Transcription of REQUEST FOR REGISTRATION - PennDOT
{{id}} {{{paragraph}}}
Example: air traffic controller
REQUEST FOR REGISTRATION - PennDOT
If the above vehicle is leased, please list the Lessor s name in the space below. NoTE:If form MV-1L has never been filed with PennDOT , theleasing company (Lessor) must complete form MV-1L and return the completed form along with this NumberInsurance Company NamePolicy NumberPolicy Effective Policy ExpirationDateDateStreet AddressLessor NameEligible Applicant's NameEligible Applicant s Actual Income During the Past Calendar YearEligible Applicant's Date of BirthCityStateZip CodeRegistration Plate NumberBody TypeReg. Gross Wt. (if applicable)Last Name (or Full Business Name) First Name Middle Name Reg. Comb. Wt. (if applicable)No. of Axles - (Complete onlyif truck or truck tractor.)Expiration DateMake of VehicleVehicle Identification NumberI certify under penalty of law that ALL information contained herein is TRUE and CORRECT and that I am retired and receiving Social Security and/orother pension and income as listed in this section.
provided on the registration renewal form or Form MV-70S, “Bureau of Motor Vehicles Schedule of Fees. • If you indicated a donation to the Pennsylvania Veterans Trust Fund (VTF) and/or the Organ Donor Trust Fund (ODTF) in Section G, list the donation. in the space provided. • Indicate the number of duplicate registration cards desired, if ...
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: