LICENSE PLATES CANCELLATION APPLICATION
MV2514 6/2009
Wisconsin Department of Transportation
Please Print
License Plate Number Vehicle Year / Make Vehicle Identification Number
Clear Form
Plate(s) Disposition
Stolen (plate will be notated as stolen in DMV records) Destroyed (plate will be notated as destroyed in DMV records) Left on vehicle when sold (plate will be notated as cancelled and vehicle notated as sold in DMV records) Still in my possession (plate will be notated as cancelled in DMV records)
Plate Owner(s) Name - Last, First, M.I.
Street Address
City, State, ZIP Code
Telephone Number between 7 a.m. and 4:30 p.m.
X
(Plate Owner Signature)
X
(Plate Owner Signature)
Mail To: Wisconsin Department of Transportation P.O. Box 7911 Madison WI 53707-7911
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