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Electronic Lien & Title State Registration Instructions
Electronic Lien & Title State Registration Instructions These forms are required to provide your business with an ELT Identification Number from the
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ApplicAtion for EnrollmEnt/chAngE - dot.state.pa.us
www.dot.state.pa.usName of Financial Institution/Lienholder Mailing Address Name of Authorized Representative (Please Print) City State Date Telephone Number Zip Code