Form 2519 - Request For Receipt Of Title And/or Registration Page 2

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INSTRUCTIONS TO APPLICANT
1. This receipt is for proof of payment only. To apply for a duplicate
title, please see Form DOR-108, Application for Missouri Title and
License.
2. Only the owner or the joint owner of a motor vehicle may apply for a
title/registration receipt.
3. The application must be completed in full and signed before a notary
public. It should be typewritten or printed legibly. (Print so that all copies
are legible.)
4. Fees — The total fees for a title/registration receipt is $8.50 for each
receipt made and a $3.50 processing fee.
NOTE: THE MISSOURI DEPARTMENT OF REVENUE MAY
ELECTRONICALLY RESUBMIT CHECKS RETURNED FOR
INSUFFICIENT OR UNCOLLECTED FUNDS.
5. When this application is completed, it must be mailed to the MISSOURI
DEPARTMENT OF REVENUE, MOTOR VEHICLE BUREAU, POST
OFFICE BOX 100, 301 W HIGH ST, JEFFERSON CITY MISSOURI
65105-0100 or taken to a contract office. If mailing the application to the
Motor Vehicle Bureau, a check or money order (DO NOT SEND CASH)
for the correct amount made payable to the Missouri Department of
Revenue must accompany the application. If you have any questions,
please call the Motor Vehicle Bureau at (573) 526-3669.
Our web site address is
MO 860-0378 (3-2011)
DOR-2519 (3-2011)

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