When you are planning to travel within the United States, there are a few documents that you will need to have with you. One of these is Form MVD 10901, also known as the "Driver License or Identification Card Application." This form can be used to apply for either a driver's license or an identification card, and it is important that you complete it accurately and completely. In this blog post, we will provide an overview of the contents of Form MVD 10901 so that you can ensure that you have everything you need to apply for your driver's license or identification card. Thanks for reading!
| Question | Answer |
|---|---|
| Form Name | Form Mvd 10901 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | MVD10901_Applic ation for duplicate certificate of title ymca request duplicate certification form |
MVD - 10901 REV. 11/05
State of New Mexico - Motor Vehicle Division
APPLICATION FOR
DUPLICATE CERTIFICATE OF TITLE
CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE
OWNER INFORMATION
Name of Owner(s)
Address
City, State, Zip Code
Phone Number
TITLE INFORMATION
Title No.
Original Title was: ❑Lost ❑ Stolen ❑Mutilated ❑ Never Surrendered by Seller
VEHICLE / VESSEL INFORMATION
Year |
Make |
Model |
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Body Type (Series) |
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Vehicle or Hull Identification Number |
Secondary or Engine Number |
Vehicle License Plate Number |
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Boat Registration Number |
Overall Boat |
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Boat Beam |
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Boat Transom |
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Length |
ft. |
in. |
Width |
ft. |
Depth |
ft. |
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LIENHOLDER INFORMATION (IF APPLICABLE)
Lienholder's Name
Address
City, State, Zip Code
Lien Maturity Date
NOTICE: Payment of the registration fee and acceptance of the application by the Motor Vehicle Division constitutes an affirmation that the applicant for title and registration has complied with the requirements of the Mandatory Financial Responsi- bility Act, NMSA 1978
APPLICANT CERTIFICATION: I hereby certify that the information given herein is true and correct to the best of my knowledge and affirm that Ihave complied with the requirements of the Mandatory Financial Responsibility Act with respect to this vehicle.
Printed Name of Applicant |
Applicant's Signature |
Date |
The Division is not responsible for false or fraudulent statements the applicant/registered owner makes in connection with this application, nor is the Division liable for lien recording errors. The registered owner must notify the Division of any errors contained in the title and registration issued pursuant to this application.
APPLICANT INSTRUCTIONS
1.Applicant must be the registered owner, legal owner, successor in interest or legal representative.
2.If applicant is the legal representative of the owner, proof of Power of Attorney must be provided.
3.Applicants must present their Driver License as proof of identification or send a photocopy if out of state applying by mail.
4.Applicant must provide the most current registration certificate or send a photocopy if out of state and applying by mail.
5.If original title reflects an outstanding lien, applicant must provide a Release of Lien or the Duplicate Title will be mailed to Lienholder.
6.If you are out of state applying by mail, original title is on file and there is no lien, the Duplicate Title will be mailed to the New Mexico address of record unless applicant provides a
7.If there is no original title on file and the vehicle or vessel is inoperable, located
FEES: VEHICLE TITLE: $16.50 VESSEL (BOAT) TITLE: $10.00 ADD OR DELETE A LIEN: $5.00
Make check or money order payable to the Motor Vehicle Division.
If applying by mail, send application, supporting documentation and fee to:
SERVICES BUREAU
P. O. BOX 1028
SANTA FE, NEW MEXICO 87504 - 1028