Form Drt-1 - Application For Dealer Reassignment Of Title printable pdf download

MASSACHUSETTS REGISTRY OF MOTOR VEHICLES

APPLICATION FOR DEALER REASSIGNMENT

The Dealer Reassignment of Title portion of the Massachusetts Registry of Motor Vehicles' (RMV) DRT-1 Form is a supple

mental transfer document. It should be properly completed by a licensed Massachusetts dealer only when all other dealer

re-assignment spaces on the Certificate of Title form are complete. This includes out-of-state titles that are transferred

by a Massachusetts dealer.

You are applying for controlled forms that are tracked by the RMV and are to be used by your dealership only. They may NOT

be shared with, or loaned to anyone. The Control Number must be entered into your Used Vehicle Record Book.

Improper use or improper completion of the DRT-1 Form, or failing to use it when required, may result in suspension or

revocation of your general registration and "Dealer" plates. The RMV will notify the city/town of improper use and recommend

license revocation.

Dealer Name:_______________________________________________

Date:_____ -_____ - ______

Street Address:___________________________________ City/Town:______________________ Zip Code: ________

Telephone Number:_______ -_______ - _______

Fax Number:_______ -_______ - _______

Please check one:

� Yes, I have a Dealer Plate Number:__________

� No, I do not have Dealer Plates

- Before April 1, include a copy of license

- First time order each year, include copy of license

from city/town

- After April 1, copy of license not needed

- Reorder same year, copy of license not needed

- Current year city/town license number: _________

Requested by:___________________________________

_________________________________

Signature

Printed Name

My signature acknowledges that I have read and understand the rules regarding use of the DRT-1 form.

FAX:

857-368-0825

For Dealer Reassignment inquiries only,

Call: 857-368-7487

Mail:

TITLE DIVISION - DRT

Registry of Motor Vehicles

For Dealer/Repair Plate Information/Status

P.O. Box 55889

Call: 857-368-8030

Boston, MA 02205-5889

For all other Registry inquiries,

Online:

Call: 857-368-8000

THIS AREA FOR REGISTRY USE ONLY

� Mailed

Number of Pads: _______________________________ Date: _______ - _______ -_______

� Starting Number: ____________________________ Ending Number: ___________________________________

� Picked up by: _______________________________ Print Name: _______________________________________

� D/L Number: _______________________________

Entered Date: _______ - _______ -_______

Mailed Date: _______ - _______ -_______

- See reverse for important information

T20901-1112

Form Drt-1 - Application For Dealer Reassignment Of Title

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