Form R 70 Lso Arrt PDF Details

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QuestionAnswer
Form NameForm R 70 Lso Arrt
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesTechnologist, arrt application form, 90-day, Radiologic

Form Preview Example

MV-38O (7-21)

www.dmv.pa.gov

APPLICATION FOR DUPLICATE CERTIFICATE

OF TITLE BY OWNER

FEE: $58

 

For Department Use Only

Bureau of Motor Vehicles • P.O. Box 68593 • Harrisburg, PA 17106-8593

AAPPLICANT AND VEHICLE INFORMATION

 

Title Number

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

Owner’s Last Name (or Full Business Name)

 

First Name

Middle Name

PA DL/Photo ID#

Date of Birth

 

 

 

 

 

 

or Bus. ID#

 

 

 

 

 

 

 

 

 

 

Co-Owner Last Name

 

 

First Name

Middle Name

PA DL/Photo ID#

Date of Birth

 

 

 

 

 

 

 

 

 

r Check block if owner’s

Owner’s New Street Address

 

 

 

 

 

 

 

 

 

 

 

 

address listed is different from

 

 

 

 

 

 

 

address recorded on original

 

 

 

 

 

 

 

City

 

 

 

State

Zip Code

 

title and the owner’s vehicle

 

 

 

 

 

 

 

 

 

 

 

record needs updated.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B REASON FOR DUPLICATE TITLE

 

 

 

 

 

 

Appropriate

rLost/Destroyed

r Defaced

 

r

Lien Satisfied on Attached Title

 

Block

 

 

(Defaced title must be attached.)

 

and Requesting a New Title

 

 

 

 

 

 

 

 

 

Must be

r Stolen

r Never Received

 

 

 

 

Checked

 

 

(Provide your correct address above.)

 

 

 

CVEHICLE OWNER’S NOTARIZATION

SUBSCRIBED AND SWORN

 

 

I/We state that I/we have read and signed this application after its completion, and I/we

 

YEAR swear or affirm that the statements made herein are true and correct, and that any

TO BEFORE ME:

MONTH

DAY

 

 

 

 

statement made on or pursuant to this application is subject to the penalties of 18 Pa.C.S.

 

 

 

 

 

 

 

 

Section 4903(a)(2) (relating to false swearing), which shall include punishment of a fine

 

SIGNATURE OF PERSON ADMINISTERING OATH

 

not exceeding $5,000, or to a term of imprisonment of not more than two years, or both.

S

 

 

 

Signature of Owner or Authorized Person

T

 

DO NOT NOTARIZE

AUNLESS SIGNED BY APPLICANT

M

IN PRESENCE OF NOTARY

Signature of Co-Owner or Title of Authorized Signer

 

P

(

)

 

 

 

Telephone Number (Will only be used if there is a problem with your application)

D

SATISFACTION OF LIEN AND LIENHOLDER NOTARIZATION - Complete only if PA Certificate of Title with Lien Satisfied or Lien Release Letter is not attached.

Date of Satisfaction

Name of Lienholder (as listed on the title)

ELT Participant?

o YES o NO

Financial Institution Number

SUBSCRIBED AND SWORN

 

 

 

TO BEFORE ME:

MONTH

DAY

YEAR

SIGNATURE OF PERSON ADMINISTERING OATH

S

TDO NOT NOTARIZE UNLESS

ASIGNED BY LIENHOLDER

MIN PRESENCE OF NOTARY

P

I state that I have read and signed this application after its completion, and I swear or affirm that the statements made herein are true and correct, and that any statement made on or pursuant to this application is subject to the penalties of 18 Pa.C.S. Section 4903(a)(2) (relating to false swearing), which shall include punishment of a fine not exceeding $5,000, or to a term of imprisonment of not more than two years, or both.

Signature of Lienholder

Title of Authorized Signer

()

Telephone Number

GENERAL INSTRUCTIONS

1.When this application is processed, the previous title will become void. NOTE: Individuals should list their PA  Driver’s License (PA DL) or Photo ID # in the space provided. Businesses should list their Business ID # (Bus. ID) where indicated (i.e. E.I.N.).

