Penndot Form MV-27

MV-27 (12-18) DEALER ASSIGNMENT COVERING A VEHICLE

www.dmv.pa.gov ACQUIRED AND HELD FOR RESALE Bureau of Motor Vehicles • Harrisburg, PA 17122

A VEHICLE INFORMATION Name of Original Title Holder Title Holder’s DIN/Bus. Partner ID# (If applicable) PA Title Number

Vehicle Identification Number Model Year Make Body Type

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 with the transfer of ownership. Failure to miles and oreflects the actual mileage of the vehicle unless one of the following boxes is checked: Reflects the amount of mileage in excess of its mechanical limits; or, complete or providing a false statement o 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/Bus. Partner ID#:______Street Address:______City:______State:_____ Zip:______SUBSCRIBED AND SWORN TO BEFORE ME: MONTH DAY YEAR Signature of Original Title Holder or Authorized Person

SIGNATURE OF PERSON ADMINISTERING OATH

FIRST ASSIGNMENT FIRST Signature of Co-Seller or Printed Name of Firm S I, a registered Pennsylvania Dealer, hereby certify that I have T A SIGN IN PRESENCE OF NOTARY acquired and hold for resale, the above described vehicle. M P Signature of Acquiring Dealer Date of Acquisition (MM/DD/YY)

SIGNATURE OF PERSON ADMINISTERING OATH

Signature of Co-Seller or Printed Name of Firm SECOND ASSIGNMENT SECOND S I, a registered Pennsylvania Dealer, hereby certify that I have T A SIGN IN PRESENCE OF NOTARY acquired and hold for resale, the above described vehicle. M P Signature of Acquiring Dealer Date of Acquisition (MM/DD/YY)

SIGNATURE OF PERSON ADMINISTERING OATH

Signature of Co-Seller or Printed Name of Firm THIRD ASSIGNMENT THIRD S I, a registered Pennsylvania Dealer, hereby certify that I have T A SIGN IN PRESENCE OF NOTARY acquired and hold for resale, the above described vehicle. M P Signature of Acquiring Dealer Date of Acquisition (MM/DD/YY) INSTRUCTIONS • Type or Print all information in full. • This form is to be used only with Pennsylvania Certificates of Title with revision dates prior to 11/89. NOTE: Pennsylvania Certificate of Title must be attached. • Do not complete this form unless you have the assigned Pennsylvania Certificate of Title in your possession. • No more than three dealer assignments are permitted (one Form MV-27) per title assignment. This form may not be used for out-of-state assignments. • Form MV-27 should remain attached to the assigned Pennsylvania Certificate of Title, and must accompany application for transfer of title to the purchaser (or fourth dealer) when submitted to PennDOT. • Assignment on Form MV-27 to a person or firm registered in the Miscellaneous Motor Vehicle Business class is NOT permitted. • Do not use this form if the vehicle has been repossessed. • Seller's signature for each assignment on Form MV-27 must be notarized.

NOTE: The acquiring dealer is responsible for reporting its acquisition of the vehicle to PennDOT within seven days of the acquisition date on Form MV-27A or MV-27B.

Visit us at www.dmv.pa.gov or call us at 717-412-5300. TTY callers — please dial 711 to reach us.