Form MV-41 Application for Correction of Vehicle Record or Verification of Vehicle Identification Number - Pennsylvania

Form MV-41 or the "Application For Correction Of Vehicle Record Or Verification Of Vehicle Identification Number" is a form issued by the Pennsylvania Department of Transportation.

The form was last revised in July 1, 2017 and is available for digital filing. Download an up-to-date Form MV-41 in PDF-format down below or look it up on the Pennsylvania Department of Transportation Forms website.

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MV-41 (7-17)
APPLICATION FOR CORRECTION OF VEHICLE
www dmv pa gov
RECORD OR VERIFICATION OF VEHICLE
IDENTIFICATION NUMBER
For Department Use Only
Bureau of Motor Vehicles • Harrisburg, PA 17106-8283
SEE INFORMATION ON REVERSE
Registration Plate Number
Title Number
Is lienholder an ELT Participant?
Financial Institution Number
YES
NO
CHECK ( ) APPLICABLE BLOCK BELOW
Correction or Verification of Vehicle Identification Number - Complete Sections A, B and F.
Application for State Replacement Vehicle Identification Number Plate/Decal - Complete Sections A, C (MUST be completed by a Police Officer) and F.
Correction of Body Type, Number of Axles, or Other Corrections to the Vehicle Title or Registration Data - Complete Sections A, D and F. (If the vehicle has
been modified, such as the addition or removal of axles, or you are requesting a change to the manufacturer weight specifications, Form MV-426B must be
completed.)
Verification of Gross Vehicle Weight Rating (GVWR) or Gross Combination Weight Rating (GCWR) by Inspection Mechanic Only - Complete Sections A, E
and F.
A
VEHICLE OWNER INFORMATION
PA DL/Photo ID#
Last Name (or Full Business Name)
First Name
Date of Birth
Middle Name
or Bus. ID#
Co-Owner Last Name
First Name
Middle Name
PA DL/Photo ID#
Date of Birth
State
Zip Code
Current Street Address
City
County Code
Please use the “County Codes” listing found on the back of this application and list the numerical code for the county of your
residence.
APPLICATION FOR STATE REPLACEMENT VIN PLATE
C
B
CORRECTION OR VERIFICATION OF VEHICLE
IDENTIFICATION NUMBER
Original Vehicle Identification Number (if known)
To be used only to correct typographical error of one digit, transposition
of two digits, or if engine number has been erroneously recorded as the
Reason for Replacement of VIN Plate:
VIN OR for the purpose of VIN verification.
Lost
Stolen
Defaced
Never Received
ATTACH TRACING HERE OR HAVE AUTHORIZED NOTARY PUBLIC
EMPLOYED BY A FULL AGENT OR MOTOR VEHICLE DEALER, OR
Other (Please Explain) ________________________________________
INSPECTION MECHANIC COMPLETE THE VERIFICATION
VERIFICATION BY POLICE OFFICER (Local or State Police)
INFORMATION BELOW.
Record Correct VIN
Signature of Police Officer
Badge Number
Telephone Number
Signature of Notary Public or Inspection Mechanic
DIN/Mechanic #
Department Name
VEHICLE DATA THAT REQUIRES CORRECTION - Check only the block(s) and list the information that needs correcting due to an
D
error in the title application or to a change in the use of the vehicle.
Seating Capacity
Make of Vehicle
Body Type
Year
Unladen Weight
Correct to:
Correct to:
Correct to:
Correct to:
Correct to:
Other
Odometer -
Registered Gross Vehicle Weight
Registered Gross Combination Weight
See Instructions on Reverse side
Correct to:
Correct to:
Correct to:
Correct to:
E
VERIFICATION OF WEIGHT RATING (Inspection Mechanic Only)
GCWR
GVWR
Signature of Inspection Mechanic
Inspection Mechanic Number
Was additional axle installed?
No. of Axles
NOTE: If additional axle was added, Form MV-426B must be completed.
YES
NO
Correct to:
CERTIFICATION
F
I/We hereby certify under penalty of law that ALL information is TRUE and CORRECT and that I/we understand that any misstatement of fact is a
misdemeanor of the third degree punishable by a fine up to $2,500 and/or imprisonment up to one year (18 Pa.C.S. Section 4904[b]).
Date
Signature of Owner or Authorized Person
Applicant’s Telephone Number
Signature of Co-Owner or Title of Authorized Person
MV-41 (7-17)
APPLICATION FOR CORRECTION OF VEHICLE
www dmv pa gov
RECORD OR VERIFICATION OF VEHICLE
IDENTIFICATION NUMBER
For Department Use Only
Bureau of Motor Vehicles • Harrisburg, PA 17106-8283
SEE INFORMATION ON REVERSE
Registration Plate Number
Title Number
Is lienholder an ELT Participant?
Financial Institution Number
YES
NO
CHECK ( ) APPLICABLE BLOCK BELOW
Correction or Verification of Vehicle Identification Number - Complete Sections A, B and F.
