Pa Mv 39 Form – Fill Out and Use This PDF

MV-39 (3-19)

www.dmv.pa.gov

Please readALLinformation on reverse side before completing form.

A VEHICLE DESCRIPTION

Title Number

Make of Vehicle

Vehicle Identification Number

Registration Plate Number

	B		INFORMANT
			Last Name (or Full Business Name)			First Name		Middle Name	PADL/Photo ID#	Date of Birth
									or Bus. ID#
			StreetAddress					City	State	Zip
	C		CHECKAPPLICABLE BLOCK
1.				o	Ownership is being transferred to or by		4.	o Ownership is being titled in the estate.
					Surviving Spouse - who is co-owner		5.	o Ownershipisbeingtransferredtoorbyallheirs.ListallheirsinSectionD.
2.				o	Ownership is being transferred to or by
					a Joint Tenant with Right of Survivorship.		6.	o Ownership is being transferred to or by Surviving Spouse or adult
3.				o	Ownership is being transferred to or by			child(ren) to whom vehicle is given by decedent’s will which is not
					Surviving Spouse - who is not co-owner.			to be probated.

DHEIRS- List name, signature (Part II only), address, relationship and age of all heirs. (In conjunction withAssignment of Title)

	I		NAME(S) List heirs signing attached title	ADDRESS	RELATIONSHIP	AGE

I/We certify that I/we, together with the above person(s) who have executed the assignment block on the title constitute all of the heirs of the decedent and hereby join in the transfer of ownership of the above described vehicle to the person(s) indicated in the assignment block on the title.

II NAME(S) Heirs not signing attached title				SIGNATURE				ADDRESS	RELATIONSHIP		AGE
				X
				X
				X
				X
E	NOTARIZATION-Required if Section D and/or F is completed.						F	AFFIDAVIT OF PAYMENT DEBTS
	SUBSCRIBEDAND SWORN
	TO BEFORE ME:			MONTH	DAY	YEAR	I hereby state under oath that all debts of the
			SIGNATURE OF PERSONADMINISTERING OATH				decedent have been paid.
	S
	T		DO NOT NOTARIZE UNLESS				________________________________________________________
	A
			SIGNED IN PRESENCE OF NOTARY					Signature of Surviving Spouse orAdult Heir
	M
	P

GPROOF OF DEATH - (Check One) Original Death Certificate need not be attached if No. 3 below is completed by attending physician or funeral director.

1.	o Original Certificate of Death (must be attached)	2. o OriginalCertificate of Death from Department of Defense (must be attached)
3.	o I certify that _____________________________________________________________________ died on __________________________
		Name of Decedent	Date
	______________________________________________________ _________________________________________________________
	Printed Name ofAttending Physician or Funeral Director		Signature ofAttending Physician or Funeral Director

HVEHICLE INSURANCE INFORMATION - If vehicle is to be registered.

Insurance Company Name	Policy Number	Policy Effective Date	Policy Expiration Date

IACKNOWLEDGMENTAND CERTIFICATION

I/We state that I/we have read and signed this form after its completion, and I/we swear or affirm that the statements made herein are TRUEand CORRECT, and that any statement made on or pursuant to this form is subject to the penalties of 18 Pa.C.S. Section 4903(a)(2) (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.

In addition, if vehicle is to be registered, I/we acknowledge that I/we may lose my/our operating privilege or vehicle registration for failure to maintain financial responsibility on the currently registered vehicle for the period of registration.

Informant Signature __________________________________________________________________________________ Telephone Number (

)

GENERALINFORMATION

•Apersonauthorizedtocompletethisform(Informant)wouldbeaJointTenantwithRightofSurvivorship,asurvivingspouse,orifthereisnospouse, an adult child of the decedent or if there are no such children, a parent, or the executor or administrator of the estate. The informant whose name appears in Section B must always sign in Section I. In addition, if vehicle is to be registered, Section H must also be completed.

•If an executor or administrator has been appointed or if a court order is issued under family exemption or small estate procedure, THIS FORM IS NOT REQUIRED unless the vehicle is to be titled in the name of the estate. Otherwise, attach a Short Form Certificate to assigned title. (A Short Form Certificate is issued by the Register of Wills when an executor or administrator is appointed.)

