If you're a small business owner in Pennsylvania, you may be wondering whether you need to complete and submit a PA Mv141 form. This article will provide an overview of the PA Mv141 form and answer some common questions about it.
You can find information about the type of form you need to complete in the table. It will show you just how long it takes to complete pa mv141 form, exactly what fields you will need to fill in, etc.
Question | Answer |
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Form Name | Pa Mv141 Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | mv 141 form, mv141 form, mv 141 form pa, form mv141 |
Bureau of Motor Vehicles
1101 S. Front Street
Harrisburg, PA 17104
Surrender of a
Registration Plate
(Registration Plate Must Be Attached)
For Department Use Only
A Applicant and Vehicle Information |
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Name of Registrant |
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VIN Number |
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Registration Plate Number |
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Expiration Date |
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Title Number |
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Yr. |
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B The above registration plate is being returned to PennDOT for the following reason(s): |
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q Replacement of Registration Plate |
q Moved |
q Exchange Plate Issued |
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q Vehicle Sold (no plate needed) |
q Insurance Stop |
q Termination or Lapse of Insurance |
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q Voluntary Surrender |
q Vehicle Returned to Dealer Within 20 Days |
q Registration Privileges Suspended |
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q Vanity Tag - Issued _______________ |
q Vehicle Deal Cancelled |
q Other______________________________ |
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C Decentralized Service or Full Agent Information (If applicable) |
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The registration plate listed above was surrendered on _______________ to the authorized agent below: |
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(DATE) |
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Decentralized Service or Full Agent Name |
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Street Address |
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City |
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Zip Code |
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NOTE TO VEHICLE OWNER: You must retain a copy of this receipt in order to obtain a replacement plate from an authorized agent.
FOR DEPARTMENT USE ONLY |
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Agent/Messenger No. |
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Date Received |
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Year |
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InstructIons
1.Vehicle owner and registration information must be listed in Section A exactly as shown on the vehicle owner's registration card.
2.In Section B, check appropriate reason the registration plate is being returned to PennDOT. NOTE: The registration plate must be attached.
3.If the registration plate is being surrendered to an authorized decentralized service agent or full agent, Section C must be completed by the authorized decentralized service agent or full agent and forwarded to PennDOT along with the registration card and registration plate. Decentralized service agents must forward through the Messenger Service Center. Full agents must mail this form to PennDOT’s Bureau of Motor Vehicles, P.O. Box 68674, Harrisburg, PA
If this form is completed by the applicant, the form and registration plate must be mailed to the Bureau of Motor Vehicles, P.O. Box 68597, Harrisburg, PA
4.To obtain a replacement registration plate, applicants must provide a copy of this completed form to a decentralized agent or PennDOT's counter service in Harrisburg for a replacement.