Please complete the attached application form and sign the application in accordance with the following instructions.
If you are signing as an officer of a corporation, you should sign your name under the corporate title followed by your officer title and then sign again individually followed by the word “indemnitor” in your own handwriting. If you are married, your spouse should also sign with the word “indemnitor” following his or her name. The same signing requirements apply to all owners of the business (if there is more than one owner).
Please send us the following:
The application may also be emailed to firstname.lastname@example.org and we will contact you for a credit card payment.
Other necessary forms and instructions can be obtained from the Tag Agent Division of the Pennsylvania Department of Transportation at 1-717-787-6048.
If you should have any questions, please do not hesitate to contact our office.