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Application For Replacement Windshield Placard BMV 4532 - Ohio

Application For Replacement Windshield Placard Form. This is a Ohio form and can be used in Vehicle Registration Bureau Of Motor Vehicles Statewide .
 Fillable pdf Last Modified 1/12/2009
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OHIO BUREAU OF MOTOR VEHICLES BMV USE ONLY CARD NO. DATE ISSUED APPLICATION FOR REPLACEMENT WINDSHIELD PLACARD WARNING: Applicant giving false information is subject to prosecution (O.R.C. Section 2921.13). (Please print or type) NAME OF DISABLED PERSON STREET ADDRESS SIGNATURE OF DISABLED PERSON OR NEXT OF KIN AND RELATIONSHIP CITY SOCIAL SECURITY NUMBER STATE ZIP CODE OH PHONE NUMBER ( Previous card number: Card was: LOST STOLEN ) DAMAGED IF YOU HAVE ANY QUESTIONS, PLEASE CALL THE GRATIS LICENSE PLATE UNIT AT 614-752-7518 OHIO BUREAU OF MOTOR VEHICLES ATTN: GRATIS UNIT PO BOX 16521 COLUMBUS OH 43216-6521 BMV 4532 3/03 American LegalNet, Inc. www.FormsWorkflow.com
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