Pa Dot Mv141 Details

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.

QuestionAnswer
Form NamePa Mv141 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmv 141 form, mv141 form, mv 141 form pa, form mv141

Form Preview Example

MV-141 (4-10)

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Registrant

 

 

 

VIN Number

 

 

 

 

 

 

 

 

 

 

 

Registration Plate Number

 

Expiration Date

 

 

Title Number

 

 

 

 

 

Mo.

Yr.

 

 

 

 

 

 

 

 

 

 

 

 

B The above registration plate is being returned to PennDOT for the following reason(s):

 

 

 

 

 

 

 

 

 

q Replacement of Registration Plate

q Moved Out-of-State

q Exchange Plate Issued

 

q Vehicle Sold (no plate needed)

q Insurance Stop

q Termination or Lapse of Insurance

 

q Voluntary Surrender

q Vehicle Returned to Dealer Within 20 Days

q Registration Privileges Suspended

 

 

 

q Vanity Tag - Issued _______________

q Vehicle Deal Cancelled

q Other______________________________

 

 

 

 

 

C Decentralized Service or Full Agent Information (If applicable)

 

 

 

 

 

 

 

The registration plate listed above was surrendered on _______________ to the authorized agent below:

 

 

 

 

(DATE)

 

 

 

 

 

 

 

 

 

 

 

Decentralized Service or Full Agent Name

 

 

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

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

 

 

 

Agent/Messenger No.

 

 

 

 

 

Date Received

 

 

 

 

 

Month

Day

Year

 

 

 

 

 

 

 

 

 

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 17106-8674. If completed by an authorized decentralized service agent or full agent, a copy of this form must be retained by the authorized agent for at least three years. A copy of this completed form must be provided to and retained by the vehicle owner and will be necessary to obtain a replacement registration plate, if needed at a later date.

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 17106-8597. A copy of this completed form must be retained by the vehicle owner and will be necessary to obtain a replacement registration plate, if needed at a later date.

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.