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Get Application For Replacement Plates - U.s. Department Of State - State

EE INSTRUCTIONS ON REVERSE LICENSE PLATE NO. ATTENTION: Application cannot be processed without completion of gray shaded areas. COUNTRY MISSION TYPE (Embassy, Consulate, UN, OAS, Other) (Check one box) REASON FOR NEW PLATES 1 Plate lost/stolen 2 Plates lost/stolen Vehicle stolen FOR OFFICE USE ONLY Do Not Write in this space Change in position: New position: Other (Specify reason): FEE: DATE PLATES LOST/STOLEN (mm-dd-yyyy) OWNER NAME (Surname) P: (First) I.D. NUMBER ADDRESS OFM R.

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