Form MVT5-9 "Supporting Document to a Mail Order Application for Certificate of Title" - Alabama

What Is Form MVT5-9?

This is a legal form that was released by the Alabama Department of Revenue - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Alabama Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MVT5-9 by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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Download Form MVT5-9 "Supporting Document to a Mail Order Application for Certificate of Title" - Alabama

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MVT 5-9      8/18
A
D
R
LAbAMA
epARTMenT oF
eVenUe
M
V
D
oToR
ehICLe
IVISIon
p.o. box 327640 • Montgomery, AL 36132-7640
Supporting Document to a
Mail order Application For Certificate of Title
Part I
POWER OF ATTORNEY
Date ___________________________________
I hereby appoint _________________________________________________ of _________________________________, Alabama as my
LICENSING OFFICIAL
COUNTY
attorney-in-fact, to apply for a certificate of title and registration for license plates to the motor vehicle described as:
*
__________________________________________________________
_________   ___________________   ___________________
VEHICLE IDENTIFICATION NUMBER
YEAR
MAKE
MODEL
_____________________________________   ___________________________________________________
_____________________
LICENSE PLATE NUMBER
STATE
YEAR
and for said purpose to sign my name and do all things necessary to this appointment.
_____________________________________________________
_____________________________________________________
SIGNATURE OF OWNER
SIGNATURE OF ADDITIONAL OWNER(S)
Part II
CERTIFICATION OF LEGAL RESIDENT
I, ________________________________________________________, certify that I am a legal resident of the State of Alabama and
NAME OF APPLICANT
that my legal Alabama resident address is:
______________________________________________________  or _______________________________________________________
STREET ADDRESS
POST OFFICE BOX
Alabama
__________________________________, __________________________________, ______________________ _____________________
CITY
COUNTY
STATE
ZIP CODE
and shall be shown as my legal resident address by my attorney-in-fact on an Application For Certificate of Title (form MVT 5-1).
I certify under penalty of perjury that the above information is true and correct.
____________________________________________________
SIGNATURE OF ALABAMA RESIDENT
FOR DESIGNATED AGENT USE ONLY
____________________________________________________
PRESENT MAILING ADDRESS
NOTE: If Resident Address is different from Mailing
Address, indicate in space provided on Application For
____________________________________________________
CITY, COUNTY, STATE, ZIP CODE
Title (form MVT 5-1).
____________________________________________________
DATE OF SIGNATURE
NOTE: Act number 765, passed by Regular Session, 1973 Alabama Legislature, shall be cited as “Alabama Uniform Certificate of
Title and Antitheft Act.” Section 44, Sub-section (d) of the above Act reads as follows: “A person is guilty of a felony who, with
fraudulent intent uses a false or fictitious name or address, or makes a material false statement, or fails to disclose a security
interest, or conceals any other material fact, in an application for a certificate of title.”
I, the undersigned, have read and understand the above information.
____________________________________________________
SIGNATURE OF ALABAMA RESIDENT
*All VINs for 1981 and subsequent year model vehicles that conform to
federal anti-theft standards are required to have 17 digits/characters.
MVT 5-9      8/18
A
D
R
LAbAMA
epARTMenT oF
eVenUe
M
V
D
oToR
ehICLe
IVISIon
p.o. box 327640 • Montgomery, AL 36132-7640
Supporting Document to a
Mail order Application For Certificate of Title
Part I
POWER OF ATTORNEY
Date ___________________________________
I hereby appoint _________________________________________________ of _________________________________, Alabama as my
LICENSING OFFICIAL
COUNTY
attorney-in-fact, to apply for a certificate of title and registration for license plates to the motor vehicle described as:
*
__________________________________________________________
_________   ___________________   ___________________
VEHICLE IDENTIFICATION NUMBER
YEAR
MAKE
MODEL
_____________________________________   ___________________________________________________
_____________________
LICENSE PLATE NUMBER
STATE
YEAR
and for said purpose to sign my name and do all things necessary to this appointment.
_____________________________________________________
_____________________________________________________
SIGNATURE OF OWNER
SIGNATURE OF ADDITIONAL OWNER(S)
Part II
CERTIFICATION OF LEGAL RESIDENT
I, ________________________________________________________, certify that I am a legal resident of the State of Alabama and
