Fillable Duplicate Title Requirements for No Proof of Ownership (The State of New Jersey)

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Duplicate Title Requirements for No Proof of Ownership (The State of New Jersey)

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NOTE: The commission policy is to mail the Certificate of Ownership to the owner or
lienholder of record. If you are an Owner/Lienholder/Leasing Company requesting that
the Certificate of Ownership be mailed elsewhere, please include a self-addressed
envelope and a brief explanation.
P.O. Box 017
Duplicate Title Requirements for No Proof of Ownership
(Previously Registered)
The purpose of this procedure is to obtain a duplicate certificate of ownership for your
vehicle when no proof of ownership is available.
If the vehicle has been registered in the state of New Jersey but a copy of
the registration card or insurance documents are no longer available, the
following steps are required:
1. The applicant must furnish a “Vehicle Registration Application Request” Form
DO-11A along with a $15.00 check or money order made payable to “NJMVC”
(no cash).
2. A completed Application for duplicate Certificate of Ownership OS/SS-52.
3. A check or money order in the amount of $60.00 made payable to NJMVC.
4. Two color photographs front and back, for the vehicle which a duplicate title is
requested. Photographs cannot cut off any portion of the vehicle.
Mail all required documents to: New Jersey Motor Vehicle Commission
Special Titles Section/Duplicate Titles
PO Box 017
Trenton, NJ 08666-0017
If you have any questions regarding this procedure, please contact our office at (609)
292-6500 extension 5074.
STOP HERE: Once step 1 has been completed, please mail the DO-11A
form to the Certified Information Unit Po Box 146 Trenton NJ 08666. DO
NOT CONTINUE until you receive the registration search information back
from the NJ Motor Vehicle Commission. Once a response is received, you
may continue to step 2.
New Jersey
Motor Vehicle Commission
On the Road to Excellence
www.njmvc.gov
New Jersey is an Equal Opportunity Employer
OS/SS-130A (R5/13)
APPLICATION FOR DUPLICATE
CERTIFICATE OF OWNERSHIP
STATE OF NEW JERSEY
MOTOR VEHICLE COMMISSION
SPECIAL SERVICES
P.O. BOX 017
TRENTON, NEW JERSEY 08666-0017
(609) 292-6500 EXT. 5074
ABOVE SPACE IS FOR OFFICE USE ONLY
INSTRUCTIONS- PLEASE READ CAREFULLY
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 the application. Mail this information to the Trenton Central Office or
bring in person to any motor vehicle agency along with Proof of Identity (Copy of Driver's License).
1. NAME OF TITLED OWNER
OWNER'S NEW JERSEY DRIVER LICENSE NUMBER (IF BUSINESS-CORPCODE)
DATE OF BIRTH EYE COLOR SEX
ADDRESS
PHONE: (HOME) (CELL) (WORK)
WHERE DO YOU WANT THE TITLE MAILED (IF DIFFERENT THAN ABOVE ADDRESS)?
IF CO-OWNER:
1a. NAME OF CO-OWNER
NEW JERSEY DRIVER LICENSE NUMBER
DATE OF BIRTH EYE COLOR SEX
ADDRESS
DESCRIPTION OF VEHICLE
2. LICENSE PLATE NO. MAKE YEAR BODY TYPE MODEL
WEIGHT CLASS COMPLETE VEHICLE IDENTIFICATION NO.
3. ARE THERE ANY ENCUMBRANCES OR LIENS AGAINST THE VEHICLE AT THIS PRESENT TIME? YES NO
IF "YES", GIVE NAME AND ADDRESS OF LIENHOLDER
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.
*If banks have merged it must be stated on Lien Release.
*LIENHOLDERS MUST SUPPLY A COPY OF CONTRACT OR LEASE AGREEMENT AND (IF APPLICABLE) POWER OF ATTORNEY.
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
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.
(IF PARTNERSHIP, SO INDICATE, IF CORPORATION, GIVE TITLE OF OFFICER)
*Need POWER OF ATTORNEY if in a company name.
IF NOT FILLED IN ENTIRELY AND ACCOMPANIED BY CHECK OR MONEY ORDER FOR $60.00 (DO NOT SEND CASH) THIS
APPLICATION WILL BE REJECTED.
DATE SIGNATURE OF TITLED OWNER DATE SIGNATURE OF CO-OWNER
OS/SS-52 (R2/18)
NO. AND STREET CITY STATE ZIP CODE
VEHICLE REGISTRATION APPLICATION REQUEST
All requests for registration records must be submitted on form DO-11A. One record search per form. This form may be
photocopied for your convenience. No other form of request will be accepted. Proper fee must accompany request form.
Make check or money order (DO NOT SEND CASH) payable to the New Jersey Motor Vehicle Commission.
(PLEASE PRINT CLEARLY)
ALL SECTIONS OF THIS APPLICATION MUST BE COMPLETED TO OBTAIN INFORMATION
Requester Name: ____________________________________________ Phone Number:________________________
Business Name (if applicable):__________________________________ Your Claim or File #: ____________________
Street Address:___________________________________________________________________________________
City:_________________________________________ State:__________ Zip Code: ___________________
REQUESTER DRIVER LICENSE NUMBER:___________________________________________________________
(PHOTOCOPY OF CURRENT DRIVER LICENSE MUST BE INCLUDED)
CHECK INFORMATION YOU REQUIRE:
Insurance Information
DATE YOU WANT
COVERED
MONTH DAY
Name and Address of Registrant
Registration Expiration Date
License Plate Number
Vehicle Description
You may either print the form on both sides of a single sheet or print and attach the two separate sheets.
Both pages 1 and 2 must be completed and submitted for you request to be considered.
REQUESTER’S PRINTED NAME AND SIGNATURE ARE REQUIRED ON NEXT PAGE.
