Did you know that there is a form specifically designed to help you apply for medical assistance in the event that you are unable to work? The Pa Mv 44 form, also known as theMF44 application, is a paperwork submission designedto provide government benefits to people who cannot work due to illness or injury. This article will explain what the Pennsylvania MF44 application is, and how you can go about filing it ifyou need assistance.
We have compiled some general facts about the pa mv 44. Before you decide to fill out the form, it is worth reading more details on it.
Question | Answer |
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Form Name | Pa Mv 44 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | pennsylvania replacement, pa registration replacement, pa registration plate renewal, pa sticker |
APPLICATION FOR DUPLICATE REGISTRATION |
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CARD, REPLACEMENT OF REGISTRATION PLATE, |
For Department Use Only |
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RENEWAL STICKER OR WEIGHT CLASS STICKER |
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BUREAU OF MOTOR VEHICLES • 1101 S. Front Street • |
Harrisburg, PA 17104 |
CHECK (4) PROPER BLOCK
rApplication for Duplicate Registration Card(s) - Complete Sections A, B and either D or E. (Fee: $6/$2 depending on request. See NOTE in Section B.)
rReplacement of registration plate, renewal sticker or weight class sticker - Complete Sections A, B and either D or E. NOTE: Section E is required to be completed for all replacement registration plate requests and all products that were not received in the mail within 90 days of original issuance date. Section E is not required to be completed when applying for a replacement renewal sticker or weight class sticker that was lost or stolen. (Fee: $11 for replacement registration plate or $6 for replacement renewal sticker. There is no fee required for replacement of weight class sticker.) Do not use this application for replacement of dealer or apportioned registration plates. See additional instructions on reverse.
rReplace an Illegible Registration Plate - Complete Sections A, C and D. (No Fee for Standard Issued Registration Plate.)
AAPPLICANT AND VEHICLE INFORMATION AS LISTED ON CURRENT REGISTRATION CARD
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Title Number |
Vehicle Identification Number |
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Registration Plate Number |
Expiration Date |
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MO: |
YR: |
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Last Name (or Full Business Name) |
First Name |
Middle Name |
PA DL/Photo ID# |
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Date of Birth |
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or Bus. ID# |
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First Name |
Middle Name |
PA DL/Photo ID# |
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Date of Birth |
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Owner’s Change of Address |
New Street Address |
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(Complete only if different from registration card. |
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If changing the address to an |
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you must also complete and submit Form |
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and qualify for an |
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B APPLICATION FOR DUPLICATE REGISTRATION CARD(S) OR REPLACEMENT OF (Check ( 4 ) appropriate blocks) |
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r Registration Card |
r Registration Plate |
rRenewal Sticker |
r Weight Class Sticker - Class # ______ |
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No fee is due if product was never received in the |
rOther_______________ |
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REASON: |
r*Lost |
r*Stolen |
rDefaced rNever Received mail within 90 days from the original issuance date. |
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*If the registration plate is lost or stolen, it must be reported to the State Police or your local law enforcement office.
NOTE:Registration Card: The fee for a replacement registration card is $6. If additional registration cards are desired, the fee is $6 for each card. Number of duplicate registration cards requested at $6: _____.
Registration Plate: The fee for a replacement registration plate is $11. In conjunction with replacement of your plate, you will receive one registration card.
If additional registration cards are desired, the fee is $2 for each card. Number of duplicate registration cards requested at $2: _____.
Renewal Sticker: The fee for a replacement renewal sticker is $6. Along with the replacement of your renewal sticker, you will receive one registration card. If
additional registration cards are desired, the fee is $6 for each card. Number of duplicate registration cards requested at $6: _____.
Weight Class Sticker: There is no fee for a replacement weight class sticker. Along with the replacement of your weight class sticker, you will receive one
registration card. If additional registration cards are desired, the fee is $6 for each card. Number of duplicate registration cards requested at $6: _____.
CAUTHORIZATION TO REPLACE AN ILLEGIBLE REGISTRATION PLATE (Verification from Law Enforcement Officer Required)
On this date, registration plate number _________________ on a _________ _____________ has been determined to be illegible.
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By signing this form, the owner or registrant is requesting and will receive a standard issue replacement registration plate, free of charge. |
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Signature of Police Officer |
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Badge Number |
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Department Name |
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Telephone Number |
Date |
DAPPLICANT(S) SIGNATURE
I/We hereby certify under penalty of law thatALL information contained herein is TRUE and CORRECT and that I/we understand that any misstate- mentof fact is a misdemeanor of the third degree punishable by a fine up to $2,500 and/or imprisonment up to 1 year (18 Pa.C.S. Section 4904[b]).
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Signature of Applicant or Authorized Signer |
Telephone Number |
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Signature of |
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EAPPLICATION FOR A REPLACEMENT REGISTRATION PLATE - Complete only if replacement registration plate is requested or if applicant is entitled to free
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SUBSCRIBED AND SWORN |
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I/We hereby state that application was made for the above registration plate |
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TO BEFORE ME: |
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YEAR or that the items as indicated were never received in the mail. |
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SIGNATURE OF PERSON ADMINISTERING OATH |
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Signature of Applicant or Authorized Signer |
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ASIGN IN PRESENCE OF NOTARY
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Signature of |
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GENERAL INSTRUCTIONS
1.This form should be used to replace any registration plate that was not received within 90 days of the original issuance date. This form should also be used if replacing a standard registration plate issued more than 90 days ago. If replacing another type of registration plate issued more than 90 days ago, use the appropriate form for that plate type. Ex: Form
2.Complete applicant information exactly as it appears on current registration card. Print address change in space provided, if applicable. When applying for a standard issue replacement registration plate, Section E must be completed instead of Section D. Fee is $11. In order to receive a replacement specialty plate, you must reapply for the specialty registration using the appropriate form. 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.). NOTE: When the application is being submitted through an agent/messenger, a legible photocopy of the applicant’s valid photo identification (front and back) must be attached.
3.Indicate duplicate or replacement product(s) desired in Section B.
4.When the owner of the registration plate determines that the registration plate is illegible and wishes to have the illegible registration plate replaced with a standard issued registration plate free of charge, the owner of the registration plate must have a local or state police officer complete Section C.
5.If replacing a registration plate, the owner and the
6.Make check or money order payable to the Commonwealth of Pennsylvania and mail to the address listed on the front of the application. DO NOT SEND CASH.
7.Complete Section E instead of Section D, if this application is made within 90 days from date of original issue and the registration card, renewal sticker, weight class sticker or plate was never received in the mail. No fee is required.
8.Should you desire to renew your registration in conjunction with this application for a standard issued registration plate, you must complete Form
Visit us at www.dmv.pa.gov or call us at:
In state: