Mv38D Form – Fill Out and Use

NOTE: This application may be used ONLY if the previous owner’s title was in the Pennsylvania dealer’s possession.

Form MV-27A or 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 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 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
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

Dealer’s Identification Number

Street Address

City

State

Zip Code

Reason You Need Duplicate

s

rLost

rStolen

r Defaced (Defaced title must

r Other

(Appropriate Block Must Be

Checked)

be attached)

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

SUBSCRIBED AND SWORN

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

TO BEFORE ME:

MO.

DAY

YEAR

on or pursuant to this application is subject to the penalties of 18 PA C.S. Section 4903(a)(2)

t

(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 PERSON ADMINISTERING OATH

S

Signature of Registered Dealer

DO NOT NOTARIZE UNLESS

T

SIGNED BY APPLICANT IN

Title of Authorized Signer

A

M

PRESENCE OF NOTARY

Telephone Number

P

(

)

C SATISFACTION OF LIEN AND LIENHOLDER NOTARIZATION

Date of Satisfaction

Name of Lienholder (as listed on the title)

Financial Institution Number

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

SUBSCRIBED AND SWORN

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

TO BEFORE ME:

MO.

DAY

YEAR

on or pursuant to this application is subject to the penalties of 18 PA C.S. Section 4903(a)(2)

t

(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 PERSON ADMINISTERING OATH

S

Signature of Lienholder

T

DO NOT NOTARIZE UNLESS

Title of Authorized Signer

ASIGNED BY LIENHOLDER IN

M	PRESENCE OF NOTARY	Telephone Number
P		(	)

INSTRUCTIONS

lFEE - $22.50 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 the Pennsylvania Department of Transportation, Bureau of Motor Vehicles, P.O. Box 63470, Harrisburg, PA 17106-3470.

Messenger No.