Form TTL101 "Application for Title Withdrawal for New Vehicle" - Massachusetts

What Is Form TTL101?

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

Form Details:

  • Released on November 1, 2019;
  • The latest edition provided by the Massachusetts Registry of Motor Vehicles;
  • 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 fillable version of Form TTL101 by clicking the link below or browse more documents and templates provided by the Massachusetts Registry of Motor Vehicles.

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Download Form TTL101 "Application for Title Withdrawal for New Vehicle" - Massachusetts

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Application for Title Withdrawal
for New Vehicle
Registry of Motor Vehicles  Title Division
P.O. Box 55885  Boston, MA  02205-5889
Withdrawal requests made ten (10) days after date of application are not guaranteed. Once the Certificate of Title
has been issued, a withdrawal cannot be processed.
Instructions:
If you obtained a new registration for this vehicle, you must cancel the registration and submit a copy of the plate
return receipt with this form.
If there was a lien on this vehicle, you must submit an original lien release with this form.
Mail completed form to address at top of application.
A. Owner Information
(as it appears on the registration)
Last Name
First Name
Middle Initial
Suffix
Business Name (if applicable)
Address
Zip
Street
City
State
Code
VIN #
Plate #
Model Year
Make
Email
Phone #
B. Certification and Signatures
Reason for Withdrawal
We, (dealer and purchaser/lessee), hereby agree to cancel the sale of this motor vehicle. We further state that the vehicle
was new, the purchaser/lessee never took actual delivery of the vehicle, and the vehicle never left the dealer's lot.
We swear (affirm), under the penalties of perjury, that the information provided is true and correct. We are aware that
false statements are punishable by fine, imprisonment, or both under M.G.L. Chapter 90, Section 24B.
Purchaser’s/
Lessee’s Signature: _______________________________________________
Date: ________________________
Printed Name: ____________________________________________________
Dealer’s
Authorized Signature: ______________________________________________
Date: ________________________
Dealer’s Name: ___________________________________________________
Dealer’s Address: _________________________________________________________________________________
p.1
TTL101_1119
Application for Title Withdrawal
for New Vehicle
Registry of Motor Vehicles  Title Division
P.O. Box 55885  Boston, MA  02205-5889
Withdrawal requests made ten (10) days after date of application are not guaranteed. Once the Certificate of Title
has been issued, a withdrawal cannot be processed.
Instructions:
If you obtained a new registration for this vehicle, you must cancel the registration and submit a copy of the plate
return receipt with this form.
If there was a lien on this vehicle, you must submit an original lien release with this form.
Mail completed form to address at top of application.
A. Owner Information
(as it appears on the registration)
Last Name
First Name
Middle Initial
Suffix
Business Name (if applicable)
Address
Zip
Street
City
State
Code
VIN #
Plate #
Model Year
Make
Email
Phone #
B. Certification and Signatures
Reason for Withdrawal
We, (dealer and purchaser/lessee), hereby agree to cancel the sale of this motor vehicle. We further state that the vehicle
was new, the purchaser/lessee never took actual delivery of the vehicle, and the vehicle never left the dealer's lot.
We swear (affirm), under the penalties of perjury, that the information provided is true and correct. We are aware that
false statements are punishable by fine, imprisonment, or both under M.G.L. Chapter 90, Section 24B.
Purchaser’s/
Lessee’s Signature: _______________________________________________
Date: ________________________
Printed Name: ____________________________________________________
Dealer’s
Authorized Signature: ______________________________________________
Date: ________________________
Dealer’s Name: ___________________________________________________
Dealer’s Address: _________________________________________________________________________________
p.1
TTL101_1119