Att. 5 T1049 Sample Universal Title Form - Front.pdf

PDF 478 KB Posted Jun 24, 2026

Attached to: T1049 - Printing: Title Forms - Universal and Junk for Motor Vehicle Commission
Solicitation number: 26DPP01318
Issued by: New Jersey

About this file

Written by GovTribe AI · Aug 24, 2026

This is a sample universal title form document from the New Jersey Motor Vehicle Commission, showing the front page of Certificate of Title form ISM/SS-1 (R5/25). The form is designed as a dual-copy document with both a customer copy and file copy, featuring security elements including watermarks, barcodes, perforations for separation, and pantograph security printing. The form includes fields for vehicle identification information (VIN, year, make, model, body type), ownership details, lienholder information with provisions for up to two lienholders, mileage status indicators (actual mileage, not actual, exceeds mechanical limits, salvage, taxi, flood, police, lemon law), and certification language from the Chief Administrator of the Motor Vehicle Commission confirming recorded ownership in compliance with New Jersey law. The document displays security features including "NEW JERSEY WATERMARK" text visible when held to light, SSI Ocean Blue security fibers, and SSP green pantone coloring as specified for production.

The New Jersey Department of the Treasury's Division of Purchase and Property issued Bid Solicitation 26DPP01318 (T1049) for printing services of Universal and Junk Title Forms for the Motor Vehicle Commission, with quotes due August 7, 2026 at 2:00 PM via NJSTART eProcurement. The scope requires printing NJMVC Form SS-1 (Universal Title Forms) in six volume tiers from 500,000 to 2,000,000 units and Form SS-3 (Junk Title Forms) in five volume tiers from 50,000 to 1,000,000 units on 25# green paper with specified security features, delivered within 4-6 weeks of proof approval. Bidders must submit up to 25 sample units at no charge, technical quotes, security and quality management plans, organizational experience documentation, and references from states supplied within three years. The estimated contract value is $1.2 million over three years with optional extensions up to two additional years, requiring $180,000 performance security and quarterly 1% supplier convenience fees to Periscope Holdings, Inc. Group 1 pricing requires firm, fixed unit prices per thousand; Group 2 requires benchmark pricing per hundredweight for future paper cost adjustments after year one. An optional pre-quote conference was scheduled for July 2, 2026, with the question-and-answer period closing July 9, 2026.

View the file

Other files

File	Type	Posted
Att. 1 Combined State of New Jersey Standard Terms and Conditions 6.3.2025~1.pdf	PDF	Jun 24, 2026
T1049 Bid Solicitation 6.24.26~1.docx	DOCX document	Jun 24, 2026
T1049 Revised Bid Solicitation 8.6.26.docx	DOCX document	Jun 24, 2026
T1049 Bid Solicitation 6.24.26.docx	DOCX document	Jun 24, 2026
Att. 6 T1049 Sample Universal Title Form - Back.pdf	PDF	Jun 24, 2026
Att. 4 Bidder Data Form~1.pdf	PDF	Jun 24, 2026
T1049 Bid Amendment 1 8.6.26~1.docx	DOCX document	Jun 24, 2026
Att. 2 Checklist and Forms Packet~2.pdf	PDF	Jun 24, 2026
Att. 3 Bidder Quote Overview Form~1.pdf	PDF	Jun 24, 2026
T1049 State-Supplied Price Sheet 6.24.26~2.xlsx	XLSX spreadsheet	Jun 24, 2026
Att. 6 T1049 Pre-Quote Conference PowerPoint.pptx	PPTX presentation	Jun 24, 2026
Att. 7 - T1049 Sample Junk Title Form.pdf	PDF	Jun 24, 2026

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8410054126

CERTIFICATE OF TITLE

VOID IF ALTERED

(PERF)

C U

S T O

M E R

C O

P Y

S T A T E O

F N

E W

J E R S E Y

X X

B A

R C

O D

E A

R E

A B

A R

C O

D E

A R

E A

E C

O P Y

CONTROL

NUMBER

FOLD AND TEAR AT PERFORATION

XXXXXXXX

BARCODE AREA

Invisible Consec#’s

PROOF

DATE

LIEN RELEASED BY:

SIGNATURE

TITLE DATES

C O

N D

N H

O L

D E

S T

N H

O L

D E

DATE

ISM/SS-1 (R5/25)

S E

C O

N D

R E

L E

A S

R E

L E

A S

LIEN RELEASED BY:

