Form Mvt-12-1 - Application For Replacement Title - 2006 Page 2

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Instructions

The correct title application fee ($15.00) must be submitted in certified funds (cashiers check or money order) payable to the

Alabama Department of Revenue. N N o o p p e e r r s s o o n n a a l l c c h h e e c c k k s s o o r r c c a a s s h h . . Please verify that there is a current Alabama certificate of title in

the name of the owner(s) listed on the front of this application, prior to submitting this application. Fees are not refundable or

transferrable.

S S e e c c t t i i o o n n A A – – V V e e h h i i c c l l e e I I n n f f o o r r m m a a t t i i o o n n – – Enter the vehicle identification number that appears on the vehicle in the designated block.

Enter the year model (must be 4 digits), make, model, and body type. Enter the title number that is being replaced (if known) in

block designated for previous Alabama title number. Enter the number of cylinders, classification (N-U-D), date of purchase,

number of liens, color, and odometer reading.

S S e e c c t t i i o o n n B B – – O O w w n n e e r r I I n n f f o o r r m m a a t t i i o o n n – – Enter the owner(s) name(s) exactly as it appeared on the original Alabama title that is being

replaced. Enter the owner(s) current mailing address.

S S e e c c t t i i o o n n C C – – F F i i r r s s t t L L i i e e n n h h o o l l d d e e r r I I n n f f o o r r m m a a t t i i o o n n – – Enter the name, lien date, and address of recorded lienholder. D D o o n n o o t t e e n n t t e e r r l l i i e e n n h h o o l l d d - -

e e r r i i n n f f o o r r m m a a t t i i o o n n i i f f l l i i e e n n h h a a s s b b e e e e n n r r e e l l e e a a s s e e d d . . Note: new liens cannot be recorded on a replacement title.

S S e e c c t t i i o o n n D D – – S S e e c c o o n n d d L L i i e e n n h h o o l l d d e e r r I I n n f f o o r r m m a a t t i i o o n n – – Enter the name, lien date, and address of recorded lienholder. D D o o n n o o t t e e n n t t e e r r l l i i e e n n - -

h h o o l l d d e e r r i i n n f f o o r r m m a a t t i i o o n n i i f f l l i i e e n n h h a a s s b b e e e e n n r r e e l l e e a a s s e e d d . .

S S e e c c t t i i o o n n E E – – S S p p e e c c i i a a l l M M a a i i l l i i n n g g – – Enter the name and address where the replacement title is to be mailed. Note: if the replacement

title is to be mailed to someone other than the owner, the owner or his/her authorized representative must complete Section I in

its entirety. Alabama law requires that replacement titles with lienholder(s) be mailed to the first lienholder. No special mailing is

allowed.

S S e e c c t t i i o o n n F F – – R R e e a a s s o o n n f f o o r r R R e e p p l l a a c c e e m m e e n n t t T T i i t t l l e e – – Mark the appropriate block to disclose the reason a replacement title is required. If

the reason for the replacement title is other than lost or stolen, the title must be submitted with the MVT 12-1 form. Note: a

replacement title cannot be used to avoid obtaining title in the name of someone who had possession of the vehicle (skipping

title) and was required to obtain title in their name. Using this form to skip title can be a criminal act under the Uniform

Certificate of Title and Antitheft Act and can result in the revocation of a certificate of title.

S S e e c c t t i i o o n n G G – – A A p p p p l l i i c c a a t t i i o o n n b b y y R R e e c c o o r r d d e e d d L L i i e e n n h h o o l l d d e e r r – – The lienholder requesting the replacement title must complete Section G in

its entirety. If the lienholder has released their lien on the vehicle, Section H must also be completed in its entirety. R R e e c c o o r r d d e e d d

l l i i e e n n s s , , i i f f n n o o t t r r e e l l e e a a s s e e d d , , w w i i l l l l b b e e r r e e f f l l e e c c t t e e d d o o n n r r e e p p l l a a c c e e m m e e n n t t c c e e r r t t i i f f i i c c a a t t e e o o f f t t i i t t l l e e . .

S S e e c c t t i i o o n n H H – – L L i i e e n n R R e e l l e e a a s s e e b b y y R R e e c c o o r r d d e e d d L L i i e e n n h h o o l l d d e e r r – – The lienholder can release their lien by completing Section H. Note: if

Section H is completed the lienholder must complete Section G and leave Section C blank. D D o o n n o o t t c c o o m m p p l l e e t t e e S S e e c c t t i i o o n n H H i i f f l l i i e e n n h h a a s s

n n o o t t b b e e e e n n r r e e l l e e a a s s e e d d o o r r i i f f v v e e h h i i c c l l e e h h a a s s b b e e e e n n r r e e p p o o s s s s e e s s s s e e d d . .

S S e e c c t t i i o o n n I I – – A A p p p p l l i i c c a a t t i i o o n n b b y y T T i i t t l l e e d d O O w w n n e e r r – – The owner(s) of the vehicle or owner's authorized representative must complete

Section I unless the replacement title is being sent to the recorded lienholder. If someone other than the owner completes Section

I, a notarized power of attorney must accompany the application.

S S e e c c t t i i o o n n J J – – D D e e s s i i g g n n a a t t e e d d A A g g e e n n t t U U s s e e – – If a Designated Agent of the Department of Revenue submits form MVT 12-1, its authorized

representative must complete Section J and list the application on a remittance advice (form MVT 31-1). Non-designated Agents

must leave this area blank.

D D E E P P A A R R T T M M E E N N T T C C O O R R R R E E C C T T I I O O N N

Please

Check

MAKE

YR. MODEL

MODEL

PAT

CYL.

N-U-D

DATE OF PUR