PennDOT - Application for Initial Identification
here. 3. imprisonment up to 1 year (18 pa. c, section 4904 [b]). signature of parent, guardian, persons in loco parentis, or spouse at least 18 years of age date. applicant's signature in ink date sign. x. here. sign. x. here
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SEE INFORMATION ON REVERSE Title Number r r …
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