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Get OH BMV 4625 2021-2024

I affirm that the owners or lessees of leased vehicle now have insurance or other financial responsibility FR coverage covering this vehicle and will not operate or permit the operation of this vehicle without FR coverage and this vehicle will not be used as a commercial vehicle unless so registered. DATE SIGNATURE S X BMV 4625 6/15 760-1067 Page 1 of 3 RESTRICTED OUT OF STATE PHONE REGISTRATION INFORMATION FOUND ON OHIO REGISTRATION CARD TYPE OR PRINT EXPIRATION DATE OHIO LICENSE PLATE VEHICLE INFORMATION FROM OHIO CERTIFICATE / MEMORANDUM OF TITLE MAKE VEHICLE SERIAL YEAR TYPE CERTIFICATE OF TITLE DATE OF PURCHASE OWNER INFORMATION FROM OHIO CERTIFICATE / MEMORANDUM OF TITLE SSN / TIN / OH DL / OH ID MONTH DAY OF BIRTH OWNER ADDRESS VEHICLE COLOR CITY OWNER NAME STATE ZIP CODE OHIO JOINT OWNER OR LESSEE NAME SOCIAL SECURITY OR TAX ID LESSOR S ADDRESS IF VEHICLE IS LEASED OHIO PHONE OHIO COUNTY OF RESIDENCE E-MAIL ADDRESS PLEASE CHOOSE THE REQUIRED ACTION BELOW New Renew Please indicate the number of registration years desired. Transfer Duplicate Registration w / Validation Sticker Exchange To Different Plate Stock Logo Personalized / Initial Reserve Replacement Plates Retain Current Number additional 10 Receive a New Number Plate s were Stolen Other Lost Damaged Yes No Is your license plate registration under suspension or revocation under Ohio financial responsibility law Has the motor vehicle that is now being registered been operated by the owner on public roads or highways prior to the date of this application If operated by the owner on public roads or highways prior to this date have the required registration or transfer fees been paid MAILING ADDRESS INFORMATION If the address that the license plates or validation stickers are to be mailed is different from that shown above fill in the following ADDRESS If this is a temporary mailing address please list dates. OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES APPLICATION FOR OUT-OF-STATE REGISTRATION BY MAIL May be used for plate issuance for new vehicle registration or renewal registration* Applicant giving false information is subject to prosecution Ohio Revised Code 2921. 13 INSTRUCTIONS Mail the completed application and all required documents to The Bureau of Motor Vehicles Vehicle Information Services Special Plates Unit P. O. Box 16521 Columbus Ohio 43216-6521. For assistance with the required fees call 614 752-7518. DO NOT use this form for Collector or Historical license plates. Collector BMV 4803 and Historical BMV 4806 forms may be obtained at your local Deputy Registrar or online at www. bmv*ohio. gov* Allow four weeks for the processing of your application and mailing of the license plates or registration stickers. Failure to follow instructions may delay the processing of your application* The following items must be returned to the Ohio Bureau of Motor Vehicles to register by mail 1. If you are applying for a new registration this application must be completed in full and signed below.

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