A table of twenty-three major parts, each with a row asking where it came from, submitted to a Wisconsin salvage vehicle inspector when a repaired salvage car is put back on the road. It is the document behind a rebuilt salvage title, and if you are selling a car you repaired yourself, it is the paperwork that decided what your title says.
Written against MV2673 (9/2024), issued under s. 342.07, Wis. Stats., and Trans Rule 149. This form belongs to a repair and inspection process rather than to a sale. It is here because a rebuilt salvage brand on a title you are selling came from one of these, and because a buyer asking where the parts came from is asking about this document.
Two documents, and they are not the same thing. Take the blank MV2673 from the wisconsindot.gov copy so you get the revision that is current today.
This is the actual MV2673, rendered from the PDF the Wisconsin Department of Transportation, Division of Motor Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.
The person who repaired or assembled the vehicle, at the top left.
Watch out: If a dealer did the work, their number and name go in the boxes on the row below and this one still names the owner.
Three boxes across the top row, beside the owner's name.
Watch out: Describe the vehicle as it was titled before the damage, not as it looks now. The salvage title number below ties the two together.
One wide box under the header block, for the vehicle being repaired.
Watch out: This is the surviving VIN, not a donor's. Donor numbers all belong in the last column of the table.
The salvage certificate the vehicle is being brought back from.
Watch out: Without it there is nothing for the inspector to match the statement against, and the application will not proceed.
Two ticks that tell the inspector whether the repaired car is going straight back on the market.
Watch out: Answer it honestly. A resale answer that does not match what happens next is the sort of inconsistency salvage inspectors are trained on.
Twenty-three rows. For each part replaced: year, make, part number, and the identification number of the vehicle the part came from.
Watch out: Leave rows blank where nothing was replaced. The empty rows are information too, and filling them with dashes reads as a form completed without thought.
Either no major parts were changed, or the listed parts were - and the second requires a bill of sale for each one.
Watch out: The form defines what a bill of sale means here, and it includes the year and make of the vehicle the part came off. A receipt with a part number on it is not enough.
Signed by the owner or authorised agent, with the vehicle described again above the second signature block.
Watch out: It is submitted with the repaired salvage vehicle application to the Wisconsin Salvage Vehicle Inspector, not posted to Madison.
| On the form | What to put in it |
|---|---|
| Owner Legal Name | The person who repaired or assembled the vehicle. |
| Vehicle Year / Make / Model | Three boxes across the top row beside the name. |
| Vehicle Identification Number (VIN) | A wide box under the header block. |
| Wisconsin Salvage Title Number | The salvage certificate the repaired vehicle is being brought back from. |
| Wisconsin Dealer # and Wisconsin Dealer Name | For a dealer filing it. Blank where the owner did the work. |
| Vehicle for Resale - YES / NO | Two ticks. It changes who the inspection is for. |
| The major parts table | Twenty-three named rows - engine, transmission, four doors, hood, grille, bumper or clip, two front fenders, deck lid or tailgate or hatchback, two rear quarter panels, trunk floor pan, frame portion, unibody portion, catalytic converter and five Other rows - each with year, make, part number and the VIN of the vehicle the part came from. |
| I have not changed any of the major parts of this vehicle | The first of two exclusive ticks below the table. |
| I have changed the major parts listed above | The second, and it comes with a requirement: attach a bill of sale for each part listed. |
| Owner / authorized agent signature and date, and a second owner signature block | Signature rules at the foot, with the vehicle described again above the second one. |
Every line here was read off MV2673 (9/2024) itself — the PDF is here — and off the Wisconsin Department of Transportation, 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 Wisconsin seller paperwork, or what selling a car in Wisconsin involves.