Get Mv 351 2014-2024

MV-351 7-14 APPLICATION FOR TEMPORARY REGISTRATION PLATES BY MOTOR VEHICLE DEALERS AND FULL AGENTS www. dmv.state. pa.us For Department Use Only Bureau of Motor Vehicles PO Box 68620 Harrisburg PA 17106-8620 PLEASE PRINT LEGIBLY OR TYPEWRITE ALL INFORMATION Name of Business as it appears on your registration card/authorization card Business Address City State Zip Code Dealer Identification Number or Full Agent I. MV-351 7-14 APPLICATION FOR TEMPORARY REGISTRATION PLATES BY MOTOR VEHICLE DEALERS AND FULL AGENTS www. dmv*state. pa*us For Department Use Only Bureau of Motor Vehicles PO Box 68620 Harrisburg PA 17106-8620 PLEASE PRINT LEGIBLY OR TYPEWRITE ALL INFORMATION Name of Business as it appears on your registration card/authorization card Business Address City State Zip Code Dealer Identification Number or Full Agent I. D. Number Business Phone Number Online Registration Participant o Yes o No Name of Online Registration Integrator AUTHORIZATION TO PICK UP PLATES IN THE BUREAU OF MOTOR VEHICLES* I/We hereby authorize the following person or Messenger Service Messenger/ Driver s License Number to pick up this order of plates to be delivered to my place of business. APPLICANT MUST SIGN BELOW* I/We hereby make application for temporary registration plates and certify under penalty of law that ALL information contained herein is TRUE and CORRECT and that I understand that any misstatement of fact is a misdemeanor of the third degree punishable by a fine up to 2 500 and/or imprisonment up to 1 year 18 Pa*C. S* Section 4904 b. Indicate number of plates desired by class. THE FEE FOR EACH TEMPORARY REGISTRATION PLATE IS 14. NOTE PennDOT reserves the right to limit orders of temporary plates according to historical use. Product Type Passenger Plates Trailer Plates Motorcycle Plates Motor Home Plates School Bus Plates Moped Plates Bus Plates Intransit Plates IMP Plates SME Plates Omnibus Plates Permanent Trailer Plates Rear Window Decals Other Applicant Signature NO RUBBER STAMPS ACCEPTED Must be ordered in multiples of five and should not exceed number of registration plates ordered* S T A P L E H R NOTES Total Cost Truck Plates Printed Name of Applicant Date IMP Implement of Husbandry SME Special Mobile Equipment Quantity FREE TOTAL COST Amt. Check Enclosed Amt. Credit Used Shipping and Handling 1 to 50 plates 7 51 plates and up 12 Cash TOTAL DO NOT SEND CASH. Make check or money order for mail orders payable to Commonwealth of Pennsylvania* Cash will be accepted in person only. Mail signed application along with check or money order to PA Department of Transportation Bureau of Motor Vehicles Issuing Agent Registration Center P. O. Box 68620 Harrisburg PA 17106-8620. If plates are to be picked up at PennDOT please complete the above authorization* IMPORTANT Please check your order to ensure the proper class and amount of plates are correct. dmv*state. pa*us For Department Use Only Bureau of Motor Vehicles PO Box 68620 Harrisburg PA 17106-8620 PLEASE PRINT LEGIBLY OR TYPEWRITE ALL INFORMATION Name of Business as it appears on your registration card/authorization card Business Address City State Zip Code Dealer Identification Number or Full Agent I. D. Number Business Phone Number Online Registration Participant o Yes o No Name of Online Registration Integrator AUTHORIZATION TO PICK UP PLATES IN THE BUREAU OF MOTOR VEHICLES* I/We hereby authorize the following person or Messenger Service Messenger/ Driver s License Number to pick up this order of plates to be delivered to my place of business. .