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Get Pa Title Application With Lien

PA 17104-2516 For Department Use Only See Completion Instructions and Fee Information on Reverse 1. Duplicate Title by Lienholder. Complete Sections A, B and E. 2. Record a Lien. Complete Sections A, B (if original title is not attached), D and E. In addition, when an existing lien is not satisfied on the attached certificate of title and a lien is being added, the lienholder information listed below in Section A will be added to the title as a second lienholder. The new title will be maile.

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