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The document instructs the applicant to submit ownership and sales documents for the vehicles used in the build, invoices and receipts for major components, inspection certification by the Washington State Patrol, certified scale weight evidence, a Declaration of Value (TD-420-737), and additional items such as odometer disclosure, frame and bumper certifications when applicable. It includes builder/manufacturer certification, signature and date blocks, and registered-owner attestations covering completeness, required equipment, legal compliance, and indemnification terms.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/homemadeassembled-vehicle-use-declaration-registration-certification-form/347811/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/homemadeassembled-vehicle-use-declaration-registration-certification-form/347811.png","ImageObject",300,407,{"name":92,"@type":93},"Anna Hans","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-26","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What kind of vehicles does this declaration cover?","Question",{"text":112,"@type":113},"It certifies and registers homemade or assembled vehicles with 2, 3, or 4 wheels for highway or public roadway use.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What documents must be submitted to the local vehicle licensing office?",{"text":117,"@type":113},"Submit proof of ownership or notarized bills of sale for vehicles used in the assembly, bills of sale/invoices for major components, receipts for parts used, Washington State Patrol inspection certification, a certified scale weight slip, and the Declaration of Value (TD-420-737).",{"name":119,"@type":110,"acceptedAnswer":120},"What does the registered owner need to confirm?",{"text":121,"@type":113},"The registered owner must attest that supporting documents are complete and accurate, that the vehicle has required equipment under RCW 46.12.750, that the vehicle meets state and federal requirements, and that they agree to indemnify, defend, and hold harmless specified Washington agencies and departments from claims related to registration and operation.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},347811,1790442107,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},5909892332657,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Click here to START or CLEAR, then hit the TAB button  \nHomemade/Assembled Vehicle Use Declaration  \nUse this form to certify and register a 2- , 3- , or 4-wheel homemade or assembled vehicle for highway/public roadway use. Take this completed form to your local vehicle licensing office along with the following documents:  \n• Certificates of ownership (title) or notarized bills of sale for the vehicles used in the assembly  \n• Bills of sale or invoices for all major component parts  \n• Receipts for all parts used in the construction  \n• Certificate of vehicle inspection completed by the Washington State Patrol  \n• Certified scale weight slip  \n• Declaration of Value form, TD-420-737  \n• Odometer disclosure statement if the model year is less than 10 years old  \n• Frame certification (if applicable)  \n• Bumper certfication (if applicable)  \nManufacturer/Builder certification  \nThis section must be filled out completely and signed.  \n\n| PRINT or TYPE Name |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| Address |  |  |  |  |  |\n| City |  |  |  | State | ZIP code |\n| (Area code) Telephone number |  |  | Email address (optional) |  |  |\n| Check to confirm required components have been installed |  |  |  |  |  |\n|  Headlight  Tail light  Brake light  Turn signals\u003Cbr> License plate lamp |  Speedometer  Odometer  Reflectors  Horn\u003Cbr> Mirrors (L/R) |  Brakes\u003Cbr> Suspension system  Muffler\u003Cbr> Tires\u003Cbr> Fenders/Splashguards |  |  Windshield (if applicable)  Seatbelt system (if applicable)  Bumpers (if applicable)\u003Cbr> Doors (if applicable)\u003Cbr> Hood (if applicable) |  |\n| As the manufacturer of this homemade/assembled vehicle, I certify under penalty of perjury under the laws of the state of Washington that it meets motor vehicle safety standards described in 49 Code of Federal Regulations (CFR) Part 571 and Washington State RCW 46.37 and WAC 204. If signing for a business, I have full authority to do so.\u003Cbr>X Print completed form and sign here.\u003Cbr>Date and place (city or county) signed Signature |  |  |  |  |  |\n\nRegistered owner  \n\n| Registered owner name | Registered owner name |\n| --- | --- |\n| Answer the following\u003Cbr>1. Are the supporting documents you provided complete, true, and accurate to the best of your\u003Cbr>knowledge? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Yes  No\u003Cbr>2. Is the vehicle properly equipped with all items required by RCW 46.12.750? . . . . . . . . . . . . . . . . . . . . .  Yes  No\u003Cbr>3. Does the vehicle comply with state and federal requirements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Yes  No\u003Cbr>4. To the extent permitted by law, do you expressly agree to indemnify, defend, and hold harmless the state of Washington, the Washington State Patrol, and the Department of Licensing from all claims, damages, losses, expenses, and costs arising out of the registration and operation\u003Cbr>of this vehicle? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Yes  No |  |\n| I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.\u003Cbr>X Registered owner sign here.\u003Cbr>Date and place (city or county) signed Signature |  |\n\nRCW 46 .01.310; 46.12.750; 46.80.010 WAC 204-10-022; 308-56A-455 TD-420-809 (R/7/16)WA","cbCaifStGvDwh51g","https://ap.wps.com/l/cbCaifStGvDwh51g","pdf",1186677,"English","# Homemade/Assembled Vehicle Use Declaration\n## Required documents for registration\n## Manufacturer/Builder certification\n## Registered owner attestations","[{\"question\":\"What kind of vehicles does this declaration cover?\",\"answer\":\"It certifies and registers homemade or assembled vehicles with 2, 3, or 4 wheels for highway or public roadway use.\"},{\"question\":\"What documents must be submitted to the local vehicle licensing office?\",\"answer\":\"Submit proof of ownership or notarized bills of sale for vehicles used in the assembly, bills of sale/invoices for major components, receipts for parts used, Washington State Patrol inspection certification, a certified scale weight slip, and the Declaration of Value (TD-420-737).\"},{\"question\":\"What does the registered owner need to confirm?\",\"answer\":\"The registered owner must attest that supporting documents are complete and accurate, that the vehicle has required equipment under RCW 46.12.750, that the vehicle meets state and federal requirements, and that they agree to indemnify, defend, and hold harmless specified Washington agencies and departments from claims related to registration and operation.\"}]","Homemade/Assembled Vehicle Use Declaration - Registration Certification Form | PDF",1790069222]