New Jersey > Statewide > Motor Vehicle Commission
Application For Duplicate Certificate Of Ownership OS-SS-52 - New Jersey
| Application For Duplicate Certificate Of Ownership Form. This is a New Jersey form and can be used in Motor Vehicle Commission Statewide . |
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APPLICATION FOR DUPLICATE CERTIFICATE OF OWNERSHIP STATE OF NEW JERSEY MOTOR VEHICLE COMMISSION SPECIAL SERVICES P.O. BOX 017 TRENTON, NEW JERSEY 08666-0017 ABOVE SPACE IS FOR OFFICE USE ONLY INSTRUCTIONS PLEASE READ CAREFULLY o o 1. This form is to be completed by the titled owner(s) Please type or print clearly. 2. A $60.00 check or money order (Do Not Send Cash) and a copy of the current or expired registration certificate or insurance identification card must accompany this application. Mail this information to the Trenton Central Office or bring in person to any motor vehicle agency or regional service center with Proof of Identity. 1. NAME OF TITLED OWNER(s) _______________________________________________________________________________ OWNER(s) NEW JERSEY DRIVER LICENSE NUMBER__________________________________________________________ (IF BUSINESS CORPCODE) DATE OF BIRTH _____________________ EYE COLOR______________ SEX____________ ADDRESS _____________________________________________________________________________________________ NO. AND STREET CITY STATE ZIP CODE DESCRIPTION OF VEHICLE 2. LICENSE PLATE NO._______________MAKE _________YEAR _______BODY TYPE __________MODEL ______________ WEIGHT CLASS ______ COMPLETE VEHICLE INDENTIFICATION NUMBER_______________________________________ 3. Are there any encumbrances or liens against the vehicle at the present time? YES __________ NO ____________ If "YES", give name and address of lienholder:________________________________________________________________ NAME ______________________________________________________________________________________________________ NO. AND STREET CITY STATE ZIP CODE NOTE: If the original certificate was issued subject to lien, and lienholder has not submitted evidence of satisfaction, a duplicate certificate of ownership will not be issued until proof of payment is received from the lienholder. R.S. 39:10-12..."A person who falsely states, in any application to the Chief Administrator for a duplicate certificate of ownership, that a certificate of ownership, or title papers, are lost, shall be subject to a fine of not less than two hundred dollars ($200.00) nor more than five hundred dollars ($500.00) or imprisonment for a term not exceeding thirty days or both." This application is submitted to the Chief Administrator of the Motor Vehicle Commission because the whereabouts of the title paper for the motor vehicle described herein-owned by the undersigned IS UNKNOWN and certification is hereby made that it IS LOST. It is further certified that the __________________________________________________________________________________ YEAR MAKE VEHICLE IDENTIFICATION NUMBER was physically examined by me and the identification number is as entered hereon. I certify that I have compared this number with the numbers shown on the evidence of ownership and on my application for a duplicate New Jersey Certificate of Ownership and they agree. I further certify that I have read and understand this application and that all statements are correct. _________________________________________________________________________________________________________ DATE SIGNATURE OF APPLICANT(s) (IF PARTNERSHIP, SO INDICATE, IF CORPORATION, GIVE TITLE OF OFFICER) IF NOT FILLED IN ENTIRELY AND ACCOMPANIED BY CHECK OR MONEY ORDER (IF MAILED, DO NOT SEND CASH) THIS APPLICATION WILL BE REJECTED. OS/SS-52 (R7/09) American LegalNet, Inc. www.FormsWorkFlow.com
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