Ready to learn more about the Mv 1441 3 form? You've come to the right place! In this blog post, we'll discuss everything you need to know about this document. We'll provide a detailed overview of what the form is used for and explain how to complete it correctly. Plus, we'll answer any questions you may have along the way.
These are some facts you may want to go over prior to starting working with the mv 1441 3.
| Question | Answer |
|---|---|
| Form Name | Mv 1441 3 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | mv 78b form online, 1441 3 form, mv 1441 3, nys police form mv 78b |
CERTIFICATION OF LOST LICENSE, PERMIT OR PLATES
Use this form to explain why you can’t turn in your driver license, learner permit or license plates to DMV.
Your license and/or registration may be restored to you after you serve a suspension or revocation period. In most cases, the date you give this form to DMV will begin your compliance with the suspensionor revocation. If the effective date of theorder is laterthan the dateDMVreceivesthisform,yourcompliancewillbeginonthateffectivedate.
Instructions:
Providealltheinformationrequestedbelow.Pleaseprintyournameandmailingaddressexactly as they are printed on
your driver license, learner permit or vehicle registration.
Putacheckintheboxnexttoeachoftheitemsbelowthatyoucan’tturnintoDMV.
Inthe“Explanation”section,explainwhyyoucan’tturnintheitemsthatyoucheck.
Signinthe“Customer’sSignature”box,andreturnthisformtoanyDMVoffice.
Filingthisformwillinvalidatetheitemsthatyoucheckbelow(documentsand/orlicenseplates).Ifyoufindyoursuspended/ revokeddriverlicense,learnerpermitorlicenseplatesafteryougivethisformtoDMV,youmustimmediatelyturnintoa DMVofficeanyitemsthatyoufind.
Name __________________________________________________ |
DateofBirth: |
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MailingAddress __________________________________________________ |
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(Month/Day/Year) |
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__________________________________________________ |
ClientID# ______________________________ |
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__________________________________________________ |
(orFEINif |
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acorporation) |
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Iamunabletoturninthefollowingitem(s)totheDepartmentofMotorVehicles:
oPhotoDriverLicense
oInterim/TemporaryDriverLicenseorLearnerPermit
oLearnerPermit
oLicensePlates(pleasewritetheplatenumberhere)____________________________.A police report and form
VehicleIdentificationNumber____________________________________Year_________Make_____________________
Explanation:
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
Certification: Underthepenaltyofperjury,Icertifythat,tothebestofmyknowledge,theexplanationaboveistrue.
Customer’s Signature
Date
/ /
WARNING: FALSE STATEMENTS ARE PUNISHABLE UNDER SECTION 210.45 OF THE PENAL CODE. DRIVING A MOTOR VEHICLE WHILE YOUR LICENSE OR REGISTRATION IS SUSPENDED OR REVOKED IS A MISDEMEANOR,ANDISPUNISHABLEBYLAW.