SIGNATURE

STATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOFNJSTATEOF

S T A

T E O

F N

E W

J E R S E Y

H O

L D T

O L

H T T

O V

N E W

J E R S E Y W

A T E R M

A R K

H O

L D T

O L

H T T

O V

N E W

J E R S E Y W

A T E R M

A R K

PREFIX IDENTIFICATION NUMBER SUFFIX YEAR MAKE MODEL BODY TYPE

TYPE OF TITLE DUPLICATE NO. GVW/WC/LGTH. COLOR/MTL/HP DEALER I.D. AXLES/PROP FUEL

FEE ISSUE DATE VIN-REPLACEMENT MILEAGE STATUS

OWNER(S)

F-FLOOD

P-POLICE

L-LEMON LAW

A-ACTUAL MILEAGE

N-NOT THE ACTUAL MILEAGE

M-MILEAGE EXCEEDS THE

MECHANICAL LIMITS

S-SALVAGE

T-TAXI

MOTOR VEHICLE COMMISSION

NUMBER OF

LIENHOLDERS:

NUMBER OF

OWNERS:

N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O

J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E

M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C O M M I S S I O N N E W J E R S E Y M O T O R V E H I C L E C

SIGNATURE

I, CHIEF ADMINISTRATOR OF THE MOTOR VEHICLE COMMISSION, OF THE STATE OF NEW JERSEY, DO HEREBY CERTIFY THAT EVIDENCE OF PURCHASE OF OWNERSHIP, IN COMPLIANCE WITH THE LAWS OF THE STATE OF NEW JERSEY, OF THE DESCRIBED ARTICLE, HAS BEEN RECORDED AND FILED WITH ME, AND I DO HEREBY ISSUE THIS CERTIFICATE OF OWNERSHIP SUBJECT TO SECURITY

AGREEMENT OR LIEN, IF ANY AS STATED.

LOGOLINE

TITLE DATE

LOGOLINE

NEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMM

CERTIFICATE OF TITLE

VOID IF ALTERED

(PERF)

C U

S T O

M E R

C O

P Y

S T A T E O

F N

E W

J E R S E Y

X X

B A

R C

O D

E A

R E

A B

A R

C O

D E

A R

E A

E C

O P Y

SS 3 MORTAR Pantograph..

CONTROL

NUMBER

FOLD AND TEAR AT PERFORATION

XXXXXXXX

BARCODE AREA

SSI

OCEAN

BLUEPROOFSSP

GREEN

SSI

OCEAN

BLUE

DATE

LIEN RELEASED BY:

SIGNATURE

TITLE DATES

C O

N D

N H

O L

D E

N H

O L

D E

DATE

ISM/SS-1 (R5/25)

S E

C O

N D

R E

L E

A S

R E

L E

A S

LIEN RELEASED BY:

SIGNATURE

S T A

T E O

F N

E W

J E R S E Y

H O

L D T

O L

H T T

O V

N E W

J E R S E Y W

A T E R M

A R K

H O

L D T

O L

H T T

O V

N E W

J E R S E Y W

A T E R M

A R K

PREFIX IDENTIFICATION NUMBER SUFFIX YEAR MAKE MODEL BODY TYPE

TYPE OF TITLE DUPLICATE NO. GVW/WC/LGTH. COLOR/MTL/HP DEALER I.D. AXLES/PROP FUEL

FEE ISSUE DATE VIN-REPLACEMENT MILEAGE STATUS

OWNER(S)

F-FLOOD

P-POLICE

L-LEMON LAW

A-ACTUAL MILEAGE

N-NOT THE ACTUAL MILEAGE

M-MILEAGE EXCEEDS THE

MECHANICAL LIMITS

S-SALVAGE

T-TAXI

MOTOR VEHICLE COMMISSION

NUMBER OF

LIENHOLDERS:

NUMBER OF

OWNERS:

SIGNATURE

AGREEMENT OR LIEN, IF ANY AS STATED.

LOGOLINE

TITLE DATE

LOGOLINE

NEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMMISSIONNEWJERSEYMOTORVEHICLECOMM

Invisible Consec#’s

XXXXXXXXXXXXXXXX

PROOF 1

SSI

OCEAN

BLUE

SSI

OCEAN

BLUE

SSP

KNTY GRN

KEEP IN SAFE PLACEALTERATION OR ERASURE VOIDS TH IS TITLE .KEEP IN SAFE PLACEALTERATION OR ERASURE VOIDS TH IS TITLE .

VERSION 2 FACE: BORDER ART IN PMS 359, TEXT IN SSP

Face, all parts

File details come from the government source that posted it. Updated Aug 24, 2026.