Form Mv 16 - Application For Cancellation Of Certificate Of Title Page 2

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IMPORTANT INFORMATION
IF BLOCK NO. 1 IS CHECKED
If a lien was recorded by the Department on the mobile home certificate of title, the title record will not be cancelled
unless the lien is released on the face of the title, or proof is attached to this application that the lien has been recorded
against the land on which the mobile home is located.
Section D must be signed by the individuals(s) whose name(s) appear(s) in Section A.
Section E must be completed when the applicant requires a receipt.
IF BLOCK NO. 2 OR NO. 3 IS CHECKED
Section C must be completed by the dealer and must be signed by both applicant and dealer.
This application is not to be used for a vehicle purchased out of state or when a used vehicle is returned to the dealer.
Assignment of the PA title is required in those cases.
When a vehicle has been returned to a manufacturer or dealer more than 30 days from the date the title for the vehicle
was issued, the title must be assigned to the manufacturer or dealer. THIS APPLICATION CANNOT BE USED.
When an incorrect manufacturer’s certificate of origin was submitted by the dealer with a title application, resulting in the
wrong vehicle being titled, this application, with incorrect title attached, must also be accompanied by Form MV-1, title and
registration transfer fees, as well as the manufacturer’s certificate of origin for the correct vehicle. Credit will be given for
sales tax paid on the previous vehicle application.
The dealer may request a duplicate manufacturer’s certificate of origin from the vehicle manufacturer. If the
manufacturer denies the request, the dealer may request a negotiable certified copy of the original manufacturer’s
certificate of origin previously submitted to the Department in error by writing to the Bureau of Driver Licensing,
Information Sales Section. The fee for a copy is $10.00. Check/Money Order should be made payable to the
Commonwealth of Pennsylvania.
GENERAL INFORMATION
In Section A, individuals should list their PA Driver’s License (PA DL) or Photo ID# in the space provided. Businesses
should list their Business ID# (Bus. ID) where indicated (i.e. E.I.N.).
Telephone number will be used to contact the applicant only in the event of a problem with this application.
Mail completed application to the Department of Transportation, Bureau of Motor Vehicles, Harrisburg, PA 17106-8293.
ADDITIONAL INFORMATION
The following documents are necessary to re-establish title to a mobile home after cancellation.
1. Form MV-1, Application for Certificate of Title.
2. A certificate from an attorney that there is no mortgage, judgment or lien on record against the mobile home; or, if there is
such a lien, a release executed by lienholder and certified from the records of the Recorder of Deeds or Prothonotary, as
appropriate.
3. A copy of one of the following documents:
i. The receipt for mobile home title cancellation issued to the owner who intends to transfer the mobile home, (The
document on the reverse side, when endorsed by the Department of Transportation, is the certificate of cancellation of
title for your mobile home).
ii. The deed to the land indicating ownership of the mobile home by the owner who intends to transfer the mobile home.
iii. If neither of the two documents above are available, a notarized bill of sale for the mobile home issued to the owner
intending to sell the mobile home will be acceptable.
4. Additional information that provides a detailed history of the past ownership of the mobile home may be required by the
Bureau of Motor Vehicles. A form will be provided by the Department for this purpose if needed.

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