•Informant must sign as name(s) appears and list driver’s license number and telephone number in spaces provided.

•If the vehicle is in the name of a company/corporation, the signature of an authorized representative is required; however, the authorized representative is not required to list their driver’s license number.

•Telephone number will be used only if there is problem with your application.

•Mail completed application to: Department of Transportation, Bureau of Motor Vehicles, 1101 S. Front St., Harrisburg, PA17104.

•If this application is processed, and requested title, registration (or both) are not received due to loss in the mail, you may apply for free duplicate title on Form MV-38O, and free replacement of registration on Form MV-44 within 90 days of the date or original issuance.

INSTRUCTIONS

(TITLE MUST BEATTACHED)

Block 1 or Block 2 (Section C) - Surviving spouse who is co-owner or Joint Tenant with Right of Survivorship

•Complete SectionsA, B, C, G, H (if the vehicle will be registered) and I.

•Title must be assigned only if vehicle is being transferred by surviving spouse (or joint tenant) to another person.

**Form MV-4ST is required if title is assigned.

•Title fee is required except when transfer is to a surviving spouse.

•Registration transfer fee is not required if title is to be issued in surviving co-owner’s name. Current registration will automatically be placed in the name of surviving owner. Vehicle insurance information (insurance company name, policy number, policy effective date and policy expiration date) is required, if the vehicle will be registered.

Block 3 (Section C) - No Will - Surviving spouse who is not co-owner

•Complete SectionsA, B, C, D, E, F, G, and I.

•Surviving spouse and all adult children must assign title [along with surviving co-owner(s), if any]. All heirs must enter their names, address, relationship and age in Section D. When more than two (2) persons must assign title, use Section D (Part II) for additional signatures.

*All signatures in Section D and F must be notarized.

**Form MV-4ST is required.

•Title fee is required except when transfer is to a surviving spouse.

•Registration transfer fee and all other applicable fees are required. Registration plate is transferable only as provided under Section 1314 of the Vehicle Code. Decedent’s registration card should be attached. Vehicle insurance information must be listed on Form MV-4ST, Section F.

Block 4 (Section C) - Vehicle to be titled in name of Estate

•Complete SectionsA, B, C, G, H (if the vehicle will be registered) and I.

•Registration may be renewed once by the executor or administrator; or without limit by the spouse, parent, or child who was a member of the decedent’s household pending court approval of the final account, if any.

•Title fee is required.Assignment of title not required.

•Registration transfer fee is not required. Current registration will automatically be placed in the name of the estate.

•Vehicle insurance information is required, if the vehicle will be registered.

Block 5 (Section C) - No Will - No Surviving Spouse

•Complete SectionsA, B, C, D, E, G, and I.

•All heirs, including guardians of minor heirs, must assign title and enter their name, address, relationship and age in Section D. When more than two (2) persons must assign the title use Section D (Part II) for additional signature(s). *All Signatures must be notarized.

**Form MV-4ST is required.

•Title fee is required.

•Applicable registration fees required. If transferring registration in accordance with Section 1314 of the Vehicle Code, decedent’s registration card should be attached. Vehicle insurance information must be listed on Form MV-4ST, Section F, if the vehicle will be registered.

Block 6 (Section C)

•Complete SectionsA, B, C, G, and I.

•Copy of the decedent’s will must be attached.

**Title must be assigned and Form MV-4ST is required.

•Title fee is required except when transfer is to a surviving spouse.

•Registration transfer fee and all other applicable fees are required. Registration plate is transferable only as provided under Section 1314 of the Vehicle Code. Decedent’s registration card should be attached. Vehicle insurance information must be listed on Form MV-4ST, Section F.

NOTE: * If all heirs cannot appear before same Notary or attesting officer, attach additional notarized statement(s) listing vehicle information as it appears in SectionA, name(s) of person(s) to whom vehicle is being transferred, and signature(s) of heir(s).

** Complete Form MV-1 if vehicle is not currently titled in Pennsylvania.

Visit us at www.dmv.pa.gov or call us at 717-412-5300. TTYcallers — please dial 711 to reach us.