IN THE COURT OF COMMON PLEAS OF ADAMS COUNTY, PENNSYLVANIA CIVIL ACTION - LAW
In Re: ___
Year, Make, Model
Year, Make, Model
No.: ___
No
___
VIN
VIN
COURT ORDER
AND NOW, this ___ day of___, 20___, after reasonable notice and an opportunity for hearing having been provided to all interested parties, the Court hereby awards ownership of one ___ [year, make, model], bearing Vehicle Identification Number (VIN) ___ to ___ [name of applicant], and the right, title and interest of any other person to said vehicle is hereby extinguished. The Commonwealth of Pennsylvania, Department of Transportation may accept this order as evidence of ownership in lieu of a Certificate of Title. The Applicant shall submit the appropriate forms, taxes, and fees and comply with any other procedures of the Commonwealth of Pennsylvania, Department of Transportation in order to receive the appropriate Certificate of Title for said vehicle.
Court hereby awards ownership of one _______________________ [year, make, model],
bearing Vehicle Identification Number (VIN) __________________________ to
_______________________ [name of applicant], and the right, title and interest of any
BY THE COURT,
___
Judge