Application for State Replacement Vehicle Identification Number Plate/Decal - Complete Sections A, C (MUST be completed by a Police Officer) and F.
Correction of Body Type, Number of Axles, or Other Corrections to the Vehicle Title or Registration Data - Complete Sections A, D and F. (If the vehicle has
been modified, such as the addition or removal of axles, or you are requesting a change to the manufacturer weight specifications, Form MV-426B must be
completed.)
Verification of Gross Vehicle Weight Rating (GVWR) or Gross Combination Weight Rating (GCWR) by Inspection Mechanic Only - Complete Sections A, E
and F.
A
VEHICLE OWNER INFORMATION
PA DL/Photo ID#
Last Name (or Full Business Name)
First Name
Date of Birth
Middle Name
or Bus. ID#
Co-Owner Last Name
First Name
Middle Name
PA DL/Photo ID#
Date of Birth
State
Zip Code
Current Street Address
City
County Code
Please use the “County Codes” listing found on the back of this application and list the numerical code for the county of your
residence.
APPLICATION FOR STATE REPLACEMENT VIN PLATE
C
B
CORRECTION OR VERIFICATION OF VEHICLE
IDENTIFICATION NUMBER
Original Vehicle Identification Number (if known)
To be used only to correct typographical error of one digit, transposition
of two digits, or if engine number has been erroneously recorded as the
Reason for Replacement of VIN Plate:
VIN OR for the purpose of VIN verification.
Lost
Stolen
Defaced
Never Received
ATTACH TRACING HERE OR HAVE AUTHORIZED NOTARY PUBLIC
EMPLOYED BY A FULL AGENT OR MOTOR VEHICLE DEALER, OR
Other (Please Explain) ________________________________________
INSPECTION MECHANIC COMPLETE THE VERIFICATION
VERIFICATION BY POLICE OFFICER (Local or State Police)
INFORMATION BELOW.
Record Correct VIN
Signature of Police Officer
Badge Number
Telephone Number
Signature of Notary Public or Inspection Mechanic
DIN/Mechanic #
Department Name
VEHICLE DATA THAT REQUIRES CORRECTION - Check only the block(s) and list the information that needs correcting due to an
D
error in the title application or to a change in the use of the vehicle.
Seating Capacity
Make of Vehicle
Body Type
Year
Unladen Weight
Correct to:
Correct to:
Correct to:
Correct to:
Correct to:
Other
Odometer -
Registered Gross Vehicle Weight
Registered Gross Combination Weight
See Instructions on Reverse side
Correct to:
Correct to:
Correct to:
Correct to:
E
VERIFICATION OF WEIGHT RATING (Inspection Mechanic Only)
GCWR
GVWR
Signature of Inspection Mechanic
Inspection Mechanic Number
Was additional axle installed?
No. of Axles
NOTE: If additional axle was added, Form MV-426B must be completed.
YES
NO
Correct to:
CERTIFICATION
F
I/We hereby certify under penalty of law that ALL information is TRUE and CORRECT and that I/we understand that any misstatement of fact is a
misdemeanor of the third degree punishable by a fine up to $2,500 and/or imprisonment up to one year (18 Pa.C.S. Section 4904[b]).
Date
Signature of Owner or Authorized Person
Applicant’s Telephone Number
Signature of Co-Owner or Title of Authorized Person
INFORMATION
NOTE:
To correct or change the name listed on a Pennsylvania Certificate of Title, use Form MV-41A. In addition, if the vehicle
has been modified in any manner, Form MV-426B must be used.
If the title is being held by a lienholder that participates in the Electronic Lien and Titling Program (ELT), there will be no title
attached.
GENERAL
Individuals should list their PA Driver’s License (PA DL) or Photo ID# in the space provided. Businesses should list their Business ID#
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(Bus. ID) where indicated (i.e. E.I.N.).
If this application is processed, and the requested title, registration, or both are not received due to loss in the mail, the vehicle owner
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may apply for a free duplicate title on Form MV-38O, and free replacement of registration by completing Form MV-44 within 90 days of
the date of original issuance. The lienholder, if applicable, must use Form MV-38L and a Pennsylvania Motor Vehicle Dealer must use
Form
MV-38D.
Fee for issuance of a corrected title: $53. DO NOT SEND CASH. Make check or money order payable to the Commonwealth of
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Pennsylvania and mail the completed application to: PA Department of Transportation, Bureau of Motor Vehicles, P.O. Box 68593
Harrisburg, PA 17106-8593.
IF THE 1ST BLOCK IS CHECKED ON REVERSE - Certificate of title and $53 title fee must be attached. NOTE: Certificate of title and
