DC TITLE NUMBER
GOVERNMENT OF THE DISTRICT OF COLUMBIA
DEPARTMENT OF MOTOR VEHICLES
TION FOR DUPLICA
TE OF TITLE
I/we make application for the issuance of a duplicate Certificate of Title under the provisions of the Motor Vehicles Title and Registration Regulations,
Title 18, Section 406.
Please provide the following information: (DO NOT USE INITIALS)
OWNERS FULL NAME:
DC LIC # or S S #
JOINT-OWNER FULL NAME:
DC LIC # or S S #
DESCRIPTION OF MOTOR VEHICLE OR TRAILER
I/WE CERTIFY TO THE BEST OF MY/OUR KNOWLEDGE THAT THE ODOMETER READING IS________________________________________
AND REFLECTS THE ACTUAL MILEAGE OF THE VEHICLE UNLESS ONE OF THE FOLLOWING STATEMENTS IS CHECKED:
OF MILEAGE STATED IS IN EXCESS OF 99,999 MILES OR
THE ODOMETER READING IS NOT THE ACTUAL MILEAGE.
Reason for requiring a duplicate title:
Number on original DC Certificate of Title:____________________ DC Tag Number:_____________________
Is there an existing lien, unpaid balance, etc.,
If yes proceed to Item 4.
If no proceed to Item 5.
Title will be mailed to lienholder
Title will not be released without proper identification
(a) Name of Lienholder:____________________________________________________________________
(b) Address of Lienholder:__________________________________________________________________
If there was a lien shown on the original Certificate of Title, it will be necessary for the applicant to provide proof the
lien has been satisfied.
Under penalties provided by law, the undersigned applicant declares that this application and the accompanying documents are
true and correct.
Signature of applicant(s)__________________________________________________________________________
(Must be signed by owner(s), Officer of Corporation, or partner in partnership)
A penalty will be imposed for any dishonored check(s) received in payment of this application.
Fee must be enclosed with application. Do not send cash or postage. False statements on this application are subject penalties
pre scribed by law.
To report waste, fraud and abuse by any DC Government agency or official, call the DC Inspector General at 1-800-521-1639.
DMV-52-8 Rev. 05/04