Replacement Title Application Details

Mv2119 form is one of the many identification forms used in the Philippines. This form is used to identify individuals who are not able to present any other form of identification. The Mv2119 form is also used to verify the identity of a person who has been detained. In addition, this form can be used to request for a copy of a person's birth certificate. The Mv2119 Form can be obtained from the National Bureau of Investigation or from any local government office. It is important to note that this form must be filled out completely and accurately, otherwise it will not be processed.

You will find information about the type of form you want to complete in the table. It can tell you the amount of time you will require to finish mv2119, exactly what parts you will need to fill in, etc.

QuestionAnswer
Form NameMv2119
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameswisconsin replacement title, wi replacement title, mv 2119 wisconsin, wisconsin replacement

Form Preview Example

REPLACEMENT TITLE APPLICATION

MV2119

11/2017

Pursuant to s.342.13 Wis. Stat.

Wisconsin Department of Transportation

 

 

 

 

Instructions – How To Complete This Application

IF QUESTIONS: Call (608) 266-1466 or contact the DMV Customer Service Center nearest you.

For a list of title and registration locations, visit http://wisconsindmv.gov/Pages/online-srvcs/external/dmv.aspx.

To replace a lost or damaged Wisconsin title, complete Sections A though F as they apply.

If you are the lien holder who received the original title for this vehicle, please complete the Vehicle Lien Holder Certiication section.

SECTION

AVehicle Owner Information

Owner/Co-owner: The names on the replacement title

will match what is currently in our records. “And” means all owners must sign the title to transfer ownership. “Or” means only one owner must sign the title.

Opt Out: You may remove your name(s) from mailing lists that contain 10 or more individual names by checking the box. Businesses are not eligible for opt out.

Social Security Number and Driver License Number: If you are applying as an individual, you are required to provide your Social Security Number (SSN), under s.342.06(1)(eg) Wis. Stats. If you have a WI driver license, you may provide that number instead of your SSN. Under the Social Security Act, 42 USCs. 405,(c) (2)(C) (i), the department and other state and federal agencies may use the SSN for purposes authorized by law. FEIN: Federal Employer Identiication Number is required for corporations or other non-individual owners.

DFees

Replacement Title Fee is required to replace a

lost, stolen or mutilated Wisconsin title.

Loan Filing Fee is required if you are adding a new loan to the vehicle at the time of application for a replacement title.

Counter Service Fee is required if you apply in person at a DMV Customer Service Center.

Processing Fee may be required if you are adding a loan and the Secured Party is not iling electronically; add $5 for DMV processing. Nonexempt Secured Parties must pay an additional $20 surcharge that may not be charged to the customer.

EVehicle OWNER Certiication

Only the owner may apply for a replacement title if there are no liens on the vehicle or the lien was iled before July 30, 2012. Complete the permission to mail title certiication section if the replacement title should be sent to someone other than the

vehicle owner name and address shown above in section A.

BVehicle Information

The vehicle identiication number and plate number are necessary to process your application.

CLoan Information: For any new loans you may be adding, contact the lender for the correct information, including complete mailing address. You will receive a Conirmation of Ownership and your title will be sent to the irst lender on the title.

If you are listed on the Department of Children and Family Services (DCF) docket for unpaid child support, the title will be delivered to their oice (if there are

no other liens on the vehicle) and you will receive a

Conirmation of Ownership. If you have questions about child support, contact DCF at: (608) 267-3905.

FVehicle LIEN HOLDER Certiication

Only the lien holder may apply for the replacement title if the lien was iled on or after July 30, 2012. Lien holders who received an electronic title cannot apply for a replacement using this form. They must contact their service provider for assistance. Complete the name and address section if the replacement

title should be sent to someone other than the lien holder.

Release of Non-Exempt Information: Under Wisconsin open records law, the Wisconsin Department of Transportation must provide information from its records to requesters. If you do not want your name and address included in requests we receive for ten or more records, you may ask the department

to withhold your name and address from those lists. Form

MV3592 is available at DMV Customer Service Centers and at: http://wisconsindot.gov/Pages/global-footer/formdocs/ default.aspx.

ADA: The Wisconsin Department of Transportation complies with the Americans with Disabilities Act.

Information Regarding Title to Lien Holder

On July 30, 2012, Wisconsin became a title to lien holder (lender) state. Any title with a lien (loan) listed as of July 30, 2012, will be sent to the lien holder rather than the owner. Owners of vehicles will receive a Conirmation of Ownership and will receive the actual title when all liens are paid of. Vehicle owners are not eligible to apply for a replacement title until

that time. Contact your lender for the title.

