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REQUEST FOR REGISTRATION

MV-140 (7-17). REQUEST FOR REGISTRATION For Department Use Only Bureau of Motor Vehicles 1101 South Front Street Harrisburg, PA 17104-2516. o initial REGISTRATION ( REQUEST for plate) o REGISTRATION Renewal a VEHiclE DEScRipTioN and oWNER NamE(S). Title Number Vehicle Identification Number REGISTRATION Plate Number Expiration Date Make of Vehicle Body Type Reg. Gross Wt. (if applicable) Reg. Comb. Wt. (if applicable) No. of Axles - (Complete only if truck or truck tractor.). Last Name (or Full Business Name) First Name Middle Name PA DL/Photo ID# Date of Birth or Bus. ID#. Co-Owner Last Name First Name Middle Name PA DL/Photo ID# Date of Birth b cHaNgE oF aDDRESS - Complete ONLY when reporting a change of address.

other pension and income as listed in this section. My total gross income for the previous year did not exceed $19,200 and unless I am physically . or. mentally incapable of driving, I am the principal driver of this vehicle. ... (VTF) and/or the Organ Donor Trust Fund (ODTF) in Section G, list the donation.

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