Mv 217A Form PDF Details

Are you dealing with a Massachusetts vehicle registration issue? If so, then you're going to want to become familiar with the Mv 217A form. This document is an essential part of any car registration situation in the state, and your compliance with its provisions will determine your ability to legally operate a motor vehicle in this region. In this blog post, we'll discuss what information needs to be included on the Mv 217A form and why it's important for proper vehicle registration in Massachusetts. By the time you reach the end of our post, you should have all the answers that you need about completing this vital paperwork.

QuestionAnswer
Form NameMv 217A Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesREPOSSESSORS, x7, Lienholders, pa mv 1 form printable

Form Preview Example

MV-217A (4-14)

www.dmv.state.pa.us

APPLICATION FOR CERTIFICATE OF TITLE BYAFINANCIAL INSTITUTION OR DEALERAFTER DEFAULT BY OWNER

TITLE MUST BE ATTACHED

For Department Use Only

NOTE: This application may only be used by Financial Institutions and Vehicle Dealers who are licensed by the Department of Banking. your ABA/FIN or DIN number (if applicable) must be listed below.

AVEHICLE AND OWNER INFORMATION

TitleNumber

Name of Vehicle Owner as Shown on Attached Title

 

 

B VEHICLE IDENTIFICATION NUMBER VERIFICATION - (NON-PA TITLE ONLY)

 

H. TAX, TITLE AND REGISTRATION FEES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: If an out-of-state title is attached to this application, a tracing of the vehicle’s identification

 

If applicable, use back of Forms MV-1 or MV-4ST to

 

 

 

number must be affixed in the space provided. If a tracing cannot be obtained, the vehicle’s

 

determine proper sales tax exemption information.

 

 

 

identification number must be verified by a certified inspection mechanic or authorized notary

 

NOTE: Only the purchaser listed in Section E must

 

 

 

public in the appropriate spaces below.

 

 

 

 

 

 

 

 

 

complete the following appropriate blocks.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TAPE VIN

 

 

 

 

 

 

 

 

 

 

 

PURCHASE PRICE

 

.

 

 

TRACING

 

 

 

 

 

 

 

 

 

 

 

(See note on reverse)

 

 

 

HERE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DIN/MECHANIC #

 

Authorized Notary Public or Certified Inspection Mechanic (Print Name)

 

TAXABLE AMOUNT

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I CERTIFy THATA LEGIBLE TRACING CANNOT BE

 

Authorized notary public or certified inspection mechanic sign here.

 

1.x6% (.06) SALES TAX

 

 

 

 

SECURED AND THAT THE ABOVE VIN IS CORRECT

 

 

 

 

 

 

 

 

 

x7% (.07) Allegheny Co. residents

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

x8% (.08) City of Philadelphia residents.

 

 

C

REPOSSESSOR’S INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1A. EXEMPTION REASON CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Repossessing Lienholder’s Name (as listed on face of title)

 

ABA/FIN or DIN (if applicable) - must be listed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Must be a number from 1 to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26 or 0)

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

1B. EXEMPTION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

State

 

Zip Code

 

2. Title Fee

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

REPOSSESSOR’S INFORMATION

 

 

 

 

 

 

 

 

 

3. Lien Fee

 

.

 

 

 

 

 

 

 

 

 

 

 

 

Repossessing Lienholder’s Name (as listed on face of title) and ABA/FIN or DIN (if applicable) must be listed.

 

 

 

 

 

 

 

Check the appropriate box below indicating which option you are proceeding under:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Registration or Processing Fee

 

.

 

 

o 1. Renunciation (Repossessor Must Take Title)

 

 

 

 

o 3. Mobile Home

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o 2. Non-Judicial Sale or Repossession and Retention (M.V.S.F.A.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fee Exempt Number as assigned

 

 

 

E

PURCHASER INFORMATION (Exactly as shown in Section A on reverse side of title)

 

 

 

 

 

 

by the Department

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I/We certify, to the best of my/our knowledge, that the odometer reading is __ __ __, __ __ __ miles and reflects the

 

 

 

 

 

 

 

 

 

 

5. Duplicate Registration Fee

 

 

 

 

actual mileage of the vehicle, unless one of the following boxes is checked:

 

 

 

 

 

 

.