DO-11A (R 2/18)
Certified Information Unit
P.O. Box 146
Trenton, New Jersey 08666-0146
609-292-4102
New Jersey
Motor Vehicle Commission
This request is being made for the following reason(s): (Indicate number of appropriate use from Page 2)
Explain in detail your reason for requesting the information and how you plan to use the information. Attach any supporting documentation.
If involving a lawsuit, please state your relationship to the case and type of lawsuit involved:
________________________________________________________________________________________________
FEE: $15 per record search
YEAR
I am requesting information on: (CHECK ONE) MY OWN RECORD ANOTHER’S RECORD
License Plate Number:_______________________ Vehicle Identification Number____________________________
Name
:___________________________________________ NJ Driver License#:_____________________________________
Street Address:__________________________________________________________________________________
City:____________________________ State:________________ Zip Code:_________________________________
Date of Birth:_________________________
The disclosure and use of the personal information (1) contained in the record you have requested is governed by the
"Drivers' Privacy Protection Act", N.J.S.A. 39:2-3.3 et seq. The "Drivers' Privacy Protection Act" provides that a person who
knowingly obtains or discloses information from a motor vehicle record for any use not permitted by the Act is guilty of a
crime of the fourth degree and can be held liable, in a civil action in the Superior Court, to the individual to whom the
information pertains, including an award of actual damages, punitive damages, and reasonable attorney's fees and litigation
costs.
(1) “Personal Information” means information that identifies an individual, including an individual’s photograph;
social security number; driver identification number; name; address other than the five-digit zip code;
telephone number; and medical or disability information, but does not include information on vehicular
accidents, driving violations, and driver’s status.
Page 1 of 2
USES PERMITTED AS SET FORTH IN N.J.S.A. 39:2-3.4(c)
1. For use in connection with matters of motor vehicle or driver safety and theft: motor vehicle emissions; motor vehicle
product alterations, recalls, or advisories; performance monitoring of motor vehicles, motor vehicle parts and dealers;
motor vehicle market research activities, including survey research; and the removal of non-owner records from the
original owner records of motor vehicle manufacturers.
2. For use in the normal course of business by a legitimate business or its agents, employees or contractors, but only:
a. to verify the accuracy of personal information submitted by the individual to the business or its agents,
employees, or contractors; and
b. if such information as so submitted is not correct or is no longer correct, to obtain the correct information, but
only for the purposes of preventing fraud by, pursuing legal remedies against, or recovering on a debt of
security interest against the individual.
3. For use in connection with any civil, criminal, administrative or arbitral proceeding in any federal, state or local court or
agency or before any self-regulatory body, including service of process, investigation in anticipation of litigation, and
the execution or enforcement of judgments and orders, or pursuant to an order of a federal, state or local court.
4. For use in research activities, and for use in producing statistical reports, so long as the personal information is not
published, redisclosed, or used to contact individuals.
5. For use by any insurer or insurance support organization, or by a self-insured entity, or its agents, employees, or
contractors, in connection with claims investigation activities, antifraud activities, rating or underwriting.
6. For use in providing notice to the owners of towed or impounded vehicles.
7. For use by an employer or its agent or insurer to obtain or verify information relating to a holder of a commercial
driver's license that is required under the "Commercial Motor Vehicle Safety Act," 49 U.S.C. App. § 2710 et seq.
8. For use in connection with the operation of private toll transportation facilities.
9. For use by any requester, if the requestor demonstrates it has obtained the notarized written consent of the individual
to whom the information pertains. Must attach Notarized Authorization To Release Personal Motor Vehicle
Information form DO-21A.
I certify that I will use any personal information contained in the record(s) I have requested only as permitted by
the “Drivers’ Privacy Protection Act”, N.J.S.A.
39:2-3.4(c). I further certify that all the foregoing statements are
true to the best of my knowledge. I understand that if any of the statements are willfully false, I am subject to
punishment.
Requester’s Name:
PRINT NAME
Date:
DO-11A (R 8/10) Page 2 of 2
(Original Signature Only - Signature Stamps Are Unacceptable)
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Duplicate Title Requirements for No Proof of Ownership (The State of New Jersey)

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Completed 3 February 2021

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