Application For Duplicate Certificate Of Title (Page 2 of 2) in pdf

Application For Duplicate Certificate Of Title Page 2

INSTRUCTIONS

Duplicate Title Application must be properly executed and submitted with a $25 fee.

If the vehicle was jointly owned, both owners' signatures required.

If vehicle model year is 15 years or older, the vehicle is Exempt and no Duplicate Title can be issued.

Even though the lien may have been previously satisfied, if the original title named a lienholder, the lien must be

rele~?ed on the form below, or a separate document on bank letterhead, indicating the release of the lien, and shall be

signed and notarized by the former lienholder.

If seller wants the dealer to receive the. Duplicate Certificate of Title from the Division of Motor Vehicles, the

"Authorization for Mailing" #21, must be executed in full and seller(s) shall have executed the "Registered Owner's

Assignment / Licensed Dealer's Reassignment" on TDMV 17A.

RELEASE OF LIEN OR OTHER ENCUMBRANCES:

THE UNDERSIGNED BEING HOLDER OF A LIEN, OR OTHER ENCUMBRANCES ON THE FOLLOWING DESCRIBED

MOTOR VEHICLE.

____

V.I.N.:

MAKE: __

,.--..__

YEAR:

BODY STYLE:

----

OWNED BY:

ADDRESS:

DOES HEREBY STATE THAT THE LIEN OR OTHER ENCUMBRANCE IS HEREBY RELEASED AND DISCHARGED.

LIENHOLDER'S NAME:

ADDRESS:

SIGNATURE OF AUTHORIZED AGENT: _)

If you have questions, you may contact the Bureau of Title at 603-227-4150 or via email Title@dos.nh.gov

DMV DOES NOT FORWARD MAIL, PLEASE VERIFY ALL ADDRESSES

For the Bureau of Title to fully assist you, please include a phone number and/or email address we may contact you

at if necessary.

..:;

Telephone #: (

Email Address:

TDMV 18 (Rev,06/14)

Application For Duplicate Certificate Of Title Page 2