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APPLICATION AND AFFIDAVIT FOR HISTORICAL …

BMV 4806 4/15 [760-1512] Page 1 of 2 RESTRICTED ohio DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES APPLICATION AND AFFIDAVIT FOR HISTORICAL license PLATES DEFINITION, INSTRUCTIONS AND FEES ON BACK TYPE OR PRINT ohio license PLATE # EXPIRATION DATE CERTIFICATE OF TITLE NUMBER INSPECTED BY DEPUTY NAME / DEPUTY # VEHICLE INFORMATION FROM ohio CERTIFICATE / MEMORANDUM TITLE DATE PURCHASED YEAR MAKE MODEL SERIAL # CERTIFICATE OF TITLE # VEHICLE COLOR OWNER INFORMATION NAME DAYTIME PHONE # SSN / TIN / OH DL / OH ID ohio ADDRESS CITY STATE ohio ZIP CODE VEHICLE

bmv 4806 4/15 [760-1512] page 1 of 2 restricted ohio department of public safety bureau of motor vehicles application and affidavit for historical license plates

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