NUMBER FORM NAME DATE MV-1 APPLICATION FOR CERTIFICATE OF TITLE MV-1L* APPLICATION FOR LESSEE INFORMATION

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1 AUGUST 2009 MOTOR VEHICLE AND DRIVER LICENSE FORMS MOTOR VEHICLE FORMS * AFTER A FORM # MEANS IT IS AVAILABLE ON THE INTERNET TO COMPLETE OR DOWNLOAD FORM EDITION NUMBER FORM NAME DATE MV-1 APPLICATION FOR CERTIFICATE OF TITLE MV-1L* APPLICATION FOR LESSEE INFORMATION MV-1S* SCHOOL BUS/SCHOOL VEHICLE USE APPLICATION MV-2* MV-3* MV-4ST MOTOR-HOME CERTIFICATE OF COMPLIANCE FOR VAN MINIVAN VEHICLES MOTOR VEHICLE VERIFICATION OF FAIR MARKET VALUE BY THE ISSUING AGENT PENNSYLVANIA VEHICLE SALES AND USE TAX RETURN/APPLICATION FOR REGISTRATION MV-6* APPLICATION FOR NON-REPAIRABLE OR SALVAGE CERTIFICATE MV-6SV* MV-7* INSURANCE COMPANY APPLICATION FOR CERTIFICATE OF SALVAGE FOR STOLEN VEHICLE SALVAGE DEALER/SCRAP PROCESSOR BUSINESS REPORT OF VEHICLES CONSIDERED SCRAP MATERIAL & NOT TO BE TITLED FOR RECONSTRUCTED MV-8* SELF CERTIFICATION FOR PROOF OF RESIDENCY MV-9* MV-11* COMPLIANCE OR EXEMPTION FOR THE PENNSYLVANIA CLEAN VEHICLES PROGRAM APPLICATION FOR PERMANENT ANTIQUE, CLASSIC OR COLLECTIBLE REGISTRATION PLATE MV-13ST* AFFIDAVIT OF GIFT MV-14EV* APPLICATION FOR EMERGENCY VEHICLE REGISTRATION PLATE MV-16* APPLICATION FOR CANCELLATION OF CERTIFICATE OF TITLE MV-27* DEALER ASSIGNMENT COVERING A VEHICLE REQUIRED AND HELD FOR RESALE MV-27A* MV-27B* MV-37* MV-38A* MV-380* WEEKLY NOTIFICATION OF DEALER ACQUISITION COVERING VEHICLES ACQUIRED FOR RESALE FROM ANOTHER DEALER OR MANUFACTURER WEEKLY NOTIFICATION OF DEALER ACQUISITION COVERING VEHICLES ACQUIRED FOR RESALE FROM AN INDIVIDUAL (NON-DEALER) APPLICATION FOR LIEN HOLDER AUTHORIZATION TO PARTICIPATE IN THE DEPARTMENT S ELECTRONIC LIEN AND TITLE SYSTEM AUTHORIZATION TO PRINT TITLE AND RELEASE TO DEALER/OWNER AT DEALER AUCTION APPLICATION FOR DUPLICATE CERTIFICATE OF TITLE BY OWNER