Customers may apply for a replacement title for vehicles that are currently titled in their name. This excludes any vehicles titled after July 30, 2012, with a lien listed. Titles with liens issued after this date will only be issued to lien holders. To check for lien information on your vehicle, refer to online services at: wisconsindmv.gov.

Lien holders who received an electronic title cannot apply for a replacement using the MV2119, they must contact their service provider for assistance.

REPLACEMENT TITLE APPLICATION

Wisconsin Department of Transportation

MV2119

11/2017

s.342.13 Wis. Stat

Processor ID No.

Received – Date – Opened

DO NOT WRITE ABOVE THIS LINE. Complete form using BLUE or BLACK INK.

Title No. – New License Plate No.

Amount Received – Document No.

Check Cash

Use this form if you are replacing a lost, stolen, or mutilated title.

SEE THE INSTRUCTIONS FOR MORE INFORMATION. If this is a Transfer of Ownership, please use form MV1 – Title/License Plate Application.

Section A – Vehicle Owner Information

Owner Legal Name (Last, First, Middle Initial OR Business Name) Opt Out regarding open records laws (SEE INSTRUCTIONS)

 

Birth

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

M

 

 

D

D

 

 

 

Y

Y

Y

Y

 

Owner Social Security Number – Required

Driver License Number – Required

FEIN Number (if company owned) – Required

1 2 3

4 5

6 7 8 9

OR

1 2 3 4

5 6 7 8

9 10 11 12

13 14

OR

1 2

3 4 5 6 7 8 9

Co-Owner Name (if any) (Last, First, Middle Initial) (check one) OR AND

Street Address (include PO Box if applicable)

Birth Date

M M

City

D

D

Y

Y Y Y

Co-Owner Social Security # or Driver License # or FEIN Number – Required

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

State

 

 

ZIP Code

 

 

Owner Daytime (Area Code) Telephone Number

Section B – Vehicle Information

Vehicle Identiication Number (STANDARD VIN HAS 17 CHARACTERS)

Year

Make

Type (Car, Truck, Van, etc.)

Color

Fleet No. (Optional)

1 2 3 4 5

6 7 8 9 10 11

12 13 14 15 16 17

License Plate Number

1 2 3 4 5 6 7 8

Vehicle is kept in County

City

Village

Town

(check one)

OF:

OF:

Section C – Loan Information — Use this section if you are adding a new lien

Name of Lending Agency(s) or Person(s)

 

 

Secured Party Number(s)

 

 

 

(Area Code) Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

7

8

 

 

 

Street Address (include PO Box if applicable)

City

 

 

 

 

State

 

 

 

 

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section D – Fees

Replacement Title Fee – $20

$

 

Loan Filing Fee – $10

(pay fee for each loan in Section C)

$

 

Counter Service Fee – $5 (if you apply in person at WisDOT)

$

 

 

Processing Fee – (if applying thru an agent that iles electronically

$

 

an additional fee will be charged)

 

ENTER FEE TOTAL

 

$

 

Section E – Vehicle OWNER Certiication

By signing below, I (we) certify that my (our) title is lost, stolen or mutilated and is not currently held by the lien holder. The information and statements on this application are true and correct.

Permission to Mail Title Certiication

If you would like the title mailed to a diferent address, please ill in the name and address below. I, the owner of the above vehicle, give permission to mail the replacement title to the following:

Name of Title Recipient

Address of Title Recipient

CityState ZIP Code

X

(Owner Signature)(Date – m/d/yyyy)

X

(Co-owner Signature)

(Date – m/d/yyyy)

STOP Did you... Enclose a signed check? Sign the application? Make a copy for your records?

MAIL the application and check to:

WI Dept. of Transportation

PO Box 7949, Madison WI 53707-7949 Make Check Payable To: Registration Fee Trust

Any title with a lien (loan) listed as of July 30, 2012, will be sent to the lien holder. Please visit http://wisconsindot.gov/Pages/online-srvcs/other- servs/lien-search.aspx to verify lien list dates.

Section F – Vehicle LIEN HOLDER Certiication

Wisconsin titles issued electronically to the lien holder cannot be issued a paper replacement title. See reverse side for more information.

By signing below, we certify that we are requesting the title on our behalf as the current holder of this title and statements on this application are true and correct.

Name of Lending Agency(s) or Person(s)

Street Address (include PO Box if applicable)

City

State

ZIP Code

Secured Party Number

(Area Code) Telephone Number

If you would like the title sent to a diferent address, please ill in the name and address below. We, the lien holder of the above vehicle, give permission to mail the replacement title to the following:

Name

Address

City

State

ZIP Code

X

(Lien Holder Signature)

(Date – m/d/yyyy)

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