E VERIFICATION OF WEIGHT RATING (Inspection Mechanic Only)D VEHICLE DATA THAT REQUIRES CORRECTION - Check only the block(s) and list the information that needs correcting due to anerror in the title application or to a change in the use of the lienholder an ELT participant? MV-41 (10-08)PA Department of TransportationBureau of Motor VehiclesHarrisburg, PA 17104-2516APPLICATION FORCORRECTIONOF VEHICLE RECORD ORVERIFICATION OF VEHICLEIDENTIFICATION NUMBERVFOR DEPARTMENT USE ONLYVCHECK APPLICABLE BLOCK or Verification of Vehicle Identification Number. Complete Sections A, B and for State Replacement Vehicle Identification Number Plate/Decal. Complete Sections A, C (MUST be completed by a Police Officer),and F. of body type, number of axles, or other corrections to the vehicle title or registration data. Complete sections A, D and F. (If the vehiclehas been modified, such as the addition or removal of axles, or you are requesting a change to the manufacturer weight specifications, anMV-426B must be completed.)4. Verification of Gross Vehicle Weight Rating (GVWR) or Gross Combination Weight Rating (GCWR) by Inspection Mechanic Only. CompleteSections A, E and F. UUUAVEHICLE OWNER INFORMATIONB CORRECTION OR VERIFICATION OF VEHICLEIDENTIFICATION NUMBERF CERTIFICATION - I(We) hereby certify under penalty of law that all information given on this application is true and correct. (Date must be listed).C APPLICATION FOR STATE REPLACEMENT VIN PLATELast Name (or Full Business Name)Current Street AddressStateZip CodeFirst NameCityMiddle NameCounty CodePlease use the County Codes listing found on the back of this application and listthe numerical code for the County of your be used only to correct typographical error of one digit, transpositionof two digits, or if engine number has been erroneously recorded as theVIN OR for the purpose of VIN TRACING HERE OR HAVE AUTHORIZED NOTARYPUBLIC EMPLOYED BY A FULL AGENT OR MOTOR VEHICLEDEALER, OR INSPECTION MECHANIC COMPLETE THEVERIFICATION INFORMATION Vehicle Identification Number (if known)Reason for Replacement of VIN PlateSLostSSSMake of VehicleSOther (Please Explain) ________________________________________ _______SStolenSDefacedSNever ReceivedRecord Correct VIN VERIFICATION BY POLICE OFFICER (Local or State Police)Signature of Notary Public or Inspection MechanicDIN/Mechanic #Signature of Police OfficerDepartment NameBadge NumberTelephone to:WSUnladen WeightCorrect to:WSSRegistered Gross Vehicle WeightCorrect to:WSYearCorrect to:WBody TypeSSeating CapacityCorrect to:WCorrect to:WSOdometer - See Instructions on Reverse sideCorrect to:WOtherCorrect to:WSRegistered Gross Combination WeightCorrect to:WGVWRGCWRSignature of Inspection MechanicInspection Mechanic NumberSNo. of AxlesCorrect to:WWas additional axle installed?Ye sSNoNOTE: If additional axle was added, MV-426B must be of Owner or Authorized PersonSignature of Co-Owner or Title of Authorized PersonApplicant s Telephone ( )MESSENGER INFORMATION ON REVERSETitle NumberUPA DL/Photo ID #or Bus. ID#Date of BirthCo-Owner Last NameFirst NameMiddle NamePA DL/Photo ID # Date of BirthRegistration Plate NumberIs lienholder an ELT Participant?U YES U NOFinancial Institution NumberINFORMATIONNOTE:To correct or change the name listed on a Pennsylvania Certificate of Title, use Form MV-41A, Application for Correction or Change of Name . In addition, if the vehicle has been modified in anymanner, Form MV-426B must be the title is being held by a lienholder that participates in the Electronic Lien and Titling Program (ELT) there will be no title should list their PA Driver s License (PA DL) or Photo ID# in the space provided. Businesses should list their BusinessID# (Bus. ID) where indicated ( ).OIf this application is processed, and the requested title, registration, or both are not received due to loss in the