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Mv 427 Penndot Form

The MV-427 Penndot form is an application used to establish or modify an official vehicle inspection station in Pennsylvania. This form is essential for ensuring compliance with state regulations regarding vehicle safety and emissions inspections. Completing the MV-427 accurately is crucial, as any incomplete information may lead to rejection of the application.

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Mv 427 Penndot Sample

Safety Station Application Check List

Upon submission of the station information packet, all items below must be included. If information is incomplete, the packet will be rejected. A letter will be sent to the applicant, notifying them of the deficiency. Additionally, included in the packet is an instruction sheet detailing how to complete form MV-427.

☐MV-427 (If applying for a safety and emission inspection, station must complete one form for safety and a separate form for emission. (Do NOT check both safety and emissions on the same form. One form should only specify SAFETY and the other form, if necessary, should only specify EMISSIONS).

☐MV-427A (must complete two separate forms if applying for a safety and emission inspection station).

☐MV-443 list of certified safety inspectors (include inspector number).

☐If you have completed section E Letter of Authority on form MV-427 and the person listed in section E is not listed on the form MV-427 as owner or is not listed as an owner/corporate officer on form MV-427A, you must include a separate document to provide that person’s name and driver’s license number with the packet. (If you are providing an out-of-state driver’s license number, you must also provide date-of-birth with the information.)

☐MV-500

☐Certificate of liability insurance or bond: Attach proof of insurance or a bond, in the amount

of at least $10,000.00, providing compensation for any damage to a vehicle during an inspection. A

“ Garage Keeper’s Legal Liability Policy” is acceptable. This proof of insurance or bond MUST include station name, physical location, and amount of coverage and period of coverage.

☐Must have a valid insurance policy with PennDOT listed as the Certificate Holder, using the address below

☐Copy of lease or deed

☐Copies of utility bills (most recent electric and phone bill)

☐Photos of the interior and exterior of the inspection area, sticker security area, and office area.

☐Must have a valid Employer Identification Number (EIN) or Social Security Number (SSN)

☐Must have a valid State Sales Tax Number

The completed packet should be mailed/emailed to:

Pennsylvania Department of Transportation

Vehicle Inspection Division

P O Box 68696

Harrisburg, PA 17106-9003

ATTN: Troy Roadcap, Manager

EMAIL: stationappointments@pa.gov

MV- 4 2 7

I NSPECTI ON STATI ON APPLI CATI ON

I NSTRUCTI ONS

USE: This application should be completed when applying for a new inspection station, and when any changes occur to an existing station, such as; change of location, change of ownership, and reappointment after a suspension, etc.

COMPLETI ON OF FORM: When properly completed and approved, this application will serve as your appointment certificate. Please use black ink and print clearly or type. PROVI DI NG FALSE, I NACCURATE, OR I NCOMPLETE I NFORMATI ON WI THI N THE APPLI CATI ON AUTOMATI CALLY I NVALI DATES THI S CERTI FI CATE.

Section A: I ndicate the reason for this application.

•New inspection station: A business which is not currently an inspection station.

•Reappoint After Cancel: A previously cancelled station reopens. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) NOT APPLI CABLE FOR PREVI OUS ENHANCED EMI SSI ON STATI ONS.

•Reappointment after Suspension: A business that had its inspection privileges suspended and wishes to reopen as an inspection station after the suspension has been served.

•Change of Location: An existing inspection station that is moving to a new location or is remodeling the existing location to provide additional space.

•Change of Ownership: When a new owner(s) takes over an existing inspection station or when a corporation changes President and the person was never listed as a Corporate Officer in the past. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” )

•Change of Authority: When a person in charge of an inspection station changes, but the ownership of the company remains the same. ( Section E should be completed at this time.)

•Change of Mailing Address: When a business wants to update an existing mailing address that is different than the physical location.

•Add Mailing Address: When a business wants its mail to be delivered to an address other than the physical location of the garage. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

•Delete Mailing Address: when a business wants to delete an existing mailing address other than its physical location. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

•Change of address by Post Office: When the business address of the station is being changed by the United States Post Office, or other agency.

•Company to Corporation: A sole proprietorship or partnership incorporates. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

•Change of Trade Name: An existing inspection station making a name change only. (See Company to Corporation above it the station is incorporating) .

•Adding or changing a station type: When a general station adds motorcycle, a fleet station changes to a general station and vice versa. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

•Add or Drop Partner: When a business adds or drops a partner(s) . (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

Section B: Complete this section with the following information.

