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Application for Duplicate Plates and or Stickers

THIS Application IS FOR Duplicate (Please check all that apply):The registration Plates , year Stickers and/or month Stickers for this vehicle must be replaced because they were (check all that apply):INSTRUCTIONS: Please Read Carefully Before Completing Form 1. Complete this Application on this side only. PLEASE PRINT OR TYPE. 2. Attach this vehicle's current registration card. PS2067B-16 (01/16)MINNESOTA DEPARTMENT OF PUBLIC SAFETY DRIVER AND VEHICLE SERVICES445 Minnesota Street Saint Paul, MN 55101-5160 Phone: (651) 297-2126 TTY: (651) 282-6555 Web: Application FOR Duplicate Plates AND/OR STICKERSPLEASE READ INSTRUCTIONS BELOW BEFORE COMPLETINGA Duplicate Title is NOT required when applying for Duplicate Plates or stickersPLATESDESTROYEDLOSTSURRENDEREDVE HICLE IDENTIFICATION NUMBERMAKEMODEL YEARDRIVER'S license NUMBERLAST, FIRST AND MIDDLE NAMEPRINT NAME OF OWNER(S)uuFEES DUE PRINT ADDRESS OF FIRST OWNER (PERMANENT ADDRESS)ZIP CODESTATECITYSTREET ADDRESSCOUNTYZIP CODESTATECITYSTREET ADDRESSSTOLENDUPLICATEFILINGTOTALCENTRAL OFFICE USE ONLYYEARMONTHCURRENT EXPIRATION DATE/TYPENew Plate Number IssuedYEARNew Year Validation Sticker No.

application for duplicate plates and/or stickers. please read instructions below before completing. a duplicate title is . not. required when applying for duplicate plates or stickers. plates destroyed. lost surrendered. vehicle identification number. model year make last, first and middle name driver's license number. print name of owner(s) u ...

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