 

 

o Reflects the amount of mileage in excess of its mechanical limits

 

 

 

 

 

 

No. of Cards ________

 

 

 

o Is NOT the actual mileage (Warning: Odometer discrepancy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WARNING: Federal and State laws require that you state the mileage in connection with the transfer of ownership.

6.

Transfer Fee

 

.

 

 

Failure to complete or providing a false statement may result in fines and/or imprisonment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name (or full business name)

First Name

 

Middle Name

PA DL/Photo ID# or

Date of Birth

 

 

 

 

 

 

 

 

 

7.

Increase Fee

 

.

 

 

 

 

 

 

 

 

 

Bus. ID #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Co-Purchaser

First Name

 

Middle Name

PA DL/Photo ID# or

Date of Birth

8.

Replacement Fee

 

 

 

 

 

 

 

 

 

 

 

Bus. ID #

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL PAID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County

State

Zip Code

 

Date Acquired/Purchased

 

 

 

 

 

 

 

 

 

 

 

 

(Add 1 thru 8)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Send One Check in This

 

.

 

 

Dealer ID Number (if applicable)

 

 

 

 

 

 

Financial Institution Number (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: If a co-purchaser other than your spouse is listed and you want the title to be listed as “Joint Tenants With Right of Survivorship” (On death of one owner, title goes to surviving owner.)

 

CHECK HERE r. Otherwise, the title will be issued as “Tenants in Common” (On death of one owner, interest of deceased owner goes to his/her heirs or estate.).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F

SIGNATURES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I/We acknowledge that I/we may be subject to a fine not exceeding $5,000 and imprisonment of not more than two years for any false statement that I/we make on this application, and I/we certify that I/we have examined and signed this application after its completion; and, that if an exemption from payment of sales tax is claimed, I am/we are authorized to claim this exemption. I/We further certify that all statements herein are true and correct and make application for certificate of title for the vehicle described in Block A.

 

REPOSSESSOR’S

Signature of Repossessor or Authorized Signer

Title of Authorized Signer

Date

 

SIGNATURE

 

 

 

 

 

 

 

 

 

PURCHASER

Signature of Purchaser or Authorized Signer

Signature of Co-Purchaser or Title of Authorized Signer

Date

 

SIGNATURE

 

 

 

 

 

 

 

 

G Repossessor’s Certification Information

I certify that the owner/lienholder named in this document has repossessed the above described motor vehicle or mobile home upon default according to the terms of the security agreement and has complied with all applicable laws and regulations of Pennsylvania.

 

REPOSSESSOR’S

Signature of Repossessor or Authorized Signer

Date

 

SIGNATURE

 

 

 

 

 

 

 

 

Printed Name of Repossessor or Authorized Signer

Title of Authorized Signer

 

 

 

 

INSTRUCTIONS

This application may only be used by financial institutions and vehicle dealers who are licensed by the Department of Banking. Individuals or businesses not licensed by the Department of Banking that are listed as the lienholder on the Pennsylvania Certificate of Title, must follow Option 1, Judgement and Execution, on Form MV-217.

NOTE: Purchase price includes any lien or other obligation assumed by the purchaser. Enter total purchase price in Section G, including installation charges on contract sales of mobile homes. If purchase price is less than 80 percent of the stated fair market value of that vehicle, attach a completed Form MV-3, on which the applicant and seller must explain the reason why the vehicle is being sold below fair market value.

The following checklist contains items that must be in the possession of the repossessor and available upon request. These items, other than the certificate of title, do not need to be submitted with the application.

If Block 1 - Renunciation, under Section D is checked:

Certificate of Title will be issued in the name of the lienholder upon certification the items listed below are in the lienholder’s possession:

oCertificate of title. (NOTE: The certificate of title must be attached.)

oThe original or an acceptable copy of the agreement, which is the basis of the right to repossess.

oThe original or an acceptable copy of the debtor’s statement of renunciation.

