Form Mv-44 - Application For Duplicate Registration Card, Replacement Of Registration Plate, Renewal Sticker Or Weight Class Sticker
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1
2Application for Duplicate
MV-44 (8-05)
Registration Card, Replacement
of Registration Plate, Renewal Sticker
Department of Transportation
Bureau of Motor Vehicles
or Weight Class Sticker
Harrisburg, PA 17104-2516
For Department Use Only
CHECK (
) PROPER BLOCK
Application for Duplicate Registration Card(s). Complete Sections A, B and either C or D. (Fee $4.50/$1.50 depending on request. See NOTE in
Section B.)
Replacement of registration plate, renewal sticker or weight class sticker - Complete Sections A, B and either C or D. NOTE: Section D is required
for all replacement plate requests. Section D is not required to be completed when applying for a replacement renewal sticker or weight
class sticker. Instead, the vehicle owner must complete Section C. (Fee $7.50; no fee required for replacement of weight class sticker). Do not
use this application for replacement of dealer plates.
A APPLICANT AND VEHICLE INFORMATION AS LISTED ON CURRENT REGISTRATION CARD
Expiration Date
Title Number
VIN
Registration Plate Number
MO:
YR:
Last Name or Company Name
First Name
Middle Initial
Driver License #
Co-Owner Last Name
First Name
Middle Initial
Driver License #
Owner’s Change of Address
New Street Address
(Complete only if different from registration
card)
City
Zip Code
State
B APPLICATION FOR DUPLICATE REGISTRATION CARD(S) OR REPLACEMENT OF (Check (
) appropriate blocks)
Registration Plate
Renewal Sticker
Registration Card
Weight Class Sticker - Sticker # ______
REASON:
*
Lost
Defaced
Never Received
Other ________________________
Stolen
If the registration plate is stolen, it must be reported to the State Police or your local law enforcement office.
*
NOTE: In conjunction with replacement of your plate, you will receive one registration card. If additional registration cards
are desired, the fee is $1.50 for each card. Number of Duplicate Registration Cards requested @ $1.50 each ______
In conjunction with replacement of the renewal sticker or weight class sticker, you will receive one registration
card. If additional registration cards are desired, the fee is $4.50 for each card. Number of Duplicate Registration
Cards requested @ $4.50 each ________
C APPLICANT(S) SIGNATURE
I/We hereby certify under penalty of law that ALL information contained herein is TRUE and CORRECT and that I understand that any misstatement
of fact is a misdemeanor of the third degree punishable by a fine up to $2,500.00 and/or imprisonment up to 1 year (18 PA. C.S. Section 4904[b).
Telephone
Signature of Applicant or Authorized Person
Number
Date
Signature of Co-Applicant
(
)
APPLICATION FOR FREE ISSUANCE - Complete only if applicant is entitled to free issuance because original was lost in the mail and
D
application is being made within 90 days of original issuance or a replacement.
APPLICATION FOR REPLACEMENT PLATE - Complete only if replacement plate is being issued.
I/We hereby state that application was made for the above registration plate or
SUBSCRIBED AND SWORN
that the items as indicated were never received due to loss in the mail.
TO BEFORE ME:
MONTH
DAY
YEAR
SIGNATURE OF PERSON ADMINISTERING OATH
Signature of Applicant (owner or authorized person)
S
E
Signature of Co-Owner or printed name of firm
SIGN IN PRESENCE OF NOTARY
A
L
MESSENGER #
THIS APPLICATION MAY BE PHOTOCOPIED
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