448 VR
User Manual: 448
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Motor Vehicle Administration 6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062 VR-448 (02-16) Application For Corrected Title Due To A Name Change Note: Maryland Law requires that you correct your driver’s license or identification 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. Reason for name change (please check one): Marriage Divorce Court Order Common Law Error Other please explain Owner’s First Name Co-Owner’s First Name Middle Middle Last Last FEIN # Date of Birth Driver’s License/Identification Number Date of Birth Driver’s License/Identification Number Current Resident Address State City Current MD Title # Make of Vehicle Model Year Zip Code Vehicle Identification Number Name of Secured Party (Bank, Finance Company, etc.) Address of Secured Party State City Zip Code 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 (identification provided) Type of Identification provided: _______________________ Attach a copy of the newly issued identification reflecting the name change. Method of Payment: C CK CC CV Other ______________________________ 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
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