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 .KPG YKVJ VJG QYPGT YJQUG CFFTGUU YKNN DG WUGF HQT CNN &/8 OCKN TGICTFKPI VJKU XGJKENG .KUV CFFKVKQPCN QYPGTU QP .KPGU CPF 6 JKU KP PQ YC[ FGVGTOKPGU C RTKQTKV[ QH QYPGTUJKR +H CP[ QYPGT NKUVGF WUGU CP CIGPE[ CFFTGUU QP &/8 TGEQTFU VJCV QYPGT OWUV DG UJQYP QP .KPG 5GG TGXGTUG HQT OQTG KPHQTOCVKQP 231 JOINT OWNER OR LESSEE - PRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE (See Change of Address on reverse) ONE-TIME MAILING ADDRESS (For this transaction only address will not show on your customer record)CITY, STATE, ZIP CODEDATE OF BIRTHDATE OF BIRTHODL / ID / CUSTOMER #DATE OF BIRTHPRINT FULL LEGAL NAME: LAST, FIRST, MIDDLE OF (check one)RESIDENCE / BUSINESS ADDRESS - (Address will be used to update your ODL / ID Card)MAILING ADDRESS - (If different from residence)C]]]]
735-268 ( -1 ) STK# 300111PLATE TRANSFER FEE Application for Registration, Renewal, Replacement or Transfer of Plates and/or Stickers COUNTER DATE STAMP / …
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