2 MV-38D* APPLICATION FOR DUPLICATE CERTIFICATE OF TITLE BY A REGISTERED DEALER MV-38L* MV-39* MV-41* LIEN HOLDER S APPLICATION FOR DUPLICATE TITLE OR TO RECORD, RENEW, REMOVE A LIEN, OR TO CORRECT LIEN INFORMATION NOTIFICATION OF ASSIGNMENT/CORRECTION OF VEHICLE TITLE UPON DEATH OF OWNER APPLICATION FOR CORRECTION OR CHANGE OF VEHICLE RECORD OR VERIFICATION OF VEHICLE IDENTIFICATION NUMBER MV-41A* APPLICATION FOR CORRECTION OR CHANGE OF NAME MV-44* APPLICATION FOR DUPLICATE REGISTRATION CARD, TRANSFER OF REGISTRATION PLATE OR REPLACEMENT OF REGISTRATION PLATE, RENEWAL OR CLASS STICKER MV-63* NOTIFICATION OF CHANGE OF ADDRESS MV-70S* BUREAU OF MOTOR VEHICLE - SCHEDULE OF FEES MV-77* MV-90 MV-91 MV-120 APPLICATION FOR FARM VEHICLE REGISTRATION PLATE OR FOR FARM VEHICLE 2 YEAR CERTIFICATE OF EXEMPTION SURRENDER OF REGISTRATION PLATE TO A DECENTRALIZED MESSENGER AGENT APPLICATION FOR REPLACEMENT OF PLATE AFTER A VOLUNTARY SURRENDER OF PLATE BY OWNER TEMPORARY REGISTRATION PLATE CERTIFICATE OF TEMPORARY TRANSFER CARD MV-125* DISCREPANCY CORRECTION ROUTING SHEET MV-127 BUSINESS UNIT DIVIDER MV-140* REQUEST FOR REGISTRATION RENEWAL MV-140SV* APPLICATION FOR SEASONAL VEHICLE REGISTRATION RENEWAL MV-141* RETURNED REGISTRATION PLATE MV-145* APPLICATION FOR PERSON WITH A DISABILITY OR HEARING IMPAIRED REGISTRATION PLATE OR A PERSON WITH A DISABILITY MOTORCYCLE PLATE PLATE MV-145A* PERSON WITH A DISABILITY PARKING PLACARD APPLICATION MV-145V* MV-150* APPLICATION FOR DISABLED VETERAN, SEVERELY DISABLED VETERAN REGISTRATION PLATE OR SEVERELY DISABLED VETERAN MOTORCYCLE PLATE DECAL APPLICATION FOR SPECIAL U.S. MILITARY VETERAN REGISTRATION PLATE MV-161* VEHICLE INQUIRY ACCESS AUTHORIZATION

3 MV-162* MV-190* APPLICATION FOR UNCLAIMED REGISTRATION CARD, LICENSE PLATE, RENEWAL STICKER, WEIGHT CLASS STICKER, CERTIFICATE OF TITLE OR CERTIFICATE OF SALVAGE (FOR BONDED MESSENGER USE ONLY) COMMERCIAL IMPLEMENT OF HUSBANDRY OR IMPLEMENT OF HUSBANDRY SUPPLEMENTAL APPLICATION MV-217* APPLICATION FOR CERTIFICATE OF TITLE AFTER DEFAULT BY OWNER MV-217A* APPLICATION FOR FINANCIAL INSTITUTION FOR CERTIFICATE OF TITLE AFTER DEFAULT BY OWNER MV-221* STATEMENT OF NON-OPERATION OF VEHICLE(S) MV-349 MV-351* MV-351A* MV-353* MV-359* MV-371* APPLICATION FOR VEHICLE DEALER REGISTRATION PLATES FOR DEALERS LICENSED BY DEPARTMENT OF STATE APPLICATION FOR TEMPORARY REGISTRATION PLATES BY MOTOR VEHICLE DEALERS AND FULL AGENTS APPLICATION FOR REPLACEMENT OF TEMPORARY REGISTRATION PLATES APPLICATION FOR REPLACEMENT OF DEALER OR MISCELLANEOUS MOTOR VEHICLE BUSINESS REGISTRATION PLATE, CARD OR RENEWAL STICKER APPLICATION FOR MISCELLANEOUS MOTOR VEHICLE BUSINESS REGISTRATION PLATES APPLICATION FOR RETIRED PERSON S $10.00 PROCESSING FEE OF A VEHICLE REGISTRATION MV-402* APPLICATION FOR SUN SCREENING CERTIFICATE OF EXEMPTION MV-421* MV-426B* EMISSION INSPECTION AND MAINTENANCE (I/M) PROGRAM VERIFICATION MV-426B APPLICATION FOR RECONSTRUCTED, SPECIALLY CONSTRUCTED, COLLECTIBLE, MODIFIED, FLOOD, RECOVERED THEFT VEHICLES AND STREET RODS MV-511B* REQUISITION FOR DRIVER/VEHICLE FORMS MV-511M* ON-LINE MESSENGER ORDER FORM MV-549* APPLICATION FOR REGISTRATION FEE EXEMPTION MV-550* APPORTIONED REGISTRATION APPLICATION - SCHEDULE A MV-550A* APPORTIONED SCHEDULE FOR NEW ACCOUNT MV-551* APPORTIONED REGISTRATION APPLICATION SCHEDULE B MV-552A* APPORTIONED REGISTRATION SUPPLEMENT APPLICATION MV-555* PENNSYLVANIA APPORTIONED REGISTRATION APPLICATION MV-558* REPLACEMENT OF APPORTIONED REGISTRATION APPLICATIONS MV-590* 20 DAY HUNTER PERMIT MV-670* APPLICATION TO ESTABLISH A FLEET ACCOUNT

