Mv41 Form PDF Details

Mv41 form is a very important document in the Czech Republic. This document is used to identify the taxpayer and their tax situation. In order to complete this form, you will need to know your personal identification number and have information about your taxable income. The Mv41 form must be filed by taxpayers every year, even if they do not owe any taxes. Failing to file this form can result in penalties and fines. Make sure you are familiar with the requirements for filing this form so that you can complete it correctly.

Here are several details you might want to analyze before you start using the mv41 form.

QuestionAnswer
Form NameMv41 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmv41 pa, filling out mv 41, mv 41 form, mv41 form

Form Preview Example

Is lienholder an ELT participant?

MV-41 (10-08)

PA Department of Transportation

Bureau of Motor Vehicles

Harrisburg, PA 17104-2516

APPLICATION FOR

CORRECTION

OF VEHICLE RECORD OR VERIFICATION OF VEHICLE IDENTIFICATION NUMBER

FOR DEPARTMENT USE ONLY

SEE INFORMATION ON REVERSE

Title Number

Registration Plate Number

Is lienholder an ELT Participant? Financial Institution Number

YES NO

CHECK APPLICABLE BLOCK BELOW

1.Correction or Verification of Vehicle Identification Number. Complete Sections A, B and F.

2.Application for State Replacement Vehicle Identification Number Plate/Decal. Complete Sections A, C (MUST be completed by a Police Officer),

and F.

3.Correction of body type, number of axles, or other corrections to the vehicle title or registration data. Complete sections A, D and F. (If the vehicle has been modified, such as the addition or removal of axles, or you are requesting a change to the manufacturer weight specifications, an MV-426B must be completed.)

4.Verification of Gross Vehicle Weight Rating (GVWR) or Gross Combination Weight Rating (GCWR) by Inspection Mechanic Only. Complete Sections A, E and F.

AVEHICLE OWNER INFORMATION

 

Last Name (or Full Business Name)

First Name

 

 

Middle Name

 

PA DL/Photo ID #

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

or Bus. ID#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Co-Owner Last Name

 

First Name

 

 

Middle Name

 

PA DL/Photo ID #

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Street Address

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

Zip Code

Please use the “County Codes” listing found on the back of this application and list

County Code

 

 

 

 

 

 

 

 

 

the numerical code for the County of your residence.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B CORRECTION OR VERIFICATION OF VEHICLE

C

 

APPLICATION FOR STATE REPLACEMENT VIN PLATE

 

IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Vehicle Identification Number (if known)

 

 

 

 

 

 

 

 

 

 

 

 

To be used only to correct typographical error of one digit, transposition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of two digits, or if engine number has been erroneously recorded as the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Replacement of VIN Plate

 

 

 

 

 

 

 

VIN OR for the purpose of VIN verification.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ATTACH TRACING HERE OR HAVE AUTHORIZED NOTARY

 

 

Lost

 

Stolen

 

 

Defaced

 

 

Never Received

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PUBLIC EMPLOYED BY A FULL AGENT OR MOTOR VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (Please Explain) _______________________________________________

 

DEALER, OR INSPECTION MECHANIC COMPLETE THE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VERIFICATION INFORMATION BELOW.

VERIFICATION BY POLICE OFFICER (Local or State Police)

 

Record Correct VIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Police Officer

 

 

 

Badge Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Notary Public or Inspection Mechanic

DIN/Mechanic #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department Name

 

 

 

 

Telephone No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DVEHICLE DATA THAT REQUIRES CORRECTION - Check only the block(s) and list the information that needs correcting due to an error in the title application or to a change in the use of the vehicle.

 

Make of Vehicle

 

Body Type

 

 

 

 

 

Year

 

 

 

 

Seating Capacity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Correct to:

 

Correct to:

 

 

 

 

 

Correct to:

 

 

 

 

Correct to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Odometer - See Instructions on Reverse side

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Correct to:

 

 

 

 

 

 

 

 

Correct to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unladen Weight

 

 

 

Registered Gross Vehicle Weight

 

 

 

 

 

Registered Gross Combination Weight

 

 

Correct to:

 

 

 

 

Correct to:

 

 

 

 

 

 

Correct to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E VERIFICATION OF WEIGHT RATING

(Inspection Mechanic Only)

GVWR

 

 

 

 

GCWR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Inspection Mechanic

 

 

 

 

 

 

 

 

 

 

 

Inspection Mechanic Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No. of Axles

 

Was additional axle installed?

NOTE: If additional axle was added, MV-426B must be completed.

 

 

 

 

 

 

 

 

Correct to:

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FCERTIFICATION - I(We) hereby certify under penalty of law that all information given on this application is true and correct. (Date must be listed).

Signature of Owner or Authorized Person

Date

MESSENGER NO.

