State of florida



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STATE OF FLORIDA 

 

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES 

DIVISION OF MOTORIST SERVICES 

SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE 

www.flhsmv.gov/offices/

 

 

APPLICATION FOR DUPLICATE OR LOST IN TRANSIT/REASSIGNMENT FOR A 



MOTOR VEHICLE, MOBILE HOME OR VESSEL TITLE CERTIFICATE 

 



TYPE OF APPLICATION 

 

 



  VEHICLE/VESSEL      

         DUPLICATE:   

  

    VEHICLE/VESSEL  

            LOST IN TRANSIT: 

 

VEHICLE/VESSEL DUPLICATE WITH TRANSFER: 

(Both parties must be present for this transaction) 

 

 

AND   NOTE: When joint ownership, please indicate if “or”  or



 

 

OR 


  

“and”  is to be shown on the title when issued.  



If neither box is checked, the 

title will be issued with “and”.

 

           



(Fee Required) 

NOTE: No fee required if vehicle application 

 LOST


  

 

            

STOLEN

  

 



is made within 180 days from last title 

Damaged 


(Certificate of Title must be submitted) 

 

issuance date and has been lost in mailing. 



NOTE: An indication of lost, stolen or damaged is required. 

 

 

 

OWNER’S NAME 



(Last, First, Middle Initial)

 

 



Owner’s E-Mail Address 

 

PURCHASER’S NAME 



(Last, First, Middle Initial)

 

 



Purchaser’s E-Mail Address 

 

CO-OWNER’S NAME 



(Last, First, Middle Initial)

 

 



Co-Owner’s E-Mail Address 

 

CO-PURCHASER’S



 

NAME


 

(Last, First, Middle Initial)

 

 

Co-Purchaser’s E-Mail Address 



 

OWNER’S MAILING ADDRESS 

 

 

PURCHASER’S MAILING ADDRESS 



 

CITY 


 

STATE 


 

ZIP 


 

CITY 


 

STATE 


 

ZIP 


CAUTION: IF ADDRESS DIFFERS FROM DMV RECORDS,  

ADDRESS VERIFICATION MUST BE SUBMITTED

 

 



DATE OF BIRTH 

 

PURCHASER’S DL/ID # 



 

CO-PURCHASER’S DL/ID# 





APPLICATION FOR DUPLICATE IS MADE BY: 

 

 

 

Owner


 

LIENHOLDER  DATE OF LIEN 

 

MOTOR VEHICLE MOBILE HOME OR RECREATIONAL VEHICLE DEALER/ 



AUCTION LICENSE NUMBER (

DEALER/AUCTION LICENSE NUMBER DOES NOT APPLY TO VESSELS:  

 

LIENHOLDER OR DEALER/AUCTION NAME: 



 

ADDRESS:                                                                                      CITY:                                                             STATE:                  ZIP:

 



MOTOR VEHICLE, MOBILE HOME OR VESSEL DESCRIPTION 

Vehicle/Vessel Identification Number 

Make/Manufacturer 

Year 


Body 

Color 


License Plate or Vessel Registration Number 

Florida Title Number 

 

 



VEHICLE USAGE/BRANDS 

 

 

 

 

 

SHORT TERM LEASE 



 

REPLICA 


 

 

 

 



LONG TERM LEASE 

 

KIT CAR 



 

 

 

 



POLICE VEHICLE 

 

REBUILT 



 

 

 

 



PRIVATE USE 

 

ASSEMBLED FROM PARTS 



  TAXI 

 

 

 

 



FLOOD 

 

MANUFACTURER’S BUY BACK 





LIENHOLDER INFORMATION 

If no lien, Print “None” 



 

 

FEID #   



DL# & Sex and Date of Birth   

DMV Account #    

Date of Lien 

Lienholder Name 

Lienholder E-Mail Address 

Lienholder Mailing Address 

City 

State 


Zip 

 

If Lienholder authorizes the Department to send title to the owner, check box and countersign. 



 

If this box is not checked, title will be mailed to the first lienholder. 

