MV-38D (7-21)
www.dmv.pa.gov
APPLICATION FOR DUPLICATE CERTIFICATE OF TITLE BY A PENNSYLVANIA
REGISTERED DEALER WITH A DIN# |
FEE: $58 |
For Department Use Only
Bureau of Motor Vehicles • PO Box 67470 • Harrisburg, PA 17106-7470
NOTE: This application may be used ONLY if the previous owner’s title was in the Pennsylvania dealer’s possession.
Form MV-27A or Form MV-27B (Weekly Dealer’s Notification) must always be attached. In addition, if the title is a 11-89 or later edition, a photocopy of the front and back of the title must be attached. If the title was issued prior to the 11-89 edition, a separate odometer statement must be attached. If a dealer is applying for title in the dealer’s name, and an active lien (recorded less than six years prior to the current date, or eight years prior to the current date for a truck-tractor 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 in the case of a mobile home or emergency vehicle) exists on the vehicle record, the dealer must contact the lienholder for completion of Section C. Lienholder’s signature must be notarized.
A VEHICLE INFORMATION |
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Title Number |
Vehicle Identification Number |
Owner Name (Exactly as shown on original title)
B DEALER INFORMATION AND NOTARIZATION
I, the undersigned Pennsylvania registered dealer, apply for duplicate certificate of title to the vehicle described above, and certify that the previous owner’s title was in my possession and notification was completed and filed with PennDOT as required.
Dealer’s Name |
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Dealer/Business Partner Identification Number |
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Street Address |
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City |
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Zip Code |
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Reason You Need Duplicate |
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rLost |
rStolen |
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rDefaced (Defaced title must |
rOther: |
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(Appropriate Block Must Be |
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Checked) |
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be attached) |
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SUBSCRIBED AND SWORN |
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I state that I have read and signed this application after its completion, and I swear or affirm that |
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the statements made herein are true and correct, and that any statement made on or pursuant |
TO BEFORE ME: |
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YEAR |
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to this application is subject to the penalties of 18 Pa.C.S Section 4903(a)(2) (relating to false |
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swearing), which shall include punishment of a fine not exceeding $5,000, or to a term of |
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SIGNATURE OF PERSON ADMINISTERING OATH |
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imprisonment of not more than two years, or both. |
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Signature of Registered Dealer |
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TDO NOT NOTARIZE UNLESS
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SIGNED BY APPLICANT IN |
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Title of Authorized Signer |
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PRESENCE OF NOTARY |
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Telephone Number |
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C SATISFACTION OF LIEN AND LIENHOLDER NOTARIZATION |
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Date of Satisfaction |
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Name of Lienholder (as listed on the title) |
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Financial Institution Number |
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I state that I have read and signed this application after its completion, and I swear or affirm that |
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SUBSCRIBED AND SWORN |
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the statements made herein are true and correct, and that any statement made on or pursuant |
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TO BEFORE ME: |
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MO. |
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YEAR |
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to this application is subject to the penalties of 18 Pa.C.S. Section 4903(a)(2) (relating to false |
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t |
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swearing), which shall include punishment of a fine not exceeding $5,000, or to a term of |
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imprisonment of not more than two years, or both. |
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SIGNATURE OF PERSON ADMINISTERING OATH |
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S |
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Signature of Lienholder |
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DO NOT NOTARIZE UNLESS |
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Title of Authorized Signer |
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ASIGNED BY LIENHOLDER IN
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PRESENCE OF NOTARY |
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Telephone Number |
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INSTRUCTIONS
lFEE - $58 for dealer title.
lPLEASE DO NOT SEND CASH. Make your check or money order payable to the Commonwealth of Pennsylvania.
lIn lieu of notarization in Section B and C, if applicable, the applicant and lienholder's signature may be verified by an issuing agent, who is licensed as a vehicle dealer by the State Board of Vehicle Manufacturers, Dealers and Salespersons, or its employee.
lMail to: Bureau of Motor Vehicles, P.O. Box 67470, Harrisburg, PA 17106-7470.
Visit us at www.dmv.pa.gov or call us at 717-412-5300. TTY callers — please dial 711 to reach us.
