Pa Mv 44 PDF Details

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.

QuestionAnswer
Form NamePa Mv 44
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namespennsylvania registration replacement, pa replacement, pennsylvania plate renewal, pa plate renewal

Form Preview Example

MV-44 (7-21)

APPLICATION FOR DUPLICATE REGISTRATION

 

CARD, REPLACEMENT OF REGISTRATION PLATE

For Department Use Only

OR WEIGHT CLASS STICKER

Bureau of Motor Vehicles • PO Box 68593 Harrisburg, PA 17106-8593

CHECK (4) PROPER BLOCK

r r

r

Application 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.)

Replacement of registration plate 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. Section E must also be completed when products were not received in the mail and this application is being submitted within 90 days of original issuance date. Section E is not required to be completed when applying for a replacement weight class sticker that was lost or stolen. (Fee: $11 for replacement registration plate. 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.

Replace an Illegible Registration Plate - Complete Sections A, C and D. (No Fee for Standard Issued Registration Plate.)

A

 

APPLICANT AND VEHICLE INFORMATION AS LISTED ON CURRENT REGISTRATION CARD

 

 

 

 

Title Number

 

Vehicle Identification Number

 

Registration Plate Number

 

Expiration Date

 

 

 

 

 

 

 

 

 

 

MO:

YR:

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

Owner’s Change of Address

New Street Address

 

 

 

 

 

 

 

(Complete only if different from registration card.

 

 

 

 

 

 

 

 

If changing the address to an out-of-state address,

 

 

 

 

 

 

 

 

City

 

 

State

Zip Code

 

you must also complete and submit Form MV-8

 

 

 

and qualify for an out-of-state address.)

 

 

 

 

 

 

 

 

 

 

B APPLICATION FOR DUPLICATE REGISTRATION CARD(S) OR REPLACEMENT OF (Check ( 4 ) appropriate blocks)

 

 

 

r Registration Card

r Registration Plate

r Weight Class Sticker - Class # ___________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

r *Lost

r*Stolen

 

No fee is due if product was never received in the

rOther_______________

 

 

REASON:

 

 

 

r Defaced rNever Received mail within 90 days from the original issuance date.

 

 

 

*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: _____.

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: _____.

C AUTHORIZATION 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.

YearMake

By signing this form, the owner or registrant is requesting and will receive a standard issue replacement registration plate, free of charge.

 

Signature of Police Officer

 

Badge Number

 

Department Name

 

Telephone Number

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

D APPLICANT(S) SIGNATURE

 

 

 

 

 

 

 

 

 

I/We hereby certify under penalty of law that ALL information contained herein is TRUE and CORRECT and that I/we understand that any misstatement of 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]).

 

 

(

)

 

Signature of Applicant or Authorized Signer

Telephone Number

 

 

 

 

 

 

Signature of Co-Applicant/Title of Authorized Signer

Date

EAPPLICATION FOR A REPLACEMENT REGISTRATION PLATE - Complete only if replacement registration plate is requested or if applicant is entitled to free re-issuance because original registration card or weight class sticker was never received in the mail and application is being made within 90 days of original issuance or replacement.

I declare under penalty of perjury under the law of the Commonwealth of

 

 

I/We hereby state that application was made for the above

Pennsylvania that the foregoing is true and correct.

 

 

 

registration plate or that the items as indicated were never

Signed on the _____ day of _______________, _______________________

at

received in the mail.

 

______________________________________, _________________________.

 

 

 

(county or other location, and state)

(country)

 

 

 

 

 

 

 

 

Signature of Applicant or Authorized Signer

 

 

 

 

 

 

 

Printed Name

 

 

 

 

Signature

Signature of Co-Applicant/Title of Authorized Signer

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 MV-914 should be completed when replacing an Honoring Our Veterans registration plate. NOTE: All forms can be found on PennDOT's website at www.dmv.pa.gov.

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.To replace a defaced personalized registration plate that is destroyed but not beyond recognition, you must submit this Form MV-904, "Application for Personalized, Amateur Radio Operator or Press Photographer Registration Plate," indicating a replacement registration plate containing the same combination of letters and numbers is being requested along with a picture or tracing of the registration plate for identification purposes. A registration plate is considered to be defaced when the registration plate is damaged by a specific incident such as a traffic accident, cutting, scraping or damage caused by intense cleaning or harmful chemicals. There is a fee of $85 for the replacement of a defaced personalized standard registration plate. The fee to replace an Amateur Radio Operator registration plate is $11. The fee to replace a Personalized Press Photographer registration plate is $112. If an immediate replacement registration plate is needed, you must submit this form and an $11 replacement fee. A standard registration plate will be issued until the replacement registration plate can be provided.

5.When the owner of the registration plate determines that the registration plate is illegible, due to fading or blistering, 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.

6.If replacing a registration plate, the owner and the co-owner’s signatures are required in Section E. If the vehicle is owned by a company or a corporation, a letter is required on company letterhead identifying the person who is authorized to sign in Section E to receive the replacement registration plate on behalf of the business. If the replacement registration plate is mailed to the company/corporation, the only requirement is a letter on business letterhead authorizing the representative for the company/corporation to sign in Section E. This letter must be attached to the application before submitting to PennDOT. In addition, the authorized agent is required to maintain a copy of the letter on company letterhead authorizing a person to sign in Section E and/or pick up the plate for the company/corporation for three years.

7.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.

8.Complete Section E instead of Section D, if this application is made within 90 days from date of original issue and the registration card, weight class sticker or registration plate was never received in the mail. No fee is required. NOTE: When completing Section E, BOTH parts of Section E MUST be completed.

9.Should you desire to renew your registration in conjunction with this application for a standard issued registration plate, you must complete Form MV-140 or your registration renewal application and return it with this application. A $11 replacement fee is required in addition to your registration fee when replacing the current standard issue registration plate in your possession. NOTE: Duplicate registration cards at time of renewal, transfer or replacement of registration plate cost $2 each. All other times, a $6 fee is required for a replacement or duplicate registration card.

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

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