IN THE COURT OF COMMON PLEAS OF ADAMS COUNTY, PENNSYLVANIA CIVIL ACTION - LAW

In Re: ___

Year, Make, Model

No.: ___

No

___

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