MV-221 9-07 PA Department of Transportation P. O. Box 68674 Harrisburg PA 17106-8674 STATEMENT OF NON-OPERATION OF VEHICLE S FOR DEPARTMENT USE ONLY PLEASE TYPE OR PRINT IN INK ALL INFORMATION NOTE THIS STATEMENT IS UNACCEPTABLE IF INSURANCE LAPSE IS GREATER THAN 30 DAYS. ALL INFORMATION MUST BE COMPLETED BY THE VEHICLE OWNER ONLY.
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