Invitation to Renew

 

 

Last Name

 

First Name

Registrant Name:

Current Mailing Address

Street:

 

City:

 

State:

 

Zip:

 

 

Vehicle Information

Class Code:

 

Passenger-01, Commercial-02, Combination-03
Refer to your registration certificate for additional class codes

Marker Plate:  

 

Year:

 

Make:

 

Vehicle Identification Number:

 

Tax Town:

 

Is this a leased vehicle:

 Yes:   (NO if this box is not checked)

Resident Address

(if different from above information)

 Street:

 

City: 

 

State: 

 

Zip: 

 

 

 

04/25/2007