Fillable THIRD PARTY REQUEST FOR TITLE OR REGISTRATION CORRECTION (Wisconsin)

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THIRD PARTY REQUEST FOR TITLE OR REGISTRATION CORRECTION (Wisconsin)

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The THIRD PARTY REQUEST FOR TITLE OR REGISTRATION CORRECTION (Wisconsin) form is 1 page long and contains:

  • 1 signature
  • 6 check-boxes
  • 16 other fields

Country of origin: US
File type: PDF

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THIRD PARTY REQUEST FOR TITLE OR REGISTRATION CORRECTION
Wisconsin Department of Transportation
MV1047 3/2020 S. 341.21 Wis. Stats.
Vehicle Identification Number (VIN) (standard VIN has 17 characters)
License Plate Number
Title Number
Model Year
Make
Terminal ID/ Dealer
Number
Agent’s Legal Business Name
(Area Code) Telephone Number
Contact Person
Describe in detail the change you are requesting
And/Or Conjunction (Send current title and all customer signatures)
Owner (Changes of ownership may require a completed MV1, MV11 or MV12, the original title and titling fees)
Lien (Send current title, lien release, loan filing fee, and provide lien holder name and address)
Plates/Registration ( I certify that the plates were received and destroyed by the dealer)
Other (mileage, color, lessee, etc.) Please provide explanation.
NOTE: For Odometer corrections this form must be submitted along with the secured MV11 or
MV2488 forms.
I agree to protect and indemnify the Wisconsin Department of Transportation in any claims arising out
of the issuance of a changed title or registration on the above-described vehicle. I also certify with my
signature that to the best of my knowledge the information and statements on this request for changes
are true and correct.
X
(Signature)
(Date – m/d/yyyy)
Please send completed form to:
Wisconsin Department of Transportation
Agent Partnership Unit
PO Box 7909
Madison, WI 53707-7909
Please contact the Agent Partnership Unit with questions.
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THIRD PARTY REQUEST FOR TITLE OR REGISTRATION CORRECTION (Wisconsin)

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Completed 12 August 2020

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