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VEHICLE REGISTRATION APPLICATION - Virginia

VSA 14 (07/10/2018)LESSEE'S RESIDENCE/BUSINESS ADDRESSCITYZIP CODESTATELESSEE'S FULL LEGAL NAME (last, first, mi, suffix)DMV CUSTOMER NUMBER / FEIN / SSNTELEPHONE NUMBERLEASE INFORMATION (if applicable) REGISTRATION MAILING ADDRESS - OPTIONALCITYZIP CODESTATEIF YOU WOULD LIKE YOUR REGISTRATION RENEWALS SENT TO AN ADDRESS OTHER THAN YOUR RESIDENCE/BUSINESS ADDRESS, ENTER IT NEW LOCATION ENTER DATE CHANGEDAre any of the owners/lessees on active military duty or service?YESNOLOCATION WHERE VEHICLE IS PRINCIPALLY GARAGEDTOWN OFCITYCOUNTYVEHICLE INFORMATION OWNER EMAIL ADDRESSCO-OWNER EMAIL ADDRESSOWNER'S RESIDENCE/HOME/BUSINESS ADDRESS (Apt # if applicable)CITYZIP CODESTATECITYZIP CODESTATECO-OWNER'S RESIDENCE/HOME/BUSINESS ADDRESS (Apt # if applicable)NOTE: Owners (and Lessees if applicable) MUST provide their residence/home/business address where requested, this address can not be

If I/we have requested Amateur Radio Operator Call Letter license plates, I/we certify and affirm that I/we will return those plates to DMV for another type of license plate ... with business, law enforcement, or government entities and you authorize DMV’s exchange of title and registration records in accordance with Va. Code §§46.2-208 ...

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  Virginia, Applications, Registration, License, Registration application

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