Form Mv-27 (4-05) - Dealer Assignment Covering A Vehicle Acquired And Held For Resale
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2MV-27 (4-05)
DEALER ASSIGNMENT COVERING A VEHICLE
Department of Transportation
ACQUIRED AND HELD FOR RESALE
Bureau of Motor Vehicles
Harrisburg, PA 17122
NOTE: This form may only be used with Pennsylvania Certificates of Title with
revision dates prior to 11/89. Pennsylvania Certificate of Title must be attached.
VEHICLE INFORMATION
Name of Original Title Holder
Title Holder’s DIN
PA Title Number
(if applicable)
Make
Model Year
Body Type
Vehicle Identification Number
TENTHS
WARNING:
FEDERAL AND STATE LAWS REQUIRE
I/We, certify to the best or my/our knowledge that the odometer reading is ___ ___ ___, ___ ___ ___
THAT YOU STATE THE MILEAGE IN CONNECTION
miles and reflects the actual mileage of the vehicle unless one of the following boxes is checked:
WITH THE TRANSFER OF OWNERSHIP. FAILURE TO
COMPLETE OR PROVIDING A FALSE STATEMENT
,
Reflects the amount of mileage in excess of its mechanical limits; or
MAY RESULT IN FINES AND/OR IMPRISONMENT.
is not the actual mileage. WARNING: Odometer discrepancy.
I/We further certify that the vehicle is free of any encumbrance; and, that ownership is hereby transferred to the following Pennsylvania registered dealer.
Name of Acquiring Dealer ___________________________________________________________ Acquiring Dealer DIN ______________________
Street Address ____________________________________________ City _____________________________ State ________ Zip______________
x _________________________________
SUBSCRIBED AND SWORN
TO BEFORE ME:
MONTH
DAY
YEAR
Signature of Original Title Holder or Authorized Person
x _________________________________
SIGNATURE OF PERSON ADMINISTERING OATH
Signature of Co-Seller or Printed Name of Firm
S
I, A REGISTERED PENNSYLVANIA DEALER, HEREBY CERTIFY THAT I HAVE
E
SIGN IN PRESENCE OF NOTARY
ACQUIRED AND HOLD FOR RESALE THE ABOVE DESCRIBED VEHICLE.
Mo.
Day
Year
A
X
L
Signature of Acquiring Dealer
Date of Acquisition
TENTHS
WARNING:
FEDERAL AND STATE LAWS REQUIRE
I/We, certify to the best or my/our knowledge that the odometer reading is ___ ___ ___, ___ ___ ___
THAT YOU STATE THE MILEAGE IN CONNECTION
miles and reflects the actual mileage of the vehicle unless one of the following boxes is checked:
WITH THE TRANSFER OF OWNERSHIP. FAILURE TO
COMPLETE OR PROVIDING A FALSE STATEMENT
,
Reflects the amount of mileage in excess of its mechanical limits; or
MAY RESULT IN FINES AND/OR IMPRISONMENT.
is not the actual mileage. WARNING: Odometer discrepancy.
I/We further certify that the vehicle is free of any encumbrance; and, that ownership is hereby transferred to the following Pennsylvania registered dealer.
Name of Acquiring Dealer ___________________________________________________________ Acquiring Dealer DIN ______________________
Street Address ____________________________________________ City _____________________________ State ________ Zip______________
x _________________________________
SUBSCRIBED AND SWORN
TO BEFORE ME:
MONTH
DAY
YEAR
Signature of Original Title Holder or Authorized Person
x _________________________________
SIGNATURE OF PERSON ADMINISTERING OATH
Signature of Co-Seller or Printed Name of Firm
S
I, A REGISTERED PENNSYLVANIA DEALER, HEREBY CERTIFY THAT I HAVE
E
ACQUIRED AND HOLD FOR RESALE THE ABOVE DESCRIBED VEHICLE.
SIGN IN PRESENCE OF NOTARY
Mo.
Day
Year
A
X
L
Signature of Acquiring Dealer
Date of Acquisition
WARNING:
TENTHS
FEDERAL AND STATE LAWS REQUIRE
I/We, certify to the best or my/our knowledge that the odometer reading is ___ ___ ___, ___ ___ ___
THAT YOU STATE THE MILEAGE IN CONNECTION
miles and reflects the actual mileage of the vehicle unless one of the following boxes is checked:
WITH THE TRANSFER OF OWNERSHIP. FAILURE TO
COMPLETE OR PROVIDING A FALSE STATEMENT
,
Reflects the amount of mileage in excess of its mechanical limits; or
MAY RESULT IN FINES AND/OR IMPRISONMENT.
is not the actual mileage. WARNING: Odometer discrepancy.
I/We further certify that the vehicle is free of any encumbrance; and, that ownership is hereby transferred to the following Pennsylvania registered dealer.
Name of Acquiring Dealer ___________________________________________________________ Acquiring Dealer DIN ______________________
Street Address ____________________________________________ City _____________________________ State ________ Zip______________
x _________________________________
SUBSCRIBED AND SWORN
TO BEFORE ME:
MONTH
DAY
YEAR
Signature of Original Title Holder or Authorized Person
x _________________________________
SIGNATURE OF PERSON ADMINISTERING OATH
Signature of Co-Seller or Printed Name of Firm
S
I, A REGISTERED PENNSYLVANIA DEALER, HEREBY CERTIFY THAT I HAVE
E
ACQUIRED AND HOLD FOR RESALE THE ABOVE DESCRIBED VEHICLE.
SIGN IN PRESENCE OF NOTARY
Mo.
Day
Year
A
X
L
Signature of Acquiring Dealer
Date of Acquisition
PLEASE REFER TO INSTRUCTIONS ON REVERSE SIDE OF THIS FORM
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