Pti Certification PDF Details

Are you thinking about getting your Pti Certification? If so, there are a few things you need to know. The first step is to complete the Pti Certification Form. This form will help determine your eligibility for certification and identify the specific requirements you must meet. It's important to fill out the form accurately and completely, so be sure to read all of the instructions carefully. Once you've completed the form, you can submit it online or by mail. If you have any questions, be sure to contact Pti headquarters for assistance.

Below is the information about the PDF you were seeking to fill in. It will show you the time it will take to fill out pti certification, what fields you will have to fill in, and so forth.

QuestionAnswer
Form NamePti Certification
Form Length2 pages
Fillable?Yes
Fillable fields49
Avg. time to fill out10 min 22 sec
Other namespti certificate online, ZIPCODE, DATESOLD, permanent trailer identification

Form Preview Example

A Public Service Agency

PERMANENT TRAILER IDENTIFICATION (PTI)

CERTIFICATION

***USE THIS SIDE TO REQUEST A CERTIFICATE OF TITLE***

This form cannot be used to replace a title that is lost, stolen, not received, or illegible/mutilated. Use Application for Replacement Title (REG 227).

If there is no legal owner, and you would like to receive a Certificate of Title, please complete Sections 1 and 2 below.

The Department will issue a Permanent Trailer Identification Card and maintain an electronic record of ownership, whether a Certificate of Title is requested or not.

If a Certificate of Title is not requested, a Bill of Sale can be used for transfer of ownership. However, if a physical Certificate of Title has been issued, it must be used upon transfer of ownership.

A trailer being titled with a legal owner (bank, finance company, etc.) will automatically be issued a Certificate of Title (A PTI title fee will apply).

SECTION 1 — TRAILER DESCRIPTION

PTI IDENTIFICATION PLATE NUMBER

VEHICLE IDENTIFICATION NUMBER

YEAR/MAKE

SECTION 2. — CERTIFICATION  I request a Certificate of Title (A PTI title fee will apply)

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Owner’s signature required.

OWNER’S SIGNATURE

X

DATE

DAYTIME TELEPHONE NUMBER

( )

REG 4017 (REV. 1/2022) WWW

SIDE A

 

PERMANENT TRAILER IDENTIFICATION (PTI) APPLICATION FOR:

Certificate of Title (Current Owner completes Side A. To request a Replacement title, use form REG 227.)

Transfer without Certificate of Title (Seller completes Sections 1 and 2, Buyer completes Sections 4 through 7, as needed.) Addition of Legal Owner Without Certificate of Title (To add a legal owner, Sections 1, 3 and 5 must be completed.)

PTI IDENTIFICATION PLATE NUMBER

VEHICLE IDENTIFICATION NUMBER

YEAR/MAKE

1. TRAILER OWNER(S) OF RECORD

TRUE FULL NAME (LAST, FIRST, MIDDLE OR BUSINESS NAME)

 

TRUE FULL NAME (LAST, FIRST, MIDDLE)

 

 

 

 

 

 

 

PHYSICAL ADDRESS (INCLUDE ST.,AVE., RD., CT., ETC.)

APT./SPACE/STE. #

CITY

STATE

ZIP CODE

 

 

 

 

 

MAILINGADDRESS (IF DIFFERENT FROM PHYSICALADDRESS)

APT./SPACE/STE. #

CITY

STATE

ZIP CODE

2.TRAILER OWNER(S) OF RECORD RELEASE OF OWNERSHIP I/We release ownership in the described trailer

SIGNATURE OF OWNER

DATE

X

SIGNATURE OF OWNER

DATE

X

3.TRAILER OWNER(S) OF RECORD ADDING LEGAL OWNER ONLY I/We release security interest in the described trailer

SIGNATURE OF OWNER

DATE

X

SIGNATURE OF OWNER

DATE

X

4. NEW TRAILER OWNER(S) – Complete transfer within 10 days of taking possession of trailer

PURCHASE PRICE/MARKET VALUE (IF GIFT OR TRADE)

DATE PURCHASED OR ACQUIRED (MONTH, DAY,YEAR)

EQUIPMENT NUMBER (OPTIONAL)

 

 

 

 

 

 

 

 

 

 

 

TRUE FULL NAME (LAST, FIRST, MIDDLE OR BUSINESS NAME)

 

 

DRIVER LICENSE/ID CARD NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRUE FULL NAME (LAST, FIRST, MIDDLE)

 

 

DRIVER LICENSE/ID CARD NUMBER

AND*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OR

 

 

 

 

 

 

 

 

 

 

PHYSICAL ADDRESS (INCLUDE ST.,AVE., RD., CT., ETC.)

