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APPLICATION FOR REPLACEMENT CERTIFICATE OF TITLE

SECTION2 OWNERSHIPTRANSFERANDODOMETERSTATEMENTAPP LICATION FOR REPLACEMENT CERTIFICATE OF TITLEAND OWNERSHIP TRANSFER IN ABSENCE OF TITLEH-6B REV. 12-15 INSTRUCTIONS1. The owner or legal representative (with proper identification required) may apply for a REPLACEMENT CERTIFICATE of TITLE if no lienholder was listed on the original CERTIFICATE of a lien is listed on the TITLE , proof of satisfaction (lien release) must be submitted with this form. Request will not be processed without a lien a lien is still outstanding the lienholder shall apply for a REPLACEMENT CERTIFICATE of TITLE with a power of print in ink or type. (Strikeovers or erasures are not acceptable.)For a REPLACEMENT TITLE fill in:a) Section 1 - Vehicle/vessel and TITLE informationb) Section 3 - Applicant's Signaturec) If lien on TITLE , include lien release For REPLACEMENT TITLE and ownership transfer fill in:a) Section 1 - Vehicle/vessel and TITLE informationb) Section 2 - Ownership, Transfer - Must include CT DMV Supplemental Assignment of Ownership (form Q-1) c) Section 3 - Applicant's Signatured) If lien on TITLE , include lien releaseWARNING: Federal law requires that you state the mileage in connection with a transfer of ownership.

application for replacement certificate of title and ownership transfer in absence of title h-6b rev. 12-15 instructions 1. ... sign the application in section 3. 3. if you had a lien on the vehicle enclose a letter from the lienholder stating the lien was satisfied (paid-off).

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