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Get PA DL-16LC 2010

Statement of fact is a misdemeanor of the third degree punishable by a fine of up to $2,500.00 and/or imprisonment up to one year (18 PA C.S. Section 4904(b)). D ADDITIONAL INFORMATION Unless this document is being submitted by a Court of Record following sentencing, this form must be mailed to: PennDOT  •  Bureau of Driver Licensing  •  P.O. Box 68693  •  Harrisburg, PA 17106-8693 Upon receipt, review and acceptance of this acknowledgment, PennDOT will send you a receipt c.

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