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Get PA MV-904SP 2014

Harrisburg, PA 17106-8293 A VEHICLE DESCRIPTION AND APPLICANT INFORMATION (Complete this section exactly as information appears on current registration card.) Title Number Current Reg. Plate # Last Name (or Full Business Name) First Name Current Expiration Middle Name PA DL/Photo ID# or Bus. ID# Street Address - Must list a street address. P.O Box # alone is not acceptable. Make of Vehicle Date of Birth Telephone Home ( Office ( State City Year ) _______________ ) _______________.

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