Form Mv 213 - Original Certificate Of Title Must Accompany Application For Corrected Title
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1
2STATE OF DELAWARE
APPLICATION FOR :
DIVISION OF MOTOR VEHICLES
CORRECTED TITLE
ß
DUPLICATE TITLE
ß
P.O. BOX 698, DOVER, DE 19903
WEIGHT CHANGE
ß
ORIGINAL CERTIFICATE OF TITLE MUST ACCOMPANY APPLICATION FOR CORRECTED TITLE.
ODOMETER DISCLOSURE INFORMATION MUST BE COMPLETED.
Delaware
New
Last Expiration
Tag Number ________________________ Number __________________
Date of Tag Number ___________________
I certify to the best of knowledge that the ODOMETER READING is the ACTUAL MILEAGE of the vehicle unless one of the following
statements is checked:
ODOMETER READING ---- MILES (NO TENTHS)
[
]
1. The mileage stated is in excess of its mechanical limits.
(Mileage exceeds 99,999 miles)
[
]
2. The odometer reading is not the actual mileage. ----
WARNING ----- ODOMETER DISCREPANCY
Failure to complete ODOMETER STATEMENT or providing a FALSE STATEMENT may result in fines and/or imprisonment. I/We
certify, under penalty of perjury, that the statements made herein are true and correct to the best of my/our knowledge, information and
belief.
Make:______ Year:_______ Body Style:_____ Color 1:_______Color 2:______ VIN Number: _________________________________
Registered Weight:
From ___________________________ To ___________________________ Fee: _____________________
Change of VIN:
From ____________________________ To _____________________________________________________
Signature of Inspector Authorizing Change of Serial Number: __________________________________________________________
Change of Mileage: From ____________________________ To ______________________________________________________
Change of Name:
From ____________________________ To ______________________________________________________
Duplicate Title: $50.00
Corrected No Lien: $35.00
Corrected With Lien: $55.00
LIEN OR ENCUMBRANCES
SECURED PARTY NAME (Lienholder) –AND ADDRESS (If None, State So )
Name (s): __________________________________________________________________________________________________
Street: _____________________________________________________________________________________________________
City: ______________________________State: ___________________________________ Zip Code: _______________________
I (we) certify, under penalty of perjury, that the title to this vehicle is lost or destroyed. In the event the title is located, it shall be
returned to the Division immediately.
X ____________________________ _________________________ X _______________________________ ________________
Signature of Owner
Dr. Lic. No
Signature of Co-Owner
Dr. Lic. No
X __________________________________________________________________________________________________________
SIGNATURE OF INDIVIDUAL OTHER THAN OWNER REQUESTING DUPLICATE.
Dr. Lic. No.
DO NOT FILL IN BOTH BLOCKS
COMPLETE THIS BLOCK ONLY IF LIEN IS SATISFIED.
COMPLETE THIS BLOCK ONLY IF LIEN IS TO BE RE
ENTERED.
This is our written consent for the Motor Vehicle Director to issue
Date of Release
a duplicate title in the above applicant’s name.
Lienholder
Lienholder
Authorized Representative
Signature
Position
MV 213
Doc. No. 45-07-94-01-02
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