Pa application titled form 2026

1. Click ‘Get Form’ to open the pa application titled form in the editor.
2. Indicate whether you are requesting an original or duplicate certificate of salvage. Ensure not to mix both types on a single application.
3. Complete Section A by entering the name of the insurer or salvage dealer, their DIN, street address, telephone number, city, state, and zip code.
4. In Section B, attach the Pennsylvania titles in the order listed. Make sure that the information matches what is printed on the attached titles.
5. Check the appropriate boxes in the certification section for total loss due to flood (W) or theft (N).
6. Sign and date the form at the bottom of Section C, certifying that all information provided is true and correct.
7. Finally, mail your completed application to the address provided in the upper right corner of the form.

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