 

 

 

 

 

Signature of Co-Owner or Title of Authorized Person

Applicant’s Telephone No.

 

()

INFORMATION

NOTE: To correct or change the name listed on a Pennsylvania Certificate of Title, use Form MV-41A, “Application for Correction or Change of Name”. In addition, if the vehicle has been modified in any manner, Form MV-426B must be used.

If the title is being held by a lienholder that participates in the Electronic Lien and

Titling Program (ELT) there will be no title attached.

GENERAL

Individuals should list their PA Driver’s License (PA DL) or Photo ID# in the space provided. Businesses should list their Business ID# (Bus. ID) where indicated (i.e. E.I.N.).

If this application is processed, and the requested title, registration, or both are not received due to loss in the mail, the vehicle owner may apply for a free duplicate title on Form MV-38O, and free replacement of registration on Form MV-44 within 90 days of the date of original issuance. The lienholder, if applicable, must use Form MV-38L and a Pennsylvania Motor Vehicle Dealer must use Form MV-38D.

Fee for issuance of a corrected title: $22.50. Do not send cash. Make check or money order payable to the Commonwealth of Pennsylvania and mail the completed application to PA Department of Transportation, Bureau of Motor Vehicles, Harrisburg, PA 17104-2516.

IF BLOCK #1 IS CHECKED ON REVERSE - Certificate of title and $22.50 title fee must be attached. NOTE: Certificate of title and fee is not required when used for verification of VIN only.

This application can only be used to correct typographical error of one digit, transposition of two digits, or if the vehicle’s engine number has been erroneously recorded as the Vehicle Identification Number (VIN).

Verification of the VIN can be done by authorized vehicle safety inspection mechanics and notaries public employed by a full agent or motor vehicle dealer.

IF BLOCK #2 IS CHECKED ON REVERSE - Certificate of title and $22.50 title fee must be attached.

Original Vehicle Identification Number (VIN) will be used on state replacement VIN Plate unless original number cannot be determined. A corrected title and registration card will be issued indicating that a VIN plate has been replaced.

Section C on the front of this application must be completed by a police officer. The police officer verifying the original Vehicle Identification Number must sign his/her name and list the badge number, department name, and telephone number.

IF BLOCK #3 IS CHECKED ON REVERSE

Current certificate of title is not required when applying for a correction of the registered gross weight and there have been no alterations to the vehicle. Certificate of title and $22.50 title fee MUST be attached for all other corrections.

In addition to the title fee (if applicable), appropriate increase fee for the difference in registration weight and seating capacity must also be attached if registration is desired.

Current certificate of title must be attached when applying for a correction of the odometer reading. Notarized statements from the previous owner and the applicant listed in Section A on this application are required. In addition, copies of past 2 years inspection records or repair bills that cover the time of the odometer discrepancy must be attached. In many instances, the inspection records or repair bills include the vehicle odometer reading at the time of vehicle safety inspection or repair which will help substantiate the actual mileage being requested.

IF BLOCK #4 IS CHECKED ON REVERSE

Verification of gross vehicle weight rating (GVWR) and gross combination weight rating (GCWR) must be completed by authorized inspection mechanics only in the spaces provided in Section E.

COUNTY CODES

 

 

 

 

 

 

 

 

 

 

01

- Adams

13

- Carbon

24

- Elk

35

- Lackawanna

46

- Montgomery

57

- Sullivan

02

- Allegheny

14

- Centre

25

- Erie

36

- Lancaster

47

- Montour

58

- Susquehanna

03

- Armstrong

15

- Chester

26

- Fayette

37

- Lawrence

48

- Northampton

59

- Tioga

04

- Beaver

16

- Clarion

27

- Forest

38

- Lebanon

49

- Northumberland

60

- Union

05

- Bedford

17

- Clearfield

28

- Franklin

39

- Lehigh

50

- Perry

61

- Venango

06

- Berks

18

- Clinton

29

- Fulton

40

- Luzerne

51

- Philadelphia

62

- Warren

07

- Blair

19

- Columbia

30

- Greene

41

- Lycoming

52

- Pike

63

- Washington

08

- Bradford

20

- Crawford

31

- Huntingdon

42

- McKean

53

- Potter

64

- Wayne

09

- Bucks

21

- Cumberland

32

- Indiana

43

- Mercer

54

- Schuylkill

65

- Westmoreland

10

- Butler

22

- Dauphin

33

- Jefferson

44

- Mifflin

55

- Snyder

66

- Wyoming

11 - Cambria

23

- Delaware

34

- Juniata

45

- Monroe

56

- Somerset

67

- York

12

- Cameron

 

 

 

 

 

 

 

 

 

 

Visit us at www.dmv.state.pa.us

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