Transcription of www.dmv.pa.gov APPLICATION FOR PERMANENT ANTIQUE, …
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Check (4) block below to indicate type of registration plate desired as defined on the reverse side of this form:qANTIQUEqclAssicqcOllEcTiblE -The vehicle must be currently branded as a collectible vehicle or the vehiclemust follow procedures as outlined in Form APPlicANT(s) iNfOrmATiONb VEHiclE DEscriPTiON AND gENErAl iNfOrmATiONc cOllEcTiblE VEHiclE iNfOrmATiONE sElf-cErTificATiON AND sigNATurED OPTiONAl PErsONAliZATiON rEquEsT (NOTE:additional $104 Fee Required.)Last Name (or Full Business Name)Street addressCityStateZip CodeFirst NameMiddle NameDaytime Telephone NumberDescribe in detailhow the vehicle has been modified to qualify as a collectible vehicle as defined on the reverse side of this form.
Fee For Local Use Fact Sheet on our website at www.dmv.pa.gov. The use of antique, classic and collectible registration plates is governed by Section 1340 of the Pennsylvania Vehicle Code which states: “It is unlawful for any person to operate a motorcycle or vehicle with antique,
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