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N below: Vehicle Make Vehicle Model Vehicle Year License Number Printed Name of Vehicle Owner Signature of Vehicle Owner Date Please read the instructions below and on the back of this form. In the table below, place an “X” in the box to the left of the plate you are requesting. The plates are available in person only in the Revenue Office listed in the column to the right. Any plate listed may be obtained by mail or in person at the addresses of the Revenue Office immediately followi.

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