Transcription of CITY STATE PA ZIP CODE - PennDOT Home
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APPLICATION FOR REPLACEMENT OF A VALID WITHOUT photo LICENSE WITH A photo LICENSE UPON return OF THE DRIVER TO PENNSYLVANIAPLEASE TYPE OR PRINT IN BLUE OR BLACK INK ALL INFORMATIONDL-58EF (5-18)DRIVER INFORMATION Type or Print All InformationDRIVER S LICENSE NUMBER LAST NAME JR/ETC. FIRST NAME MIDDLE NAMEA DATE OF BIRTH HEIGHT EYE COLOR TELEPHONE NUMBER (8:00 :30 ) E-MAIL ADDRESS (if applicable) Month Day YearNEWSTREETADDRESSCITY PAZIP CODESTATEBCSIGN IN PRESENCE OF NOTARY SUBSCRIBED ANDSWORN TO BEFORE ME MO.
application for replacement of a valid without photo license with a photo license upon return of the driver to pennsylvania please type or print in blue or black ink ...
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