•Business name: I ndicate the name under which you will operate. (list both names is you trade under a

different name; ie. Smith’s Garage, inc. T/ A Mike Smith Automotive.

•Business address: I ndicate the actual location of the business. Must be a street address, no post office boxes in this space. I f you want to use a PO Box, complete the mailing address box in this section.

•Telephone number: Provide the business telephone number including area code.

• Ow ner’s name: List the owner of the business. I f business is a partnership list on partner. I f the business is a corporation, list a corporate officer. A regional or district manager is also acceptable.

•Driver License# : Provide the owner’s driver’s license number. I f license is issued from a state other than

Pennsylvania, please list the correct state abbreviation after the operator number: e.g., 123038483949 NJ (for operator number from New Jersey) .

•Mailing address ( if different from the business address) : May be indicated in the space provided. I f you wish to receive mail from the Department at your business address, the mailing address segment of Section B should remain blank.

Section C: This section provides additional information about your business.

•I ndicate if you are the sole proprietor, a partnership, or a corporation. (Commonwealth stations should check corporation) .

•I ndicate your Federal I D number and Sate Sales Tax number in the appropriate boxes. I f you have submitted applications to these agencies and have not received your identification numbers, you may write “ APPLI ED FOR” in the appropriate boxes, and then submit your number(s) to the Department when they are received.

•I ndicate the size of the I nspection area where inspection are performed (ie. 22ft x 28 ft or if more than one bay, e.g., Bay 1 22ft x 28 ft Bay 2 22ft X 62 ft, etc.)

•I ndicate the one category most appropriate for your business.

•I ndicate the type(s) of station you wish to operate which should coincide with the type(s) of vehicles you will be inspecting. I f applying for a safety station and an emission station you must complete a separate application for each type. (Do not mark safety and emission on the same application) .

•I ndicate the type(s) of station you wish to operate and check the appropriate box(es) for any type(s) of vehicles you will be inspecting at your business.

Section D: First section should be completed when you own another inspection station. Second section should be completed when you need to cancel a previous inspection station.

•First Section – Provide the station number(s) of other station(s) you own.

•Second Section – Provide the current station number and/ or name of station being cancelled due to change of location, change of ownership or change of station type, ie. Fleet to General.

Section E: This section should be completed by the owner or a corporate officer ONLY when a person OTHER THAN an owner or a corporate officer is responsible for operating the business in the owner/ corporate officer’s behalf.

I MPORTANT: PRI NT ALL PARTS OF SECTI ON E, EXCEPT for the signature of the owner/ corporate officer.

Section F: DO NOT WRI TE I N THI S SPACE.

Section G: The application must be signed by the owner/ corporate officer at the time of application submission. I N THOSE CASES WHERE SECTI ON E HAS BEEN COMPLETED, THE PERSON AUTHORI ZED BY THE OWNER/ CORPORATE OFFI CER MUST SI GN THE APPLI CATI ON.

MV-427 (2-08)

INSPECTION STATION

FORDEPARTMENTUSEONLY

PLEASE TYPE OR PRINT CLEARLY.

CERTIFICATE OF

INCIDENT# ____________________________

THIS APPLICATION WILL SERVE AS

APPOINTMENT

YOUR CERTIFICATE

CHECK ✔ THE PROPER BLOCK:

❑New Inspection Station

❑Re-appointment after suspension

❑Change of Location

❑ Change ofAuthority within a Company or a Corporation

❑Change of MailingAddress

❑Change ofAddress by Post Office

❑ Change of Trade Name

❑ Other

NAME AND ADDRESS OF BUSINESS

Name of Business

Business StreetAddress

City

County

State

Zip Code

Telephone #

Owner’s Name

Driver’s License #

MailingAddress (if different than above)

City

County

State

Zip Code

BUSINESS INFORMATION

CHECK ✔ OWNERSHIP CLASS:

❑Sole Proprietorship (A)

❑ Partnership (B) ❑Corporation (C)

Federal ID #

State Sales Tax #

Size of InspectionArea

Category ✔ Check One:

❑Garage (A)

❑Manufacturer (E)

❑Gas Station (B)

❑New Dealer (C)

❑Used Dealer (D)

Station Type: ❑Motorcycle (A)

❑Fleet (C)

❑General (E)

❑Enhanced Safety

❑Commonwealth (F)

❑Emission (X)

❑Trailer (D)

Inspection (J)

Type of vehicles you will be inspecting:

❑Passenger Cars

❑Light Trucks

❑Trailers 10,000 lbs or less

❑Trucks over 17,000 lbs.

