Form Ps2067A 18 PDF Details

The state of Louisiana has a new form to complete for the 2018 tax year. Form Ps2067A is for individuals who have income from pass-through entities, such as S corporations and partnerships. The form must be completed by all taxpayers with this type of income, regardless of whether they itemize deductions or take the standard deduction. Completing the form will help ensure that you receive the correct amount of state tax credits and deductions. For more information on Form Ps2067A and how to complete it, consult your tax preparer or visit the Louisiana Department of Revenue website.

QuestionAnswer
Form NameForm Ps2067A 18
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmn dmv duplicate title online, mn duplicate title application, minnesota duplicate title pdf, duplicate title mn

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MINNESOTA DEPARTMENT OF PUBLIC SAFETY

DRIVER AND VEHICLE SERVICES

445 Minnesota Street Saint Paul, MN 55101-5187

Phone: (651) 297-2126 TTY: (651) 282-6555 Web: dvs.dps.mn.gov

APPLICATION FOR DUPLICATE TITLE, REGISTRATION, CAB OR LIEN CARD

 

PLEASE READ THE INSTRUCTIONS AT THE BOTTOM OF THIS PAGE BEFORE COMPLETING

 

Duplicate plates and stickers ARE NOT required when applying for duplicate title

FOR OFFICE USE ONLY

 

TITLE NUMBER OF MISSING DOCUMENT

MN PLATE NUMBER

MAKE

MODEL YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR CENTRAL OFFICE USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRINT

FIRST

 

LAST, FIRST, MIDDLE NAME

 

 

 

DRIVER'S LICENSE NUMBER

 

 

 

 

 

 

DATE OF BIRTH

APPLICANT'S OWNER

u

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FULL NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDITIONAL

 

LAST, FIRST, MIDDLE NAME

 

 

 

DRIVER'S LICENSE NUMBER

 

 

 

 

 

 

DATE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER

u

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRINT ADDRESS OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

CITY

 

 

 

 

 

 

 

 

 

COUNTY

 

 

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST OWNER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(PERMANENT ADDRESS)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THIS APPLICATION IS FOR A DUPLICATE (Please check one):

Title

Reg. Card

Cab Card

Lien Card

Check the box that indicates why the document must be replaced:

STOLEN

MUTILATED – Attach the mutilated document

DESTROYED

ILLEGIBLE – Attach the illegible document

LOST

NOT RECEIVED (Your lending institution or the postal service may have the missing document)

GIVEN TO BUYER (SELLER IS FILING AFFIDAVIT OF SALE)

FEES DUE

DUPLICATE

FILING

TOTAL

Temporary Address:

Attach a SELF-ADDRESSED, STAMPED ENVELOPE if the document must be sent to a temporary address, and print that address here:

STREET ADDRESS

CITY

STATE

ZIP CODE

Please Check One:

Applicant is the Owner (if jointly owned, only one owner's signature is required)

Applicant is Secure Party

I certify that all of my declarations are true and correct. I am the owner or secured party of this vehicle and the original document has not been assigned and/or surrendered to anyone.

X

X

 

Date

APPLICANT(S) SIGNATURE(S)

 

 

APPLICANT(S) SIGNATURE(S)

 

Title of Agent if Applicant is Secured Party:

LIEN RELEASE – Print name and address of lien holder

 

- NOTICE -

 

Subscribed and sworn to before me

 

 

 

Secured party’s signature

 

 

 

 

 

 

 

 

 

 

 

 

SECURED PARTY’S NAME

 

 

 

this

 

 

 

 

 

 

 

 

 

must be notarized to release

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a lien.

 

Day of

20

 

 

 

 

STREET ADDRESS

MINNESOTA TAX ID NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTARY PUBLIC

CITY

STATE

ZIP CODE

The secured party named no longer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

claims a security interest in the vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

described above.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE AND TITLE OF AUTHORIZED AGENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Release:

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

 

MY COMMISSION EXPIRES

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS: PLEASE READ CAREFULLY BEFORE COMPLETING

1.Duplicate plates and stickers ARE NOT required when applying for a duplicate title, registration/cab card or lien card. You only need to complete this side of the form.

2.Fees: Please contact DVS or your local deputy registration to determine fees or for assistance in completing this form. If you are applying by mail, make remittance payable to: Driver and Vehicle Services.

IMPORTANT NOTICE: PLEASE READ

DVS will issue a duplicate certificate of title only to the owner or legal representative (power of attorney is required) of the owner named on the original certificate. If the original certificate of title is recovered, it must be returned to DVS.

All data collected on a motor vehicle application are required by law. These data are used to identify your motor vehicle. Failure to provide required data may result in denial of the transfer of ownership, registration of this vehicle, or other requested action. Except for certain uses permitted by federal and state laws, personal information contained in your application may not be disclosed to anyone without your express consent.

PS2067A-18 (06/13)

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2. Once your current task is complete, take the next step – fill out all of these fields - Please Check One, Applicant is the Owner if jointly, Applicant is Secure Party, I certify that all of my, APPLICANTS SIGNATURES, APPLICANTS SIGNATURES, Date, Title of Agent if Applicant is, LIEN RELEASE Print name and, STREET ADDRESS, MINNESOTA TAX ID NO, CITY, STATE, ZIP CODE, and SIGNATURE AND TITLE OF AUTHORIZED with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Applicant is the Owner if jointly, STREET ADDRESS, and Applicant is Secure Party in minnesota duplicate title online

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