mail, the vehicleowner may apply for a free duplicate title on Form MV-38O, and free replacement of registration on Form MV-44 within 90 days ofthe date of original issuance. The lienholder, if applicable, must use Form MV-38L and a Pennsylvania Motor Vehicle Dealer mustuse Form MV-38D. OFee for issuance of a corrected title: $ Do not send cash. Make check or money order payable to the Commonwealth ofPennsylvania and mail the completed application to PA Department of Transportation, Bureau of Motor Vehicles, Harrisburg, BLOCK #1 IS CHECKED ON REVERSE - Certificate of title and $ title fee must be attached. NOTE: Certificate of titleand fee is not required when used for verification of VIN application can only be used to correct typographical error of one digit, transposition of two digits, or if the vehicle s enginenumber has been erroneously recorded as the Vehicle Identification Number (VIN).OVerification of the VIN can be done by authorized vehicle safety inspection mechanics and notaries public employed by a full agentor motor vehicle BLOCK #2 IS CHECKED ON REVERSE - Certificate of title and $ title fee mustbe Vehicle Identification Number (VIN) will be used on state replacement VIN Plate unless original number cannot bedetermined. A corrected title and registration card will be issued indicating that a VIN plate has been C on the front of this application must be completed by a police officer. The police officer verifying the original VehicleIdentification Number must sign his/her name and list the badge number, department name, and telephone BLOCK #3 IS CHECKED ON REVERSEOCurrent certificate of title is not required when applying for a correction of the registered gross weight and there have been noalterations to the vehicle. Certificate of title and $ title fee MUSTbe attached for all other addition to the title fee (if applicable), appropriate increase fee for the difference in registration weight and seating capacity mustalso be attached if registration is certificate of title must be attached when applying for a correction of the odometer reading. Notarized statements from theprevious owner and the applicant listed in Section A on this application are required. In addition, copies of past 2 years inspectionrecords or repair bills that cover the time of the odometer discrepancy must be attached. In many instances, the inspection recordsor repair bills include the vehicle odometer reading at the time of vehicle safety inspection or repair which will help substantiate theactual mileage being BLOCK #4 IS CHECKED ON REVERSEOVerification of gross vehicle weight rating (GVWR) and gross combination weight rating (GCWR) must be completed by authorizedinspection mechanics only in the spaces provided in Section - Adams02 - Allegheny03 - Armstrong04 - Beaver05 - Bedford06 - Berks07 - Blair08 - Bradford09 - Bucks10 - Butler11 - Cambria12 - Cameron13 - Carbon14 - Centre15 - Chester16 - Clarion17 - Clearfield18 - Clinton19 - Columbia20 - Crawford21 - Cumberland22 - Dauphin23 - Delaware24 - Elk25 - Erie26 - Fayette27 - Forest28 - Franklin29 - Fulton30 - Greene31 - Huntingdon32 - Indiana33 - Jefferson34 - Juniata35 - Lackawanna36 - Lancaster37 - Lawrence38 - Lebanon39 - Lehigh40 - Luzerne41 - Lycoming42 - McKean43 - Mercer44 - Mifflin45 - Monroe46 - Montgomery47 - Montour48 - Northampton49 - Northumberland50 - Perry51 - Philadelphia52 - Pike53 - Potter54 - Schuylkill55 - Snyder56 - Somerset57 - Sullivan58 - Susquehanna59 - Tioga60 - Union61 - Venango62 - Warren63 - Washington64 - Wayne65 - Westmoreland66 - Wyoming67 - YorkVisit us at
MV-41 (10-08) APPLICATION FOR CORRECTION OF …
INFORMATION NOTE: To correct or change the name listed on a Pennsylvania Certificate of Title, use Form MV-41A, “Application for Correction or Change of Name”.
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