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REPLACEMENT IDENTIFICATION NUMBER PLATE TRAILER

MISSOURI DEPARTMENT OF REVENUEMOTOR vehicle BUREAUAPPLICATION FOR vehicle / TRAILER IDENTIFICATION NUMBER PLATE OR VERIFICATIONForm5062(Revised 08-2019)CONTROL INSTRUCTIONS ON REVERSEMOTOR vehicle / TRAILER /MANUFACTURED HOMESECTION B NOTARY PUBLICVALIDATION ONLYREGISTERED OWNER (LAST, FIRST, MIDDLE) DEALER NUMBER COUNTY DAYTIME TELEPHONE NUMBER STREET, RR, OR BOX NUMBER CITY STATE ZIP CODEYEAR MAKE vehicle IDENTIFICATION NUMBER MISSOURI TITLE NUMBER LICENSE NUMBERBODY STYLE MODEL COLOR CYLINDERS MILEAGECOMPLETE THE INFORMATION BELOW IF APPLYING FOR A REPLACEMENT VIN APPLICATION MUST ALSO BE NOTARIZEDLOSS OF VIN. PLATE REPORTED TO: DATE REASON REQUIRED LOST STOLEN MUTILATED DESTROYEDI certify that the statements above are true and that I am the registered owner of the above described unit(s).

contract office. If the application is for a new VIN plate for a motor vehicle or manufactured trailer, or for a replacement VIN for any motor vehicle or trailer, the application must be mailed directly to Motor Vehicle Bureau, PO Box 2076, Jefferson City MO 65105-2076. The original form must be submitted to the department.

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  Applications, Vehicle, Bureau, Motor, Motor vehicles, Motor vehicle bureau

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