❑ Buses

❑Motorcycles

❑Trailers over 10,000 lbs.

❑Trucks 17,000 lbs. or less

Station number of other Station(s) presently owned:

Station number and/or name of current Inspection Station:

LETTER OF AUTHORITY

CERTIFICATION

Thisletterauthorizes_______________________________________

Certificate ofAppointment as an Official Inspection Station

(Print Name of person signing the application)

Pursuant to the provisions of the Vehicle Code, 75 Pa.C.S. Sections 4721,

4723 or 3368,Act of June 17, 1976, No. 81, as amended.

________________________________________________________

(Title)

residing at _______________________________________________

(home street address)

________________________________________________________

(NOT VALID WITHOUT SEAL)

(city/town)

(county)

(state)

(zip)

to be responsible for all inspection operations performed at the above

station.

_______________________________________ _______________

This certificate may be suspended or cancelled at any time if the provisions

of the Vehicle Code or the inspection regulations are not being complied

(Signature of owner or officer)

(Date)

with or if the business is being improperly conducted.

_______________________________________

Any change at a designated Official Inspection Station automatically

(Title)

invalidates this Certificate.

Application Date:

Appointment Date:

Inspection

Station #

Iverifythatthefactssetforthonthisapplicationwerecheckedafterthecompletionoftheformandaretrueandcorrect.Thisverificationismadesubject

to the penalties of Section 4904 of the Crimes Code (18 Pa.C.S. § 4904) relating to Unsworn falsification to authorities.

Applicant Signature:

Title

Department Investigator:

Troop/Station

Badge #

WHITE - Business Copy

YELLOW - Bureau of Motor Vehicles Copy

PINK - Investigator Copy

MV-427A (4-12)

Station Application

Supplemental Information

For Department Use Only

ATTACHMENT 1

PLEASE TYPE OR PRINT CLEARLY

A.STATION NAME: _____________________________________________________________________________________

B.INSURANCE ACKNOWLEDGEMENT:

I understand that a bond or certificate of insurance in the amount of $10,000 is required for each inspection station. I also understand that failure to maintain this bond or insurance will result in cancellation of my inspection station.

Yes ______ No ______

C.ADDITIONAL INFORMATION:

1.LIST ALL OWNERS, PARTNERS OR CORPORATE OFFICERS (NOTE: Individuals should list thier PA Driverʼs License (PA DL) or Photo ID# in the space provided. Business should list their Business ID# (Bus.ID) where indicated (i.e. E.I.N.)

NAME	TITLE	PA DL/PHOTO ID#	DATE OF BIRTH

STREET ADDRESS	CITY	STATE	ZIP

NAME	TITLE	PA DL/PHOTO ID#	DATE OF BIRTH

STREET ADDRESS	CITY	STATE	ZIP

NAME	TITLE	PA DL/PHOTO ID#	DATE OF BIRTH

STREET ADDRESS	CITY	STATE	ZIP

NAME	TITLE	PA DL/PHOTO ID#	DATE OF BIRTH

STREET ADDRESS	CITY	STATE	ZIP

2.Has this business or the owners, partners or officers thereof ever been a dealer, miscellaneous motor vehicles business, messenger service, inspection station or issuing agent in this or any other state?

Yes _____ No _____

If yes, list name(s), location(s), and identification number(s).

_________________________________________________________________________________________________

3.Is this application for a change of ownership or was this location previously an inspection station?

Yes _____ No _____

If yes, list previous station name(s), address(s) and identification number(s).

_________________________________________________________________________________________________

4.Is this inspection station being sold, transferred or leased while the station is suspended or restored pending appeal?

Yes _____ No _____

If yes, were you ever affiliated with this station or are you related in any way to the owner(s)? Yes _____ No _____

5.Have any owners, partners or corporate officers of this business been affiliated with a dealership, miscellaneous motor vehicle business, messenger service, inspection station or issuing agent whose privilege to conduct business as such was suspended, cancelled or revoked or is currently under investigation or received notice to attend a Departmental or court hearing or is awaiting a decision by a hearing officer or a Court?

Yes _____ No _____

If yes, list name, location, and identification number and explain situation.

_________________________________________________________________________________________________

6.Does any owner, partner, corporate officer or any business with which they were previously affiliated, have any outstanding liabilities which are due and owing to the Commonwealth, including but not limited to, taxes, fees, monetary penalties or outstanding paperwork?

