Checks must contain a commercially pre-printed name and address. This form and all accompanying documents shall be mailed to the address stated above.All fill-in PDF forms should be downloaded and saved to your computer or device before you start entering information. NOTE: A request to correct a clerical error in a case record of the Supreme Court, Superior Court or. NOTE: To correct or change the name listed on a Pennsylvania Certificate of Title, use Form MV-41A. Remember to answer each question. 5. Use this side of the application if your vehicle is currently registered and you want a corrected certificate of title and registration card. How to fill out the Request to Amend a Death Record in Pennsylvania? Complete Form REV-419 so that your employer can withhold the correct. Pennsylvania personal income tax from your pay.