4 MV-671 REPLACEMENT OF FLEET REGISTRATION CREDENTIALS MV-673* FLEET REGISTRATION SUPPLEMENT APPLICATION MV-674* APPLICATION TO CHANGE INFORMATION ON FLEET ACCOUNT OR FLEET VEHICLE MV-700* APPLICATION FOR REFUND MV-904* APPLICATION FOR SPECIAL REGISTRATION PLATE MV-910* APPLICATION FOR SPECIAL PA STEELWORKER REGISTRATION PLATE MV-911* APPLICATION FOR SPECIAL FUND LICENSE PLATE MV-912* APPLICATION FOR GOLD STAR FAMILY REGISTRATION PLATE MV-913* APPL. FOR VICTORY JUNCTION (NASCAR) REGISTRATION PLATE MV-950* NOTIFICATION OF ASSIGNMENT OF SECURED INTEREST IN A VEHICLE MV-950A* MV-1005* NOTIFICATION OF ASSIGNMENT OF SECURED INTEREST IN A VEHICLE TO A DEALER REQUEST FOR OPTIONAL REGISTRATION AT A WEIGHT EXCEEDING THE GVWR VR REJECTION/TRANSMITTAL SHEET FOR INSURANCE SUSPENSIONS... NON-COMMERCIAL DRIVER LICENSE FORMS DL-1AOL* ACKNOWLEDGMENT OF OUT-OF-STATE LICENSE STATUS No Date DL-5* MOTORCYCLE LEARNER S PERMIT APPLICATION TO ADD/EXTEND/REPLACE CHANGE/CORRECT DL-6* TEN-YEAR HISTORY INFORMATION DL-13* INITIAL REPORTING FORM DL-15* OCCUPATIONAL LIMITED LICENSE INSTRUCTIONS AND PETITION DL-15A* LIMITED LICENSE AFFIDAVIT DL-16LC* ACKNOWLEDGMENT OF SUSPENSIONS/REVOCATION/DISQUALIFICATION AS REQUIRED UNDER SECTION 1541 OF THE VEHICLE CODE DL-17* STATEMENT OF NON-OWNERSHIP OF VEHICLE(S) DL-20* PROBATIONARY LICENSE (PL) PETITION DL-21SC* SELF-CERTIFICATION OF VEHICLE(S) OWNED/OPERATED DL-31* APPLICATION TO ADD/EXTEND/REPLACE/CHANGE/CORRECT NON-COMMERCIAL LEARNER S PERMIT DL-31OLL* APPLICATION TO EXTEND AN OCCUPATIONAL LIMITED LICENSE DL-54B* APPLICATION FOR CHANGE/CORRECTION/REPLACEMENT OR RENEWAL OF 4

5 PENNSYLVANIA IDENTIFICATION CARD DL-58EF* DL-59* DL-80* DL-80OP* APPLICATION FOR REPLACEMENT OF A VALID WITHOUT PHOTO LICENSE WITH A PHOTO LICENSE UPON RETURN OF THE DRIVER TO PENNSYLVANIA APPLICATION FOR CHANGE FROM JUNIOR DRIVER S LICENSE TO A REGULAR NON-COMMERCIAL LICENSE APPLICATION FOR CHANGE/CORRECTION/REPLACEMENT OF NON- COMMERCIAL DRIVER S LICENSE, LEARNER S PERMIT OR CAMERA CARD APPLICATION FOR CHANGE/CORRECTION/REPLACEMENT OF OCCUPATIONAL LIMITED LICENSE (OLL) OR PROBATIONARY LICENSE (PL) DL-81* NON-DRIVER PHOTO IDENTIFICATION CARD - APPLICATION FOR PENNSYLVANIA DRIVERS DL-82* OUT-OF-STATE ADDRESS EXEMPTION DL-100* DL-100A* REQUEST FOR VOLUNTARY SURRENDER OF DRIVER S LICENSE OR LEARNER S PERMIT REQUEST FOR CANCELLATION OF DRIVER S LICENSE OR LEARNER S PERMIT DL-102* REPORT OF EYE EXAMINATION DL-125EXP MESSENGER DISCREPANCY SUBMITTAL SHEET... No date DL-130* REQUEST FOR LETTER OF CLEARANCE DL-135* REQUEST FOR VEHICLE INFORMATION DL-143* NON-COMMERCIAL DRIVER S LICENSE RENEWAL APPLICATION DL-143PL* PROBATIONARY LICENSE (PL) RENEWAL APPLICATION DL-176* MILITARY STATUS ENDORSEMENT CARD APPLICATION FOR PENNSYLVANIA DRIVER S LICENSE DL-180* NON-COMMERCIAL LEARNER S PERMIT APPLICATION DL-180C* PARENT/GUARDIAN CERTIFICATION FORM DL-180RCD* APPLICATION FOR PENNSYLVANIA COMMERCIAL DRIVER S LICENSE BY OUT-OF-STATE CDL DRIVER DL-180TD* PARENT/GUARDIAN CONSENT FORM DL-201* CERTIFICATE OF MOTOR VEHICLE JUDGMENT DL-288* HAZARDOUS MATERIALS ENDORSEMENT DL-298* SERVICEPERSON REQUEST FOR NON-COMMERCIAL PENNSYLVANIA DRIVER S LICENSE DL-503* REQUEST FOR DRIVER INFORMATION DL-3731* APPLICATION FOR IGNITION INTERLOCK LICENSE/RETURN OF REGULAR 5

