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Application for Registration Plate Refund

For more information visit our website at or call for the hearing impaired: (06-17)Please complete Application in its submit completed Application with a copy of the Registration card, Registration cancellation receipt, and/or unused s Driver s License Number First Name Middle LastCo-Owner s Driver s License Number First Name Middle LastVehicle Title Number Vehicle Identification Number Make YearTag Number Sticker Number Expiration (Month/Year)Mailing Address City State Zip CodeTelephone Number Email AddressOwner s Signature Co-Owner s Signature Date*If vehicle owner is deceased, a copy of the Letters of Administration must accompany this Application .* Refund check will be mailed to the address reflected on this Information: To process your Refund there must be at least one full year remaining on the Registration , unless the sticker is returned unused.

For more information visit our website at www.mva.maryland.gov or call 410-768-7000. TTY for the hearing impaired: 1-800-492-4575. VR-021 (06-17) Please complete application in its entirety. Please submit completed application with a copy of the registration card, registration cancellation

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Transcription of Application for Registration Plate Refund

1 For more information visit our website at or call for the hearing impaired: (06-17)Please complete Application in its submit completed Application with a copy of the Registration card, Registration cancellation receipt, and/or unused s Driver s License Number First Name Middle LastCo-Owner s Driver s License Number First Name Middle LastVehicle Title Number Vehicle Identification Number Make YearTag Number Sticker Number Expiration (Month/Year)Mailing Address City State Zip CodeTelephone Number Email AddressOwner s Signature Co-Owner s Signature Date*If vehicle owner is deceased, a copy of the Letters of Administration must accompany this Application .* Refund check will be mailed to the address reflected on this Information: To process your Refund there must be at least one full year remaining on the Registration , unless the sticker is returned unused.

2 Certain financial obligations to the MVA must be satisfied before a Refund can be processed. Applications can be mailed to 6601 Ritchie Highway, , Glen Burnie, MD 21062. Attn: Room 202 Central Tag Return/ Refund Unit Please allow 4-6 weeks to receive your Refund check from the Comptroller of the for Registration Plate Refund6601 Ritchie Highway, , Glen Burnie, maryland 21062


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