(DOES NOT APPLY TO VESSELS) 

 

(Signature of Lienholders Representative) 



 



APPLICATION ATTESTMENT/SIGNATURES AND ODOMETER DECLARATION/DISCLOSURE 

WARNING: Federal and state law require that you state the mileage in connection with an application for Certificate of Title.  Providing a false statement may result in fines or imprisonment. 

 

I (WE) STATE THAT THIS    



  5   or    

   6 DIGIT ODOMETER NOW  READS 

 

 

 

,

 

 

 

 XX (NO TENTHS) MILES,  

  

DATE READ ________/________/_________, AND I/WE HEREBY CERTIFY THAT TO THE BEST OF MY/OUR KNOWLEDGE THE ODOMETER READING: 



 

CAUTION: READ CAREFULLY BEFORE YOU CHECK A BOX 

 

      1. REFLECTS ACTUAL MILEAGE. 

 

      2. IS IN EXCESS OF ITS MECHANICAL LIMITS.  (EXCESS OF ITS MECHANICAL LIMITS APPLIES TO 5 DIGIT ODOMETERS) 

 

      3. IS NOT THE ACTUAL MILEAGE.  WARNING - ODOMETER DISCREPANCY 

 

 I CERTIFY THAT THE MOTOR VEHICLE/VESSEL DESCRIBED ABOVE WILL NOT BE OPERATED ON THE STREETS AND HIGHWAYS/WATERWAYS OF 

THIS STATE AND NO FLORIDA LICENSE PLATE HAS BEEN TRANSFERRED TO OR PURCHASED FOR THIS MOTOR VEHICLE. 

 

I am/we are the owner(s), lienholder(s), and am legally authorized to apply for and receive the Duplicate Certificate of Title.  I/we further agree to 



indemnify the Department and defend the Certificate of Title against all actions or claims by any person. 

 

UNDER PENALTIES OF PERJURY, I/WE DECLARE THAT I/WE HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. 

IF APPLICABLE, I ATTEST TO HAVING  

ACQUIRED THE MOTOR VEHICLE, MOBILE  

HOME OR VESSEL DESCRIBED ABOVE BY: 

 

PURCHASE 



 

GIFT 


 

INHERITANCE 



 

COURT ORDER 

Date Sold 

Selling Price $ 

 

Signature of 



Purchaser:     _______________________________________________________________________

 

 



Printed Name  

of Purchaser:  _______________________________________________________________________

 

 

Signature of  



Co-Purchaser:  _____________________________________________________________________

 

 



Printed Name of 

Co-Purchaser’s:  _____________________________________________________________________

 

 

Signature of Seller/ 



Owner/Lienholder:  __________________________________________________________________

 

 



Printed Name of  

Seller/ Owner/Lienholder:  ______________________________________________________________

 

 

Signature of 



Co-Owner:  ________________________________________________________________________ 

 

 



Printed Name of 

Co-Owner:  __________________________________________________________________________

 



FOR FLORIDA DMV OR TAX COLLECTOR/LICENSE PLATE AGENCY USE ONLY 

 

Duplicate authorization 



        verification completed

 

Signature 



Printed Name 

County 


Agency # 

Date Completed 



 

HSMV 82101 (Rev. 06/11) S 

 

 

 

                       

www.flhsmv.gov

 


 

Instructions for Completing the Form HSMV 82101 

 

Section 1 – Type of Application 

 



Vehicle/vessel duplicate – 

This box indicates you want to order a replacement title. 



 Also, check the appropriate box indicating 

lost, stolen or damaged.  A fee is required for this type of application.

   


 

 



Vehicle/vessel lost in transit – 

This box indicates you have ordered a title and at least 20 days have passed and you have not 

received the title.  No fee is required if the application is made within 180 days of the last title issuance which was lost in the mail.  

Fees are charged for duplicates or lost in transit requests after more than 180 days from the previous issuance.   

 



 



Vehicle/vessel duplicate with transfer – 

This box should be checked if you need to order a duplicate title and immediately transfer  

it to another owner.  Both parties must be present and have photo identification.  A power of attorney may not be used, except when a 

total loss from an insurance company is being paid.   

