Transcription of SNOWMOBILE/ATV APPLICATION FOR REGISTRATION AND …
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SNOWMOBILE/ATV APPLICATION FOR REGISTRATION AND …
For Department Use Only DCNR SNOWMOBILE/ATV REGISTRATION Section PO Box 8553 Harrisburg, PA 17105-8553 DCNR-43 (8-21) vehicle INFORMATIONMake of vehicle Serial Number/VINYear Name and Number Machine Color Date of PurchaseMake and model including VIN of vehicle traded inEst. Yearly Fuel Usage PURCHASERLast Name (or Full Business Name) First NameMiddle InitialCo-Owner Last Name First NameMiddle InitialStreet AddressCountyPO Box No. (If Applicable) CityStateZip Code SECURITY - When a second lien is required, attach that lien holder's information to the no security Interest, Check (3) here Secured PartyStreet AddressCityState Zip CodeTEMPORARY REGISTRATION - Valid for 45 days from date issued. DEALER USE REGISTRATION NumberDate IssuedDealer NumberREGISTRATIONIs there a DCNR REGISTRATION plate/decal displayed on your vehicle ?.. r Yes r NoIf yes, list REGISTRATION number: _____SELF-CERTIFICATIONI/We certify that I/we have examined this form after its completion; and that, if an exemption from the payment of tax is claimed, I am/we are authorized to claim this exemption.
SNOWMOBILE/ATV APPLICATION FOR REGISTRATION AND TITLE Attach Proof of Ownership and Proof of VIN. Application for: r All-Terrain Vehicle (ATV) r Snowmobile r Duplicate G. FEES 1. Purchase Price 2. Less Trade In 3. Taxable Amount 4. Sales Tax X 6% (.06), X 7% (.07) or X 8% (.08) (See Note on Reverse.) 5. Less Tax Credit 6.
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