Yes _____ No _____

If yes, explain

_________________________________________________________________________________________________

7.Have any owners, partners or corporate officers of this business ever been convicted or administratively sanctioned for violations of Department regulations Chapter 175 or 177 or Chapter 47 of the Vehicle Code?

Yes _____ No _____

If yes, explain

_________________________________________________________________________________________________

8.Have any owners, partners or corporate officers of this business ever remitted uncollectible checks payable to the Department of Transportation or the Commonwealth of Pennsylvania?

Yes _____ No _____

If yes, explain

_________________________________________________________________________________________________

9.Are all owners, partners, officers and management/supervisory employees aware of their responsibilities and obligations relating to the operation of an official inspection station, including but not limited to, record keeping, supervision of employees and customer relations?

Yes _____ No _____

If no, explain

_________________________________________________________________________________________________

I hereby verify that the information set forth above is true and correct to the best of my knowledge, information and belief. This verification is made subject to the penalties of 18 PA. C.C.§4904, relating to unsworn falsification of authorities.

Signature: _________________________________________________________________________________________

Print Name as it Appears Above: _______________________________________________________________________

Title: ________________________________________________________________________________________________

Date: _______________________________________________________________________________________________

MV-443 (3-06)

Commonwealth of Pennsylvania

DEPARTMENT OF TRANSPORTATION

OFFICIAL INSPECTION STATION NUMBER _____________________________

CURRENT LIST OF CERTIFIED

SAFETY INSPECTION MECHANICS

	OPERATOR’S	MECHANIC
NAME	LICENSE	CERTIFICATION	CLASS
NAME			CLASS
	EXPIRATION	EXPIRATION
	DATE	DATE

1.____________________________________________________________________________________

2.____________________________________________________________________________________

3.____________________________________________________________________________________

4.____________________________________________________________________________________

5.____________________________________________________________________________________

6.____________________________________________________________________________________

7.____________________________________________________________________________________

8.____________________________________________________________________________________

9.____________________________________________________________________________________

10.___________________________________________________________________________________

11.___________________________________________________________________________________

12.___________________________________________________________________________________

13.___________________________________________________________________________________

14.___________________________________________________________________________________

15.___________________________________________________________________________________

16.___________________________________________________________________________________

17.___________________________________________________________________________________

MV-500 (11-10)

www.dot.state.pa.us

Bureau of Motor Vehicles

Vehicle Inspection Division

P.O. 68697 • Harrisburg, PA 17106-8697

Pennsylvania Department of Transportation Authorized Agents for Purchasing Stickers

r NEW

r REVISED (PLEASE CHECK ONE)

	PRINT NAME AS LISTED ON ID		OPERATOR NUMBER		SOCIAL SECURITY#
	OR DRIVER’S LICENSE				(IF NON-PA DRIVER’S LICENSE)
	OR DRIVER’S LICENSE
1.	_____________________________	1.	_____________________________	1.	_____________________________
2.	_____________________________	2.	_____________________________	2.	_____________________________
3.	_____________________________	3.	_____________________________	3.	_____________________________
4.	_____________________________	4.	_____________________________	4.	_____________________________
5.	_____________________________	5.	_____________________________	5.	_____________________________

I hereby authorize the above listed person(s) to sign sticker requisitions and receive Certificates of Inspection for the following Official Inspection Station:

__________________	__________________________________	________________________
(Station Number)	(Station Name)		(Telephone #)
______________________________________________________________			____________________
(Signature of Station Owner or Authority) - Station Owner or Authority must be listed in one of the five lines above.			(Title)
______________________________________________________________			____________________
(Print Name As It Appears Above)			(Date)

REVIEW INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING.

THIS FORM MAY NOT BE COPIED OR FAXED

•Official Inspection Stations must use this form to authorize purchaser(s) to sign Form MV-436A, "Inspection Sticker and Insert Order Form."

•You may submit up to five names to be placed in a computerized signature file for your station. (NO MORE THAN FIVE (5) NAMES ARE PERMITTED). Each name submitted must include, driver’s license number (or government issued photo identification card number) and Social Security number (if non-PA driver’s license).

•If the station owner or authority (as listed in sections B or E of the certificate of appointment Form MV-427) or corporate officer, partner, etc. (listed on Form MV-427A) intends to sign Form MV-436A to purchase inspection stickers, his/her name, operator number, and Social Security Number

(if applicable) must also be listed on one of the five (5) designated spaces.

•If the REVISED box is checked, you will need to list all persons whom you have previously authorized and wish to remain authorized. Any names that are not on this form will be deleted from the computerized signature file.

