Pennsylvania Mv 9 PDF Form Customize Document Here

Pennsylvania Mv 9 PDF Form

The Pennsylvania MV-9 form is a self-certification document required by the Pennsylvania Department of Transportation. This form is specifically used for passenger vehicles or light-duty trucks from model year 2008 or newer that weigh 8,500 pounds or less. It serves to confirm compliance or exemption from the Pennsylvania Clean Vehicles Program, ensuring that vehicle owners meet necessary environmental standards.

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Outline

The Pennsylvania MV-9 form is an essential document for individuals and businesses looking to register a passenger vehicle or light-duty truck that meets specific criteria under the Pennsylvania Clean Vehicles Program. This self-certification form is required for vehicles from model year 2008 or newer, with a gross vehicle weight rating of 8,500 pounds or less. It serves two primary purposes: confirming compliance with emission standards or claiming an exemption from these requirements. The form requires detailed vehicle information, including the Vehicle Identification Number (VIN), make, model year, and current odometer reading. Additionally, it collects owner information, such as names, addresses, and identification numbers. Applicants must complete various sections depending on their situation, including sections for compliance certification or exemption certification. The MV-9 also includes a warning about the penalties for providing false information, underscoring the importance of accuracy in the submission process. Understanding this form is crucial for ensuring that vehicle registration complies with state regulations.

Preview - Pennsylvania Mv 9 Form

MV-9 (3-17)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.dmv.pa.gov

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLIANCE OR EXEMPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR THE PENNSYLVANIA CLEAN VEHICLES

 

 

 

 

 

 

For Department Use Only

 

 

 

 

 

PROGRAM (SELF-CERTIFICATION FORM)

 

 

Bureau of Motor Vehicles • P.O. Box 68593 • Harrisburg, PA 17106-8593

 

INSTRUCTIONS: This self-certification form is to be used with an

 

Application for Certificate of Title for every model year 2008 or

 

 

 

newer passenger vehicle or light duty truck with a gross vehicle weight rating of 8,500 pounds or less in situations where:

 

1. The vehicle meets the certification requirements of the Pennsylvania Clean Vehicles Program; however, a Manufacturer’s

 

Certificate of Origin is not available.

Complete Section C, in addition to Sections A, B, and E. NOTE: Individuals should list

 

their PA Driver’s License (PA DL) or Photo ID# in the space provided. Businesses should list their Business ID# (Bus. ID) where

 

indicated (i.e. E.I.N.).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. The vehicle is exempt from the certification requirements of the Pennsylvania Clean Vehicles Program. Complete Section D,

 

in addition to Sections A, B and E.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

VEHICLE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

Year

___ ___

 

Make

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Exclude tenths)

 

___ , ___ ___ ___

 

 

 

B

 

Gross Vehicle Weight Rating

 

 

 

 

 

 

Current Odometer reading

 

 

 

 

 

 

 

 

VEHICLE OWNER INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name (or Full Business Name)

First Name

 

 

 

Middle Name

PA DL/Photo ID# or

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bus. ID#

 

 

 

 

 

 

 

Co-owner Last Name

First Name

 

 

 

Middle Name

PA DL/Photo ID#

 

Date of Birth

 

C

 

Current Street Address

 

 

 

 

City

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

COMPLIANCE CERTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

r

I certify that this vehicle is a model year 2008 or newer, with a gross vehicle weight rating of 8,500 pounds or less, with

 

 

 

 

less than 7,500 miles on the odometer and complies with U.S.E.P.A. and California emission control regulations. There is

 

D

 

 

evidence of this by a manufacturer’s installed label under the hood of the vehicle.

 

 

 

 

 

 

 

 

 

 

EXEMPTION CERTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that this vehicle is exempt from Pennsylvania Clean Vehicles Program certification compliance because:

 

 

 

 

 

 

 

 

r

This is an emergency vehicle.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

r

This vehicle is being transferred for use exclusively off-highway.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

r

This vehicle was granted a national security or testing exemption under Section 203(b)(1) of the Clean Air Act (42

 

 

 

 

U.S.C.A. Section 7522(b)(1)).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

r This vehicle was acquired for the purpose of replacing a vehicle which was damaged, or became inoperative, beyond

 

 

 

 

reasonable repair or was stolen while out of the Commonwealth of Pennsylvania and the replacement vehicle was acquired

 

 

 

 

out of this Commonwealth at the time the previously owned vehicle was damaged, became inoperative or was stolen. The

 

 

 

 

Vehicle Identification Number of the vehicle that was replaced was _____________________________.

 

 

 

r This vehicle was transferred by inheritance or court decree.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

r

This vehicle was titled and registered while the owner or lessee was a resident of another state and the owner or lessee

 

 

 

 

is moving to Pennsylvania.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

 

r This vehicle has more than 7,500 miles at time of completing the application for Pennsylvania Certificate of Title.

 

 

SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The signature below hereby certifies under penalty of law that the information contained herein is TRUE and CORRECT.

 

 

 

 

 

 

WARNING: Falsification to authorities is a misdemeanor of the third degree punishable by a fine up to $2,500 and/or

 

 

 

imprisonment up to 1 year (18 Pa.C.S. Section 4904[b]).

 

_______________________________

 

 

 

 

 

____________________________________________________________

 

 

 

 

 

 

Applicant Signature

 

 

 

 

 

Date

 

 

 

 

 

 

 

____________________________________________________________

_______________________________

 

 

 

 

 

 

Co-Owner Signature Visit us at www.dmv.pa.gov or call us at:

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

1-717-412-5380

 

 

 

 

 

In state: 1-800-932-4600 u TDD:

1-800-228-0676 u Out-of-State: 1-717-412-5300 u TDD Out-of-State:

 

 

Form Data

Fact Name Details
Purpose The MV-9 form is used for self-certification regarding compliance or exemption from the Pennsylvania Clean Vehicles Program for certain vehicles.
Eligibility This form applies to model year 2008 or newer passenger vehicles or light-duty trucks weighing 8,500 pounds or less.
Governing Law The form is governed by the Pennsylvania Clean Vehicles Program and relevant sections of the Clean Air Act (42 U.S.C.A. Section 7522(b)(1)).
Certification Requirements Applicants must certify compliance with U.S. EPA and California emission control regulations or claim an exemption based on specific criteria.
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