www.dmv.pa.gov APPLICATION FOR TEMPORARY …

APPLICANT MUST SIGN BELOW. I/We hereby make APPLICATION for TEMPORARY registration plates andcertify under penalty of law that ALL information contained herein isTRUE and CORRECT and that I/we understand that any misstatementof fact is a misdemeanor of the third degree punishable by a fine up to$2,500 and/or imprisonment up to 1 year (18 Section 4904[b]). _____Printed Name of Applicant Date_____Applicant Signature NO RUBBER STAMPS ACCEPTED For Department Use OnlyBureau of Motor Vehicles PO Box 68620 Harrisburg, PA 17106-8620 PLEASE PRINT LEGIBLY OR TYPEWRITE ALL INFORMATION - Amt. Credit Used $ + Shipping and Handling1 to 50 plates = $7$51 plates and up = $12 = Amt. Check Enclosed $= Cash Provided$Indicate number of TEMPORARY registration plates desired by class. THEFEE FOR EACH TEMPORARY REGISTRATION PLATE IS $15.(NOTE:PennDOT reserves the right to limit orders of temporaryregistration plates according to historical use.)

• Make check or money order for mail orders payable to Commonwealth of Pennsylvania. Cash will be accepted in person only. • Mail signed application along with check or money order to: PennDOT, Bureau of Motor Vehicles, Issuing Agent Registration Center, P.O. Box 68620, Harrisburg, PA 17106-8620.

Tags:

  Applications, Commonwealth, Pennsylvania, Commonwealth of pennsylvania

Information

Related search queries