APPLICATION FOR MISCELLANEOUS MOTOR VEHICLE …

Sole ProprietorshipqPartnershipqCorporationqO wnedqLeasedqANAMe ANd AddReSS OF business - Exactly as registration is to be OF business (Check One)ThiS lOCATiON iS(Check One)CliST All OWNeRS, pARTNeRS OR CORpORATe OFFiCeRS (home Address)NameStreet Address (Principal Place of business )City business Phone NumberHome Phone Number of Presidentor Controlling PartnerCountyStateZip CodeDealer/Bus. Partner ID#dliST OTheR bUSiNeSSeS AT ThiS lOCATiONeiNdiCATe NUMbeR OF ReGiSTRATiON plATeS YOU ARe ApplYiNG FOR iN The SpACe pROVided beSide TheAppROpRiATe ClASSiFiCATiON. MV-359 (11-18)For Department Use OnlyBureau of MOTOR Vehicles Box 68283 Harrisburg, PA : dealer registration plates may be renewed for one or two-year dealer registration plates listed must have the same expiration classes of MISCELLANEOUS MOTOR VEHICLE business - One-Year Registration Fee: $54 per registration plate / Two-Year Registration Fee: $108 perregistration platesRegistration plate Type# of platesRequestedRegistrationFeeplatesSubt otalFinancier or Collector-Repossessor (CR)X=$Repair or Towing (RT)X=$Transporter (TR)X=$ VEHICLE Salvage Dealer (WL)X=$Watercraft Trailer Dealer (WD)X=$Registration Cards# of duplicatesRequestedFeeReg.

street address. Include business telephone and home telephone numbers. The license issued will be valid only for the business address listed on this application. 2. Check appropriate box for the type of business and if location is owned or leased. 3. List all owners, partners or corporate officers. The official titles are required.

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