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Get PA Change/Correction/Replacement Application 2019-2024

272 CHANGE OR CORRECTION of Non-Commercial License. Complete Section A, C and F. Notarization is not required. An update card will be issued. REPLACEMENT (DUPLICATE) – Complete Sections A, B, (C & D if applicable), E and F. All requests marked with an asterisk (*) MUST be notarized. Complete absence statement on reverse side if applicable. A YOU MUST COMPLETE ALL PARTS OF SECTION A DRIVER’S LICENSE NUMBER JR./ETC LAST NAME FIRST NAME MIDDLE NAME DATE OF BIRTH MONTH B DAY REPLACEM.

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