fee are not required when used for verification of VIN only.
This application can only be used to correct typographical error of one digit, transposition of two digits, or if the vehicle’s engine number
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has been erroneously recorded as the Vehicle Identification Number (VIN).
Verification of the VIN can be done by authorized vehicle safety inspection mechanics and notaries public employed by a full agent or
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motor vehicle dealer.
IF THE 2ND BLOCK IS CHECKED ON REVERSE - Certificate of title and $53 title fee MUST be attached.
Original Vehicle Identification Number (VIN) will be used on state replacement VIN plate unless original number cannot be determined.
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A corrected title and registration card will be issued indicating that a VIN plate has been replaced.
Section C on the front of this application must be completed by a police officer. The police officer verifying the original Vehicle
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Identification Number (VIN) must sign his/her name and list the badge number, department name, and telephone number.
IF THE 3RD BLOCK IS CHECKED ON REVERSE
Current certificate of title is not required when applying for a correction of the registered gross weight and there have been no alterations
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to the vehicle. Certificate of title and $53 title fee MUST be attached for all other corrections.
In addition to the title fee (if applicable), appropriate increase fee for the difference in registration weight and seating capacity must also
l
be attached if registration is desired.
Current certificate of title must be attached when applying for a correction of the odometer reading. Notarized statements from the
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previous owner and the applicant listed in Section A on this application are required. In addition, copies of past 2 years inspection records
or repair bills that cover the time of the odometer discrepancy must be attached. In many instances, the inspection records or repair bills
include the vehicle odometer reading at the time of vehicle safety inspection or repair, which will help substantiate the actual mileage
being requested.
NOTE: When changing the body type from off road vehicle (ORV)/low speed vehicle (LSV) to neighborhood electric vehicle (NEV), the
vehicle must meet the equipment requirements and standards as set forth in 49 CFR 571.500 and shall be equipped with the following:
(1) brakes adequate to control the movement of and to stop the vehicle; (2) an odometer; (3) a speedometer; (4) the original
manufacturer's Vehicle Identification Number (VIN); (5) a windshield wiper; (6) a horn and (7) a battery charge indicator.
For more information regarding NEVs, please refer to the Neighborhood Electric Vehicle Fact Sheet found on our website at
www.dmv.pa.gov.
IF THE 4TH BLOCK IS CHECKED ON REVERSE
Verification of Gross Vehicle Weight Rating (GVWR) and Gross Combination Weight Rating (GCWR) must be completed by authorized
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inspection mechanics only in the spaces provided in Section E.
COUNTY CODES
25 - Erie
37 - Lawrence
49 - Northumberland
61 - Venango
01 - Adams
13 - Carbon
02 - Allegheny
14 - Centre
26 - Fayette
38 - Lebanon
50 - Perry
62 - Warren
27 - Forest
39 - Lehigh
51 - Philadelphia
63 - Washington
03 - Armstrong
15 - Chester
04 - Beaver
16 - Clarion
28 - Franklin
40 - Luzerne
52 - Pike
64 - Wayne
29 - Fulton
41 - Lycoming
53 - Potter
65 - Westmoreland
05 - Bedford
17 - Clearfield
30 - Greene
42 - McKean
54 - Schuylkill
66 - Wyoming
06 - Berks
18 - Clinton
07 - Blair
19 - Columbia
31 - Huntingdon
43 - Mercer
55 - Snyder
67 - York
32 - Indiana
44 - Mifflin
56 - Somerset
08 - Bradford
20 - Crawford
33 - Jefferson
45 - Monroe
57 - Sullivan
09 - Bucks
21 - Cumberland
10 - Butler
22 - Dauphin
34 - Juniata
46 - Montgomery
58 - Susquehanna
35 - Lackawanna
47 - Montour
59 - Tioga
11 - Cambria
23 - Delaware
36 - Lancaster
48 - Northampton
60 - Union
12 - Cameron
24 - Elk
Visit us at www.dmv.pa.gov or call us at:
In state: 1-800-932-4600 u TDD: 1-800-228-0676 u Out-of-State: 1-717-412-5300 u TDD Out-of-State: 1-717-412-5380

Download Form MV-41 Application for Correction of Vehicle Record or Verification of Vehicle Identification Number - Pennsylvania

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