 

Address Change Directions – For an individual owner or lienholder, if the address differs from the address on the department’s 

record, one of the following must be submitted:   

 

o

 



Driver 

license 


   

o

 



Paid receipt for utility or telephone service 

o

 



Proof of homestead exemption  

 

o



 

Paid contract or turn-on order for utility service 

o

 

Rental or lease contract agreement 



o

 

Current year motor vehicle, mobile home or vessel certificate of registration 



o

 

Copy of insurance policy for motor vehicle, mobile home or vessel 



o

 Other 


documentary 

evidence that provides independent proof of address change 



 

Section 2 – Application for Duplicate is made by:  

Check the appropriate box to indicate who is applying for the duplicate.  Provide 

name, address and, if you are a dealer, provide your dealer license number.   

 

Section 3 – Motor Vehicle, Mobile Home or Vessel Description:  

Complete all applicable information.  The purchaser must provide a 

license plate or vehicle registration number if you are requesting a duplicate with transfer unless the vehicle or vessel will not be operated 

on Florida highways or waterways.  If the vehicle or vessel will not be operated on Florida highways or waterways, the box in section 6 

must be checked stating such.   

 

Section 4 – Vehicle Usage/Brands:

  Check the appropriate box to indicate how the vehicle will be used.  If the vehicle is your personal 

vehicle, private use should be checked.   

 

Section 5 – Lienholder Information:  

If there is no lienholder, the word none should be indicated in the first box.  If a lien is being added 

to the record at the time the application is submitted, all information should be completed.   

 

Section 6 – Application Attestment/Signatures and Odometer Declarations/Disclosures:  

Check the box to indicate whether the 

vehicle has a five or six-digit odometer and enter the odometer reading from the vehicle.  The vehicle is exempt from the odometer 

requirement if it is 10 years old or older.   

 



 

Enter the odometer reading from the motor vehicle, unless the motor vehicle is exempt from the odometer requirement.  

 If there is any reason to doubt the odometer reading does not accurately reflect “actual” mileage, check the box to indicate 

“not actual mileage.”  If the vehicle has more than 99,999 on the odometer reading and it is a 5-digit odometer, the box “in 

excess of mechanical limits” must be checked.   

 



If a duplicate with transfer is requested, enter the date of sale and the selling price.  The appropriate box indicating the type 

of transaction must also be checked.  If the vehicle/vessel will not be operated on Florida highways or waterways, the box 

must be checked.   

 



The appropriate customer(s) must sign and print their names in the spaces provided.   

 

Fees and Addresses: 

 

Fees are located on our website 



http://www3.flhsmv.gov/DMV/Proc/Fees/Fees-01.PDF

.  Addresses for all Florida county 

tax collectors’ offices are located on our website at:

 

http://www.flhsmv.gov/offices

.  Some county agencies offer a fast title 

service for an additional fee. 

 

The applicant must provide proof of identity (driver license, identification card, etc.) with their completed application. This 



includes proof of identity for any individual signing as an authorized agent for a company/business, when applicable. This 

condition does not apply to a Florida licensed motor vehicle, mobile home or recreational dealer, a Florida licensed motor 

vehicle auction, a licensed insurance company, a lienholder, a Florida vessel dealer or their authorized agent. 

 

Check your local phone book government pages or visit the following website for current mailing addresses

http://www.flhsmv.gov/offices/



 

 

THIS FORM IS A COMBINATION OF FORMS HSMV 82101, 82055 AND 87009. 



 

HSMV 82101 (Rev. 06/11) S 

  

 

 

 

www.flhsmv.gov

 

Document Outline

  • MOTOR VEHICLE, MOBILE HOME OR VESSEL TITLE CERTIFICATE
  • Section 1 – Type of Application
    • Fees are located on our website http://www3.flhsmv.gov/DMV/Proc/Fees/Fees-01.PDF.  Addresses for all Florida county tax collectors’ offices are located on our website at: http://www.flhsmv.gov/offices.  Some county agencies offer a fast title service ...
  • HSMV 82101 (Rev. 06/11) S      www.flhsmv.gov

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