IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA

CIVIL DIVISION

IN RE:	CETIFICATE OF TITLE FOR	)
)
)	No.
VIN:	)
PETITION FOR CERTIFICATE OF TITLE TO A MOTOR VEHICLE

The Petitioner(s) (a)	(b)
request(s) that this court approve the issuance of a Certificate of Title to Petitioner(s) for the motor vehicle described below, and in support thereof, represent(s) as follows:
1.	Petitioner(s) is / are an adult individual(s), whose date of birth is / are
(a)
,
(b)
,
and who persistently reside(s) at
2.	Petitioner(s) seeks a Certificate of Title for the following motor vehicle:
a.	Vehicle Description (Make / Model / Year)
b.	Vehicle Identification Number (VIN)
3.	Title to this vehicle on the records of the Pennsylvania Bureau of Motor Vehicles is registered to
, whose last known address is
1.
4.	There are no liens or encumbrances against the vehicle except:
5.	Petitioner(s) request(s) a Certificate of Title for the vehicle for the following reasons:
6.	The foregoing statements are true and correct to the best of my/our knowledge, information and
belief. I / We understand that false statements herein are made subject to penalties of

18 Pa.C.S. § 4904 relating to unsworn falsifications to authorities.
Submitted by,
(a)
(b)
Petitioner(s)
Telephone:

1.If you are unaware of last known person with an interest in the vehicle, then you need to obtain a certified copy of the vehicle's owner record by completing PennDOT form DL-135 (attached), and submitting form DL-135 to PennDOT along with the appropriate fees. If the information received from PennDOT does not provide the name of a person with an interest in the vehicle, it is necessary to obtain the car's history from a commercial source.

IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA

Rachel A Wotring

2019-02-21