Permanent Trailer Identification PTI Application and Certification REG 4017 Rev 11 01

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The REG 4017 is a two-sided form used for trailers in the PTI program.

Side A is completed and signed by sole owners requesting a paper certificate of title.

Side B is an application for:

  • Transfer of ownership for a PTI trailer with an electronic title record. The transfer may be a registered owner transfer or a release of security interest only.
  • Addition of a legal owner only.

Note: The Application for Duplicate or Paperless Title (REG 227) cannot be used if a PTI paper title was not issued.

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