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It captures license plate and vehicle details, VIN, make and model, registration issue and expiration dates, and the odometer reading. The form requires confirmation that the vehicle meets program requirements, including age, drivability, and ineligibility of plug-in hybrids, plus enrollment conditions for participating scrapping partners. 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Yes/No  \n*Scrapping Partner list is available in the RYR Program Guidelines.  \n[Questions? Contact vermontPEV@energycenter.org](Questions? Contact vermontPEV@energycenter.org) or call (888) 807-0446 REV 07/17/2024  \nReplaced Vehicle Attestation Form Page 1 of 3  \nPlease confirm scrapped vehicle meets all the requirements listed below:  \n􀂃 ICE vehicle being scrapped is a passenger vehicle with a gross vehicle weight of  \n10,000 pounds or less.  \n􀂃 ICE vehicle being scrapped can drive thirty (30) feet in forward and in reverse under its own power without any assistance.  \n􀂃 ICE vehicle being scrapped can start readily through ordinary means without any assistance.  \n􀂃 ICE vehicle being scrapped is not a plug-in hybrid vehicle (Plug-in hybrid vehicles are ineligible for the program) .  \n􀂃 ICE vehicle is at least 10 years old from current year (e.g. current year is 2024 = ICE vehicle model year is 2014 or older) .  \n􀂃 ICE vehicle has been titled to the consumer for a minimum of twelve (12)  \nconsecutive months prior to the date of application.  \n􀂃 ICE vehicle being scrapped is currently registered to either the consumer, with the State of Vermont DMV.  \n􀂃 ICE vehicle being scrapped has been registered with the state of Vermont for at least two consecutive years prior to the date of application.  \n􀂃 ICE vehicle being scrapped is up to date on all vehicle registration fees for the State of Vermont.  \n􀂃 ICE vehicle being scrapped has an approved inspection sticker dated within the past eighteen (18) months.  \n􀂃 ICE vehicle is being scrapped by a participating scrapping partner to ensure the vehicle is disabled, as defined by legislation and the Vermont Replace Your Ride Program Guidelines.  \n Yes  \n Yes  \n Yes  \n Yes  \n Yes  \n Yes  \n Yes  \n Yes  \n Yes  \n Yes  \n Yes  \n No-Flood Impacted  \n No-Flood Impacted  \n No-Flood Impacted  \n[Questions? Contact vermontPEV@energycenter.org](Questions? Contact vermontPEV@energycenter.org) or call (888) 807-0446 REV 07/17/2024  \nReplaced Vehicle Attestation Form Page 2 of 3  \nDealership Signature (Required)  \nI (print name)   verify that I have completed an inspection of the vehicle to be retired and the information above is correct and true. I verify that the vehicle will be scrapped through an approved partner and meets the requirements in the Vermont Replace Your Ride Program Guidelines.  \nSignature Date  \n[Questions? Contact vermontPEV@energycenter.org](Questions? Contact vermontPEV@energycenter.org) or call (888) 807-0446 REV 07/17/2024  \nReplaced Vehicle Attestation Form Page 3 of 3","cbCaiu4fbuRRaxqA","https://ap.wps.com/l/cbCaiu4fbuRRaxqA","pdf",169946,"English","# Inspection Information\n## Vehicle Information\n# Scrapping Eligibility Confirmation\n# Dealership Signature","[{\"question\":\"Who must complete and sign the form?\",\"answer\":\"The document must be completed and signed by a dealership representative after completing an inspection of the vehicle to be retired.\"},{\"question\":\"What vehicle requirements must be confirmed?\",\"answer\":\"The form requires confirmation that the scrapped ICE passenger vehicle meets age, drivability, startability, registration, inspection-sticker timing, and non-plug-in-hybrid eligibility requirements.\"},{\"question\":\"How is the scrapping partner information handled?\",\"answer\":\"The form includes a scrapping partner section and notes that the approved scrapper list is available in the RYR Program Guidelines.\"}]","Vermont Replace Your Ride Program - Replaced Vehicle Attestation Form | PDF",1789871214]