| Field Name | Size | Type | Description | Notes |
| See Form Filer Common Fields | | | Filer fields common to all form types. | |
| See Recipient Common Fields | | | Recipient fields common to all form types. | |
| Box 1 Date | 8 | Date | Box 1: Date of contribution | MM/DD/YYYY or M/D/YYYY |
| Box 2a Mileage | 7 | Numeric | Box 2a: Odometer mileage | |
| Box 2b Year | 4 | Numeric | Box 2b: Year | YYYY |
| Box 2c Make | 13 | Text | Box 2c: Make | |
| Box 2d Model | 23 | Text | Box 2d: Model | |
| Box 3 ID Num | 26 | Text | Box 3: Vehicle or Other Identification Number | |
| Box 4a Checkbox | 1 | Checkbox | Box 4a: Transaction indicator | X / Y / T / 1 = Checked |
| Box 4b Date | 8 | Date | Box 4b: Date of Sale | |
| Box 4c Amount | 16 | Amount | Box 4c: Gross proceeds from sales | |
| Box 5a Checkbox | 1 | Checkbox | Box 5a: Transfer After Improvements Indicator | X / Y / T / 1 = Checked |
| Box 5b Checkbox | 1 | Checkbox | Box 5b: Transfer Below Fair Market Value Indicator | X / Y / T / 1 = Checked |
| Box 5c All Lines | 39 | Character | Box 5c: Vehicle Description | |
| Box 6a Checkbox | 1 | Checkbox | Box 6a: Donee Indicator | |
| Box 6b Amount | 16 | Amount | Box 6b: Value of goods or services in exchange for a vehicle | |
| Box 6c Checkbox |
| Box 6c All lines | 16 | Character | Box 6c: Goods and Services | |
| Box 7 Checkbox | 1 | Checkbox | Box 7: Deduction $500 or Less Indicator | |