If Block 2 - Non-Judicial Sale or Repossession and Retention (Motor Vehicle Sales and Finance Act), under Section D is checked:

Certificate of title will be issued in the name of the lienholder or the name of the purchaser at the sale (who may be the lienholder) upon certification that the items listed below are in the lienholder’s possession:

oCertificate of title. (NOTE: The certificate of title must be attached.)

oThe original or an acceptable copy of the agreement, which is the basis of the right to repossess.

oThe original or an acceptable copy of the notice of repossession and intent to sell delivered in person to the debtor, or sent by registered or certified mail to the last known address of the debtor. The notice:

( i ) shall set forth the debtor’s rights as to reinstatement of the contract, if the lienholder extends the privilege of reinstatement and redemption of the motor vehicle;

( ii ) shall contain an itemized statement of the total amount required to redeem the motor vehicle by reinstatement or payment of the contract in full;

( iii ) shall give notice to the buyer of the lienholder’s intent to resell the motor vehicle at the expiration of 15 days from the date of mailing the notice;

( iv ) shall disclose the place at which the motor vehicle is stored; and,

( v ) shall designate the name and address of the person to whom the buyer shall make payment or upon whom he may serve notice.

oBill of sale showing the date of sale, name of purchaser, make and VIN of the vehicle, if the purchaser is not the lienholder.

If Block 3 - Mobile Home, under Section D is checked:

Certificate of title will be issued in the name of the lienholder or the name of the purchaser at the sale (who may be the lienholder) of the mobile home upon certification that the items listed below are in the lienholder’s possession:

oCertificate of title. (NOTE: The certificate of title must be attached.)

oThe original or an acceptable copy of the agreement, which is the basis of the right to repossess.

oThe original or an acceptable copy of the notice of intention to take action sent to the debtor by registered or certified mail at the address where the mobile home is located, at least 30 days prior to the repossession. The registered or certified mail receipt, or an acceptable copy must be attached. The notice shall clearly and conspicuously state:

( i ) the particular obligation or security interest; ( ii ) the nature of the default claimed;

(iii ) the right of the installment buyer to cure the default and exactly what performance, including what sum of money, if any, must be tendered to cure default;

( iv ) that the installment buyer may cure the default at any time before title to the mobile home is lawfully transferred from the installment buyer, which shall be at least 45 days after receipt of the notice; and,

( v ) the method or methods by which the installment buyers ownership or possession of the mobile home may be terminated.

NOTE: Only a 15-day letter is required when the installment buyer/homeowner has abandoned or voluntarily surrendered the property.

oBill of sale showing the date, name of purchaser, make and VIN of the mobile home, if the purchaser is not the lienholder.

NOTE: In questionable cases, the Department may require applicant for certificate of title to execute an indemnification agreement or other forms as necessary.

Visit us at www.dmv.state.pa.us or call us at:

In state: 1-800-932-4600 u TDD: 1-800-228-0676 u Out-of-State: 1-717-412-5300 u TDD Out-of-State: 1-717-412-5380

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Pay close attention when filling in this form. Ensure all necessary blanks are filled out correctly.

1. Fill out the MV-217A with a number of essential blanks. Get all of the information you need and make sure absolutely nothing is left out!

Part # 1 in submitting mv 217 a printable form

2. Given that the previous section is done, it's time to put in the required particulars in IWe certify to the best of myour, Failure to complete or providing a, No of Cards, Transfer Fee, Last Name or full business name, PA DLPhoto ID or Bus ID, Date of Birth, Increase Fee, CoPurchaser, First Name, Middle Name, Street Address, PA DLPhoto ID or Bus ID, City, and Date of Birth so you can move on to the next part.

Stage # 2 of filling out mv 217 a printable form

3. The following part will be about REPOSSESSORS SIGNATURE, Printed Name of Repossessor or, and Title of Authorized Signer - type in these empty form fields.

Filling out part 3 of mv 217 a printable form

Be really careful while filling in Title of Authorized Signer and REPOSSESSORS SIGNATURE, since this is the part in which a lot of people make mistakes.

Step 3: Once you have reviewed the information provided, press "Done" to finalize your form. Sign up with FormsPal right now and immediately use MV-217A, all set for downloading. All modifications made by you are saved , which enables you to change the document at a later point if necessary. We don't share the information you type in when filling out documents at our site.

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