6 DRIVER LICENSE DL-3805* IGNITION INTERLOCK EMPLOYMENT EXEMPTION AFFIDAVIT DL-601MRT MESSENGER REJECTION/TRANSMITTAL SHEET (HALF SHEET) DL-6114A AUTHORIZATION FOR RELEASE OF DRIVER RECORD INFORMATION DL-8611* REQUEST FOR ORGAN DONOR DESIGNATION ON PENNSYLVANIA DRIVER S LICENSE OR PHOTO ID CARD COMMERCIAL DRIVER LICENSE FORMS DL-31CD* COMMERCIAL LEARNER S PERMIT APPLICATIONS DL-80CD* DL-100CD* APPLICATION TO REPLACE/CORRECT COMMERCIAL DRIVER S LICENSE APPLICATION FOR REVISION OR RETURN OF CDL CLASSIFICATION DL-143CD* COMMERCIAL DRIVER S LICENSE RENEWAL APPLICATION DL-143PL* PROBATIONARY LICENSE (PL) RENEWAL APPLICATION DL-398* MILITARY COMMERCIAL DRIVER S LICENSE (CDL) SKILLS TEST WAIVER APPLICATION OTHER FORMS * NOTARY PUBLIC APPLICATION /17/07 * ORM-1DL - FRAUDULENT MISUSE OF ID/DRIVER S LICENSE CREDENTIALS * ORM-1VR - FRAUDULENT MISUSE OF MOTOR VEHICLE CREDENTIALS MESSENGER SUBMITTAL/REJECTION SHEET FOR RETURN CHECK CASES -... VR REJECTION/TRANSMITTAL SHEET FOR INSURANCE SUSPENSIONS AUTHORIZATION FOR USERID, SIGN-ON FOR DL & C AND/OR BMV CARATS SYSTEMS... 6 No Date NO DATE * H1105F - BIRTH CERTIFICATE PUBLICATIONS PUB95* PENNSYLVANIA DRIVER S MANUAL PUB95S* PENNSYLVANIA DRIVER S MANUAL (SPANISH EDITION) PUB117* PENNSYLVANIA SCHOOL BUS DRIVER S MANUAL PUB 147* MOTORCYCLE OPERATOR MANUAL PUB 223* COMMERCIAL DRIVER S MANUAL PUB 265* COMMERCIAL DRIVER MANUAL (SPANISH VERSION) PUB 288* HAZARDOUS ENDORSEMENT RENEWAL MANUAL PUB 457* AGENT SERVICE HANDBOOK PUB 458* REQUIREMENTS FOR A MISCELLANEOUS DEALER PUB 460* SALVOR MANUAL PUB 463* CARD AGENT PACKET PUB 479* FLEET REGISTRATION INSTRUCTION MANUAL PUB 490* MOTORCYCLE OPERATOR MANUAL (SPANISH VERSION)

7 PUB 612* MESSENGER MANUAL DEPARTMENT OF REVENUE FORM REV-65BA+* PETITION FORM (REFUND FORM) REV-227LE+* PENNSYLVANIA SALES AND USE TAX CREDIT CHART

TRUCK AND TRACTOR REGISTRATION FEES NOTE: Apportioned and Fleet registered vehicles are not eligible for a two-year registration period.

MV-70S (7-17) www.dmv.pa.gov BUREAU OF MOTOR VEHICLES SCHEDULE OF FEES TRUCK AND TRACTOR REGISTRATION FEES Class Registered Gross Weight in Lbs. Regular Trucks/Truck Tractors s Farm Trucks/Truck Tractors