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INSTRUCTIONS ON REVERSE SIDE OF FORM
This form must be completed by all transferees and transferors and submitted with Form MV-1, MV-4ST or Applicant Summary Statement, for any transfer for which a gift exemption (Exemption 13) for purposes of Pennsylvania Sales and Use Tax is claimed. NOTE:Individuals should list their PA Driver’s License (PA DL) or Photo ID# in the space provided.
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