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-461 (10-13)
Maryland law requires customers to return their license plates to the MVA when the vehicle’s insurance is cancelled; when the customer moves out of Maryland; or
when the license plates are no longer needed. Customers reporting license plates lost or stolen, should do so by providing a police report or police report number.
By completing the form as a vehicle owner, you are not released of any obligation required by Maryland Vehicle Law, including the requirement to maintain
insurance, and follow up with jurisdictions in regard to registration plates and/or disability placards. In the event the registration plate(s) or disability placard
becomes available, they must be returned to the Administration.
Check applicable box:
I certify:
Registration Plate(s), Disability Placard, or Moped Motor-Scooter Decal for the vehicle identied below was:
Lost (Police Report #) _____________________________________ Jurisdiction Reported ______________________________ Date of Loss _______________________
Stolen (Police Report #) ___________________________________ Jurisdiction Reported ______________________________ Date Stolen _______________________
Conscated by Law Enforcement (attach proof) __________________________________________________ Date Conscated __________________________________
Investigation Case No. ____________________________________ Dept. of Origin Case No. ___________________________ Date ______________________________
Repossessed (attach proof) _______________________________ Repossession title issued? Yes/No __________ Date of Repossession _______________________
Other (please explain and provide proof) ___________________________________________________________________________________________________________
Certied Statement / Receipt
Plate # Year Make Vehicle Identication # Title # # of Plates Returned Placard #
Owner’s Driver’s License # Owner’s Name
Co-Owner’s Driver’s License # Co-Owner’s Name
Owner’s Street Address City/County State Zip Code
I/we certify, under penalty of perjury that the above is true and correct to the best of my knowledge and belief. I also acknowledge that by completing this form, I am not released of any obligation as a
vehicle owner required by Maryland Vehicle Law, including the requirement to maintain insurance, and follow up with any jurisdiction with regard to registration plates and/or placard.
Owner’s Signature _____________________________________________ Date ____________________ Co-owner’s Signature _____________________________________ Date ____________________
Send completed original form to MVA, Vehicle Records Division, Room 202, 6601 Ritchie Hwy, Glen Burnie, MD 21062, along with a copy of the valid state issued identication(s) of the vehicle owner(s).
Printed Name of MVA Agent Signature Branch/Ofce/Room Number Substitute Plate/Placard/Decal issued
For MVA Use only Copy of I.D. attached
