Get How Do I Cancel My Car Registration In Arizona 2020-2024

PRINT YOUR NAME Signature of person completing the form SIGNATURE DMV Employee SIGNATURE OF EMPLOYEE AND ID NUMBER OFFICE NUMBER DATE DL 142 REV 8/93 WWW CUT ON LINE AND KEEP THIS PART FOR YOUR RECORDS Print Clear Form. REQUEST FOR CANCELLATION OR SURRENDER OF A DRIVER LICENSE OR IDENTIFICATION CARD A Public Service Agency DMV USE ONLY Doubled From To NAME OF PERSON AS SHOWN ON THE LICENSE OR IDENTIFICATION CARD TO BE CANCELLED Information about the document being cancelled or surrendered ADDRESS CITY STATE LICENSE OR ID CARD NUMBER TO BE CANCELLED DATE OF BIRTH LOCATION OF LICENSE Lost/destroyed Attached ZIP CODE Other explain on reverse Voluntary surrender or I voluntarily surrender and request the cancellation of my Driver License DL or Identification Card ID cancellation of a Reason for the cancellation or surrender DL or ID Card Is the license in the minor s possession. Is there a change in the custody of the minor. Yes No Person cancelling minor child s application or I certify under penalty of perjury under the laws of the state of California that check one I signed the minor s application for a license. driver license I did not sign the application but I gave written consent to the issuance of the minor s license. REQUEST FOR CANCELLATION OR SURRENDER OF A DRIVER LICENSE OR IDENTIFICATION CARD A Public Service Agency DMV USE ONLY Doubled From To NAME OF PERSON AS SHOWN ON THE LICENSE OR IDENTIFICATION CARD TO BE CANCELLED Information about the document being cancelled or surrendered ADDRESS CITY STATE LICENSE OR ID CARD NUMBER TO BE CANCELLED DATE OF BIRTH LOCATION OF LICENSE Lost/destroyed Attached ZIP CODE Other explain on reverse Voluntary surrender or I voluntarily surrender and request the cancellation of my Driver License DL or Identification Card ID cancellation of a Reason for the cancellation or surrender DL or ID Card Is the license in the minor s possession. Is there a change in the custody of the minor. Yes No Person cancelling minor child s application or I certify under penalty of perjury under the laws of the state of California that check one I signed the minor s application for a license. Is there a change in the custody of the minor. Yes No Person cancelling minor child s application or I certify under penalty of perjury under the laws of the state of California that check one I signed the minor s application for a license. driver license I did not sign the application but I gave written consent to the issuance of the minor s license. REQUEST FOR CANCELLATION OR SURRENDER OF A DRIVER LICENSE OR IDENTIFICATION CARD A Public Service Agency DMV USE ONLY Doubled From To NAME OF PERSON AS SHOWN ON THE LICENSE OR IDENTIFICATION CARD TO BE CANCELLED Information about the document being cancelled or surrendered ADDRESS CITY STATE LICENSE OR ID CARD NUMBER TO BE CANCELLED DATE OF BIRTH LOCATION OF LICENSE Lost/destroyed Attached ZIP CODE Other explain on reverse Voluntary surrender or I voluntarily surrender and request the cancellation of my Driver License DL or Identification Card ID cancellation of a Reason for the cancellation or surrender DL or ID Card Is the license in the minor s possession. Is there a change in the custody of the minor. Yes No Person cancelling minor child s application or I certify under penalty of perjury under the laws of the state of California that check one I signed the minor s application for a license. driver license I did not sign the application but I gave written consent to the issuance of the minor s license.