Title History Search or Photocopy

Registry of Motor Vehicles  Title Division

P.O. Box 55885  Boston, MA  02205-5885

Request for (check one):

 History Search (computer printout only) ................................... $5.00

 Photocopy of Original RMV-1 Application .............................. $10.00 per title transaction

(and supporting documents for each title transaction)

Instructions:

1. Complete and sign application.

2. Mail completed application with check or money order to address at top of application. Make check or money order
payable to MassDOT. Do not mail cash.

A. Owner Information
Last Name First Name Middle Initial Suffix

Business Name (if applicable)

Address
Zip
Street City State Code

B. Vehicle Information
Registration # Year Make

VIN # Title #

C. Mail Documents to:

Last Name First Name Middle Initial Suffix

Address
Zip
Street City State Code

D. Certification and Signature

Signature(s) of Requestor(s): _________________________________________________________________________

Date: ____________________________________________________________________________________________

Printed Name: _____________________________________________________________________________________

p.1 TTL111_1119