•Stations which are appointed to perform both safety and emission inspections may submit only one (1) authorization form. The authorized purchasers for these stations will be able to sign Form MV-436A for both safety and emission stickers.

•Bonded messengers and members of the Legislature cannot be listed on this form as authorized purchasers.

•Return this form to: Bureau of Motor Vehicles, Vehicle Inspection Division, P.O. Box 68697, Harrisburg, PA 17106-8697. If you have questions please call (717) 787-2895.

⇓ PDF File

Instructions on Utilizing Mv 427 Penndot

Completing the MV-427 form is an essential step when applying for a new inspection station or updating an existing one. It’s important to ensure that all sections are filled out accurately and completely. Missing information can lead to delays or rejection of your application. Follow the steps below to fill out the form correctly.

Gather Required Documents: Before starting, collect all necessary documents such as proof of insurance, lease or deed, utility bills, and photos of the inspection area.
Section A: Indicate the reason for your application by checking the appropriate box. Choose from options like "New Inspection Station," "Change of Ownership," or others as applicable.
Section B: Fill in the business name, address, telephone number, owner's name, driver's license number, and mailing address if different from the business address.
Section C: Specify your business structure (sole proprietorship, partnership, or corporation) and provide your Federal ID and State Sales Tax numbers. If you haven’t received these numbers yet, write "APPLIED FOR."
Inspection Area: Describe the size of the inspection area and check the category that best fits your business type.
Section D: If you own other inspection stations, list their numbers. If canceling a previous station, provide its name and number.
Section E: Complete this section only if someone other than the owner or corporate officer will operate the business. Ensure to print clearly.
Section F: Leave this section blank; it is for department use only.
Section G: Sign the application. The owner or corporate officer must sign, and if Section E is completed, the authorized person must also sign.
Review: Double-check all entries for accuracy and completeness before submitting the form.
Submit: Send the completed application packet to the Pennsylvania Department of Transportation, Vehicle Inspection Division, using the provided address or email.

By following these steps, you will ensure that your MV-427 form is filled out correctly, helping to facilitate a smoother application process. Remember, providing accurate and complete information is key to avoiding delays or rejections.

Misconceptions

Misconception 1: The MV-427 form can be used for both safety and emissions inspections on a single application.

This is not true. When applying for a safety and emissions inspection station, separate forms must be completed for each type. One form should clearly indicate "SAFETY" and another should specify "EMISSIONS." Checking both on the same form is not allowed and could result in rejection.

Misconception 2: You can submit the MV-427 form without including all required documents.

In reality, all necessary documents must be included with the application packet. If any information is missing or incomplete, the application will be rejected. You will receive a notification about the deficiency, which can delay the process significantly.

Misconception 3: Only the owner of the inspection station can sign the application.

This is a common misunderstanding. While the owner or a corporate officer typically signs the application, if someone else is responsible for operating the business, that individual can also sign. However, this must be clearly indicated in Section E of the form.

Misconception 4: The proof of insurance or bond can be submitted later if it is not available at the time of application.

This is incorrect. A valid certificate of liability insurance or bond must be included in the application packet. The insurance must meet specific requirements, including coverage amounts and being listed with PennDOT as the Certificate Holder. Failing to provide this documentation will result in rejection of the application.

Documents used along the form

When applying for a safety inspection station in Pennsylvania, several forms and documents complement the MV-427 form. These documents are essential for ensuring that the application is complete and meets all necessary requirements. Below is a brief overview of four important documents that are often submitted alongside the MV-427.

MV-427A: This form is required if the inspection station is applying for both safety and emissions inspections. Two separate forms must be completed—one for safety and another for emissions. It ensures clarity and compliance with the regulations.
MV-443: This document lists certified safety inspectors associated with the inspection station. It is crucial to include the inspector numbers for verification and compliance purposes.
Durable Power of Attorney: It is advisable to include a Durable Power of Attorney form alongside your application to ensure that your affairs can be managed as per your wishes in case of unexpected circumstances.
Certificate of Liability Insurance or Bond: Proof of insurance or a bond of at least $10,000 is necessary to cover any damages that may occur during vehicle inspections. The document must include the station's name, physical location, and coverage details.
Copy of Lease or Deed: A copy of the lease agreement or property deed is required to confirm the physical location of the inspection station. This helps verify that the station operates from a legitimate business address.

Submitting these documents alongside the MV-427 form not only streamlines the application process but also demonstrates a commitment to compliance and safety standards. Ensuring that all required forms are completed accurately can significantly enhance the chances of a successful application.