolen and cannot be surrendered to the Division of Motor Vehicles as required by West Virginia Law Code 17D-2A-1 et. seq. That citation is the compulsory-insurance article - the reason surrender matters at all is that a plate is supposed to come back when its insurance stops, and this statement is what stands in for the tin when the tin is gone.
Written against WV-4S (Rev 08/22), issued under W. Va. Code 17D-2A-1 et seq.. The oath is the whole form - under penalty of false swearing is printed above your signature, and the statement it swears is that the plate cannot be surrendered. Sign it while the plate hangs in the shed and you have sworn falsely over something with your name stamped on the record; find the plate later and the honest move is destruction, because its number was retired the day this statement landed.
Two documents, and they are not the same thing. Take the blank WV-4S from the webapps.transportation.wv.gov copy so you get the revision that is current today, then print our WV-4S guide and keep it beside you while you fill theirs in.
This is the actual WV-4S, rendered from the PDF the West Virginia Division of Motor Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.
Every owner the title prints, written as it prints them.
Watch out: Match the certificate, not the checkbook. The statement is filed against the title record, and the names are how it lands there.
The four identifying boxes down the right side.
Watch out: The registration card carries all four. If the card vanished with the plate, the certificate covers everything but the plate number - which an old insurance card or a photo of the car usually supplies.
The (X) line under the printed oath, and the date of this signed statement beside it.
Watch out: Stolen rather than lost? Ring the State Police first, then file this - the two reports do different jobs and the Division expects both.
| On the form | What to put in it |
|---|---|
| Names as shown on vehicle title | The owner or owners, exactly as the title prints them - the left column's one demand. |
| The plate and the record | License plate number, title number, vehicle make and model year, stacked down the right column. |
| The sworn statement | The printed lost-or-stolen sentence with its statutory citation, above the owner signature (X) line and the date of this signed statement. |
Every line here was read off WV-4S (Rev 08/22) itself — the PDF is here — and off the West Virginia 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 West Virginia seller paperwork, or what selling a car in West Virginia involves.