Transcription of NON-COMMERCIAL LEARNER'S PERMIT APPLICATION YOU …
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NON-COMMERCIAL LEARNER'S PERMIT APPLICATION YOU …
LICENSE REQUIRED FEE4-Year Photo$ Photo (Age 65 & Over)$ 'S LICENSE NUMBER: ALL QUESTIONS MUST BE ANSWERED (Check [4] Applicable Block) YES NOTHIS FORM IS VALID FOR 1 YEAR FROM THE DATE OF PHYSICAL EXAMINATIONThe physical date may not be more than 6 months prior to your 16th AND CERTIFICATION1. Have you ever held or possessed a Driver's License (DL)/ LEARNER'S PERMIT (LP)/Photo Identification Card (ID) from PA or any other state?..If yes, State: _____ DL/LP/ID #: _____ Name if different than above: _____ State: _____ DL/LP/ID #: _____ Name if different than above: _____ State: _____ DL/LP/ID #: _____ Name if different than above: _____2. Is your right to apply for a license or your privilege to operate a vehicle in this or any other state currently suspended, revoked,or subject to installation of an ignition interlock device?
to meet residency requirements you must present two of the following (for customers 18 years of age or older): Permit Fee: Additional permit fee of $5.00 for each class permit requested. MSEA Fee: These additional fees are required under the Pennsylvania Vehicle Code Section 7904 and will be used to
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