Motor Vehicle Administration
6601 Ritchie Highway, N.E.
Glen Burnie, Maryland 21062
For more information, please call: 410-768-7000 (to speak with a customer agent).
TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov
VR-448 (02-16)
Note: Maryland Law requires that you correct your driver’s license or identication card within 30 days of a name
change. This must be completed prior to the issuance of a corrected title. The current title must be submitted
with this completed application. Businesses must attach documentation verifying the name change.
Application For Corrected Title Due To A Name Change
Please check here if this is a new address.
I/we certify, under penalty of perjury, that the statements made herein are true and correct, to the best of my/our
knowledge, information, and belief. This
___________________
day of
___________________
year
____________
.
Owner’s Signature
_________________________________
Co-Owner’s Signature
_________________________________
For MVA use only
Record examined and issuance approved by:
___________________
OK to issue and show lien OK to issue without lien
(identication provided)
Type of Identication provided:
_______________________
Attach a copy of the newly issued identication reecting the name change.
Method of Payment:
C CK CC CV Other
______________________________
Reason for name change (please check one): Marriage Divorce Court Order Common Law Error
Other please explain
Owner’s First Name Middle Last Date of Birth Driver’s License/Identication Number
Co-Owner’s First Name Middle Last FEIN # Date of Birth Driver’s License/Identication Number
Current Resident Address
City State Zip Code
Current MD Title # Make of Vehicle Model Year Vehicle Identication Number
Name of Secured Party (Bank, Finance Company, etc.)
Address of Secured Party
City State Zip Code
