OMB No. 2127-0002 

Exp. 09-30-2022 

National Highway Traffic Safety Administration 

Import and Certification Division 

Phone: 202-366-5291 

Fax: 202-493-0073 

Email: Importcertification@dot.gov 

Website: nhtsa.gov/importing 

Application for Permission to Transfer Ownership of a 

Motor Vehicle Previously Granted a Show or Display Exemption 

Under 49 U.S.C. 30114 

1. Applicant (prospective purchaser) 

Name 

Address 

City State/Province Country ZIP Code 

Phone Number Fax Number 

Email Address 

2. Importer 

Name Phone Number 

Address 

City State/Province Country ZIP Code 

3. Vehicle Identification 

Year Make Model 

VIN (or chassis number) Engine 

Date of Manufacture Current Odometer Reading (Kilometers) 

Application for Permission to Transfer Ownership of a Motor Vehicle 

Previously Granted a Show or Display Exemption Under 49 U.S.C. 30114 Page 1 of 2 
4. Where purchaser will store the vehicle in the United States 

Address 

City State ZIP Code 

5. Terms of Sale 

 

 

 

 

 

 

 

 

I understand that under 49 CFR 591.7(c) the importer of the subject vehicle may not sell, or transfer possession of or title 

to, the vehicle except under such terms and conditions that NHTSA may establish. 

If NHTSA agrees to permit sale of the vehicle, I agree to abide by each of the following terms until the vehicle is 25 years 

old: 

1. To create, maintain, and make available at reasonable times for review or copying by NHTSA the following 

records: 

a. Title to the vehicle. 

b. A copy of the HS-7 Declaration Form and other relevant importation documents for the vehicle. 

c. A log indicating all locations where the vehicle is shown or displayed, including a description of any 

event, event sponsor, and method used to transport the vehicle to and from the event. I agree that the 

log will cover the entire exemption period and give the mileage of the vehicle for each event. 

d. Current insurance policy in the name of the owner limiting use of the vehicle to 2,500 miles per year. 

2. To allow inspection upon request to verify that the accumulated mileage of the vehicle is not more than 2,500 

miles in any 12-month period. 

3. To not sell, or transfer possession of, or title to, the vehicle, except under such terms and conditions as the 

Administrator may authorize in writing. 

4. To not register the vehicle for use on the public roads. 

OR 

If the vehicle is registered for use on the public roads, to not accumulate more than 2,500 miles on the vehicle in 

any 12-month period. 

Prospective Purchaser Date 

PAPER REDUCTION ACT STATEMENT: A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty 

for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid 

OMB Control Number. The OMB Control Number for this information collection is 2127-0002. The information collected on this form is necessary to obtain registration with 

NHTSA as an importer of motor vehicles that are not originally manufactured to comply with all applicable Federal Motor Vehicle Safety Standards. The information is used to 

verify the applicant's eligibility to obtain such registration. We estimate that it will take approximately 10 hours to compile and assemble the information needed to complete the 

application. The information collected is necessary to obtain a benefit under 49 U.S.C § 30141 (c) and 49 CFR 592.5(a). Send comments regarding this burden estimate or any 

other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, National Highway Traffic Safety 

Administration, 1200 New Jersey Avenue SE, Room W45-205, Washington, DC 20590. 

Application for Permission to Transfer Ownership of a Motor Vehicle 

Previously Granted a Show or Display Exemption Under 49 U.S.C. 30114 Page 2 of 2