NAME OF APPLICANT
that my legal Alabama resident address is:
______________________________________________________  or _______________________________________________________
STREET ADDRESS
POST OFFICE BOX
Alabama
__________________________________, __________________________________, ______________________ _____________________
CITY
COUNTY
STATE
ZIP CODE
and shall be shown as my legal resident address by my attorney-in-fact on an Application For Certificate of Title (form MVT 5-1).
I certify under penalty of perjury that the above information is true and correct.
____________________________________________________
SIGNATURE OF ALABAMA RESIDENT
FOR DESIGNATED AGENT USE ONLY
____________________________________________________
PRESENT MAILING ADDRESS
NOTE: If Resident Address is different from Mailing
Address, indicate in space provided on Application For
____________________________________________________
CITY, COUNTY, STATE, ZIP CODE
Title (form MVT 5-1).
____________________________________________________
DATE OF SIGNATURE
NOTE: Act number 765, passed by Regular Session, 1973 Alabama Legislature, shall be cited as “Alabama Uniform Certificate of
Title and Antitheft Act.” Section 44, Sub-section (d) of the above Act reads as follows: “A person is guilty of a felony who, with
fraudulent intent uses a false or fictitious name or address, or makes a material false statement, or fails to disclose a security
interest, or conceals any other material fact, in an application for a certificate of title.”
I, the undersigned, have read and understand the above information.
____________________________________________________
SIGNATURE OF ALABAMA RESIDENT
*All VINs for 1981 and subsequent year model vehicles that conform to
federal anti-theft standards are required to have 17 digits/characters.
Part III
NOTICE OF SECURITY INTEREST
I am disclosing my Lienholder(s) as follows:
First Lienholder: (Write “NONE” under name if there are no liens and sign below.)
name: _____________________________________________________________________________________________________
Address: ___________________________________________________________________________________________________
City: ______________________________________________ State: __________________________ Zip: ___________________
Lien Date: __________________________________________________________________________________________________
I, the undersigned, certify that the vehicle to be named in the application for certificate of title is free and clear of all encumbrances
or liens except that which is named above.
____________________________________________________
SIGNATURE OF OWNER(S)
NOTE: Failure to disclose a security interest with fraudulent intent is a felony offense.
Part IV
CERTIFICATION OF VEHICLE INSPECTION AND OWNER IDENTIFICATION
_______________________________________________________
_______________________________________________________
STATE OR FEDERAL LAW ENFORCEMENT AGENCY
NAME OF STATE
____________________________________________________________________________
_________  _________________________
MAILING ADDRESS
AREA CODE
TELEPHONE NO. AND EXTENSION
VEHICLE INFORMATION:
____________________________
____________  ___________________________  _______________________  ________________
MAKE
YEAR
MODEL
BODY TYPE
NO. OF CYLINDERS
__________________________________________________________________
_________________  ___________________________
VEHICLE IDENTIFICATION NUMBER
COLOR OF VEHICLE
ODOMETER READING
OWNER IDENTIFICATION: (One or all of the following.)
_____________________________________  _____________________________________
____________________________________
CURRENT DRIVERS LICENSE NO. AND STATE
SOCIAL SECURITY NUMBER
OTHER IDENTIFICATION
____________________________________________________
SIGNATURE OF OWNER(S)
(print)
___________________________________________________________________________________________________________________
NAME OF OWNER(S) AS SHOWN ON IDENTIFICATION SOURCE ABOVE
I hereby certify that the vehicle described above was physically inspected by me and the owner(s) as named in part II (Legal
Alabama Resident) of this form and as described above, have been identified by me and I have witnessed the signature(s). I fur-
ther certify that all the information shown above is true and correct to the best of my knowledge and belief.
(print)
_______________________________________________________
_______________________________________________________
NAME OF INSPECTING OFFICER
SIGNATURE OF INSPECTING OFFICER
_______________________________________________________
BADGE OR IDENTIFYING NUMBER
_______________________________________________________
ADDRESS OF ORGANIZATION
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