Transcription of DMV USE ONLY - oregon.gov
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DMV USE ONLY - oregon.gov
735-268 ( -1 )STK# 300111 PLATE TRANSFER FEEA pplication for Registration,Renewal, Replacement or Transfer of Platesand/or StickersCOUNTER DATE STAMP / INITIALSSIGNATURE OF OWNER AS SHOWN ABOVESIGNATURE OF JOINT OWNER AS SHOWN ABOVEDATEDATET ransaction Type:Disposition of Plates 2EG #ARDOR 3 TICKERS:XX1 1 1 SURRENDEREDLOSTMUTILATEDSTOLENThis application cannot be used to change or correct the name(s) shown on the title or to change :PERMIT #HVUTMISCEXPIRATION DATENEW PLATE #STICKER #YEARMAKESTYLEFLEET ACCOUNT #FARM ID #WEIGHT / LENGTHEQUIPMENT #PRESENT oregon PLATE #VEHICLE IDENTIFICATION NUMBER (VIN) oregon TITLE #SPECIAL PLATESREPLACEMENT FEETOTAL FEE PAIDBATCH CODEREG / REN FEETRANS CODEVT%QORNGVG.
JOINT OWNER OR LESSEE - PRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE (See “Change of Address” on reverse) JOINT OWNER OR LESSEE - PRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE (See “Change of Address” on reverse) RESIDENCE / BUSINESS ADDRESS - (Address will be used to update your ODL / ID Card)
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