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S. Section 4904 b. Applicant s Signature Title Date Visit us at www. dmv.pa.gov or call us at In state 1-800-932-4600 TDD 1-800-228-0676 Out-of-State 1-717-412-5300 TDD Out-of-State 1-717-412-5380. O. Box Only Phone Number Requested Expiration Date Policy Effective Date PREFERRED PERMANENT q Government Lessee Policy Expiration Date FIVE YEAR Trailers be attached. VEHICLE INFORMATION Additional sheets may be attached as needed for each fleet account OWNER S EQUIPMENT NUMBER VEHICLE...
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