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Get Ia Form 411260 2019-2024

T.gov/mvd Plate Design Choice: (Enter your plate design choice after reviewing the selections available below) A. APPLICANT INFORMATION: Owner's Name: Current Plate Number: Mailing Address: E-Mail Address: City: State: County Residing In: ZIP Code: Daytime Telephone #: Lessee: Lessee Address: City: State: ZIP Code: (Attach a copy of the lease agreement, if leased.) Numbered Personalized Click on the associated plate link listed under Section D for fees, qualifications and mailin.

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