2.If your vehicle was financed when purchased, a lien was recorded against the vehicle. Therefore, your title was originally sent to that lienholder. You are not entitled to possession of the certificate of title until such time as the lien is satisfied. If the lienholder is not in possession of your certificate of title and the lien has been satisfied but not released on PennDOT records, you must have the lienholder complete the information in Section D on the front of this application.

3.If an active lien (recorded less than 6 years prior to the current date or 8 years prior to the current date for

a truck tractor, recreational cargo trailer or trailer weighing in excess of 10,000 pounds, or 20 years prior to the current date for a motor home or recreational trailer, or 30 years prior to the current date in the case of a mobile home or emergency vehicle) exists on the vehicle record, the owner must contact the lienholder for completion of the satisfaction of lien and lienholder notarization information in Section D. The lienholder’s signature must be notarized. NOTE: Section D does not need to be completed if the applicant attaches a lien release letter from the lienholder or the original Pennsylvania Certificate of Title showing the lien has been satisfied.

4.If the title was never received due to being lost in the mail, no fee is required if this application is filed within 90 days from the date it was issued. NOTE: Address listed in Section A may only reflect the vehicle owner's bona fide street address.

5.The vehicle owner(s) or authorized person’s signature(s) must be notarized.

6.Fee: $58. DO NOT SEND CASH. Make check or money order payable to the Commonwealth of Pennsylvania.

7.Mail to: PA Department of Transportation

Bureau of Motor Vehicles

P.O. Box 68593

Harrisburg, PA 17106-8593

NOTE: If the vehicle owner is applying for a duplicate title for the purpose of titling the vehicle in another state and is using an out-of-state address, the following documentation must be attached to the request:

vA copy of the applicant’s out-of-state driver’s license; and,

vA copy of a utility bill, bank statement, credit card bill/statement or tax records with the applicant's name and out-of-state address.

PennDOT will issue the duplicate certificate of title and forward the certificate of title to the out-of-state address.

Visit us at www.dmv.pa.gov or call us at 717-412-5300. TTY callers — please dial 711 to reach us.

How to Edit Form R 70 Lso Arrt Online for Free

The PDF editor was developed with the intention of allowing it to be as simple and easy-to-use as it can be. The next actions are going to make completing the Radiologic simple.

Step 1: On the following page, click the orange "Get form now" button.

Step 2: So you will be on your file edit page. You can include, customize, highlight, check, cross, add or remove areas or words.

These sections are what you will have to fill out to have the prepared PDF form.

90-day spaces to fill in

Type in the required details in the field DO NOT NOTARIZE UNLESS SIGNED BY, S T A M P, Signature of CoOwner or Title of, Telephone Number Will only be used, SATISFACTION OF LIEN AND, Date of Satisfaction, Name of Lienholder as listed on, ELT Participant o YES o NO, Financial Institution Number, SUBSCRIBED AND SWORN TO BEFORE ME, MONTH, DAY, YEAR, SIGNATURE OF PERSON ADMINISTERING, and DO NOT NOTARIZE UNLESS SIGNED BY.

90-day DO NOT NOTARIZE UNLESS SIGNED BY, S T A M P, Signature of CoOwner or Title of, Telephone Number Will only be used, SATISFACTION OF LIEN AND, Date of Satisfaction, Name of Lienholder as listed on, ELT Participant o YES o NO, Financial Institution Number, SUBSCRIBED AND SWORN TO BEFORE ME, MONTH, DAY, YEAR, SIGNATURE OF PERSON ADMINISTERING, and DO NOT NOTARIZE UNLESS SIGNED BY blanks to insert

Step 3: Press the Done button to save the file. At this point it is ready for transfer to your electronic device.

Step 4: Make sure to keep away from potential difficulties by producing a minimum of a couple of duplicates of the form.

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