APT./SPACE/STE. #

CITY

 

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ABOVE)

APT./SPACE/STE. #

CITY

 

 

STATE

 

ZIP CODE

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that the owner mailing address is valid, existing, and an accurate mailing address. I consent to receive service of process at this mailing address pursuant to Section 1808.21 of the Vehicle Code.

SIGNATURE(S) OF ALL NEW OWNER(S)

 

DATE

DAYTIME TELEPHONE NUMBER

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

DAYTIME TELEPHONE NUMBER

X

 

 

 

 

 

 

 

 

 

 

 

 

5. NEW LEGAL OWNER (If no legal owner, write “NONE”)

 

 

 

 

 

 

 

 

 

 

 

NAME OF NEW LEGAL OWNER – DO NOT ENTER NAME OF NEW REGISTERED OWNER(S) ABOVE

ELECTRONIC LIENHOLDER ID NUMBER

 

 

 

ELT#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET OR P.O. BOX ADDRESS

APT./SPACE/STE. #

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

6. LEASED VEHICLES

 

 

 

 

 

 

 

 

 

 

 

 

LESSEE ADDRESS (IF DIFFERENT FROM OWNER ADDRESS ABOVE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. DEALER’S RELEASE OF ACQUIRED VEHICLE

 

 

 

 

 

 

 

 

 

 

 

NAME OF BUYER

 

 

DATE SOLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF DEALERSHIP

DEALER NUMBER

 

R/S NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF DEALER AGENT

PRINTED NAME OF DEALER AGENT

SALESPERSON NUMBER

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF BUYER

 

 

DATE SOLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF DEALERSHIP

DEALER NUMBER

 

R/S NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF DEALER AGENT

PRINTED NAME OF DEALER AGENT

SALESPERSON NUMBER

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Upon transfer of ownership, co-owners joined by “AND” require the signature of each owner; co-owners joined by “OR” require the signature of only one owner.

 

SIDE B

Print

Clear Form

REG 4017 (REV. 1/2022) WWW

How to Edit Pti Certification Online for Free

The procedure of filling out the STE is quite quick. We ensured our editor is easy to understand and helps complete any kind of form within minutes. Here are just several simple steps you will have to follow:

Step 1: Look for the button "Get Form Here" on the following site and click it.

Step 2: Now you can edit your STE. You should use the multifunctional toolbar to insert, delete, and alter the content of the form.

Create the STE PDF by entering the text needed for each area.

portion of blanks in SIGNATUREOFDEALERAGENT

Type in the requested particulars in VEHICLE, IDENTIFICATION, NUMBER YEAR, MAKE DAYTIME, TELEPHONE, NUMBER and DATE field.

part 2 to entering details in SIGNATUREOFDEALERAGENT

You should point out the crucial details from the PTI, IDENTIFICATION, PLATE, NUMBER VEHICLE, IDENTIFICATION, NUMBER YEAR, MAKE TRUE, FULL, NAME, LAST, FIRST, MIDDLE PHYSICAL, ADDRESS, INCLUDE, STAVE, RD, CT, ETC APT, SPACES, TE CITY, CITY, STATE, ZIP, CODE STATE, ZIP, CODE DATE, SIGNATURE, OF, OWNER and DATE field.

step 3 to entering details in SIGNATUREOFDEALERAGENT

The TRUE, FULL, NAME, LAST, FIRST, MIDDLE DRIVER, LICENSE, ID, CARD, NUMBER AND, OR PHYSICAL, ADDRESS, INCLUDE, STAVE, RD, CT, ETC APT, SPACES, TE APT, SPACES, TE CITY, CITY, STATE, ZIP, CODE STATE, ZIP, CODE DAYTIME, TELEPHONE, NUMBER DATE, and STREET, OR, PO, BOX, ADDRESS space is where both parties can place their rights and responsibilities.

Completing SIGNATUREOFDEALERAGENT part 4

Check the areas NAME, OF, DEALERSHIP DEALER, NUMBER RS, NUMBER SIGNATURE, OF, DEALER, AGENT PRINTED, NAME, OF, DEALER, AGENT SALESPERSON, NUMBER SIDE, B and REG, REV, WWW and thereafter complete them.

stage 5 to filling out SIGNATUREOFDEALERAGENT

Step 3: After you select the Done button, your finished file is conveniently transferable to any of your devices. Or, you may deliver it via mail.

Step 4: It could be better to maintain duplicates of the form. You can rest assured that we won't disclose or view your information.

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