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DL503 (715) REQUEST FOR DRIVER INFORMATION DO NOT SEND CASH SEE REVERSE FOR INSTRUCTIONS Bureau of Driver Licensing P.O. Box 68695 Harrisburg, PA 171068695 CHECK () ONE ONLY: BASIC INFORMATION:$9.00
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Start by writing the recipient's name on the first line in the designated area. Make sure to include the full name and any necessary titles or suffixes.
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On the second line, write the street address of the recipient. Include any apartment or suite numbers, if applicable. Double-check the accuracy of the address to ensure proper delivery.
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The third line is reserved for the city, followed by a comma. In this case, write "Harrisburg" as the city name.
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On the fourth line, write "PA" to indicate the state abbreviation. Use uppercase letters and ensure accuracy.
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The ZIP code should be written on the fifth line. In this case, write "68695" as the ZIP code for Harrisburg, PA.

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