Form 5105-2025

1. Click ‘Get Form’ to open Form 5105 in the editor.
2. Begin by filling in your personal information in the 'Applicant & Vehicle' section. Enter your last name, first name, middle initial, street address, city, and zip code.
3. Next, provide details about the vehicle. Fill in the year, make, state, and Vehicle Identification Number (VIN).
4. In the 'Extenuating Circumstances' section, select the appropriate box that applies to your situation regarding title penalties.
5. If applicable, specify any extenuating circumstances by checking the relevant boxes and providing additional documentation if necessary.
6. Finally, sign and date the form at the bottom to certify that all information is true and complete before submitting it.

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