And/Or Conjunction(Send current title and all customer signatures)
Owner (Changes of ownership may require a completed MV1, MV11 or MV12, the original title and titling fees)
Lien (Send current title, lien release, loan filing fee) (Owner and lender cannot be the same)
Other(mileage, color, lessee, etc.) Please provide explanation.
NOTE: For Odometer corrections this form must be submitted along with the secured MV11 or MV2488 forms.
Please contact the Agent Partnership Unit with questions.
I agree to protect and indemnify the Wisconsin Department of Transportation in any claims arising out
of the issuance of a changed title or registration on the above-described vehicle. I also certify with my signature that to the best of my knowledge the information and statements on this request for changes are true and correct.