weight tolerance permit sticker replacement · 1988. 1. 20. · section 2 - permit information. i...
TRANSCRIPT
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The Texas Department of Motor Vehicles maintains the information collected through this form. With few exceptions, you are entitled upon request to be informed about the information that we collect about you. Under Sections 552.02, 552.023 and 559.004 of the Texas Government Code, you are entitled to receive and review the information, and to have us correct erroneous information.
Weight Tolerance Permit Sticker Replacement/Resend Request
P. O. Box 13529 - Weight Tolerance Permits
Austin, Texas 78711-3529 Phone: 800/299-1700 Fax: 512/465-4257
Form 1751a (Rev. 01/21) Page 1 of 1
Section 1 - Customer InformationCompany Name Customer Account Number
Mailing Address City State Zip
Daytime Phone Number Contact Person
Section 2 - Permit Information
I attest that the original sticker for the above referenced permit number has been lost, stolen, or mutilated.
Check, Cashier's Check or Money Order (Make payable to the Texas Department of Motor Vehicles)
Section 3 - Payment Method
Mastercard, Visa, Discover, or American Express*
Credit Card Number Credit Card Expiration Date /
*A service charge of 25 cents per sticker plus 2.25 percent of the total fee amount will be added to all credit card transactions.
TOTAL CREDIT CARD CHARGE
Permit Number of Sticker to be Replaced
Comments
Replacement sticker fee is $3.00
$3.32
The Texas Department of Motor Vehicles maintains the information collected through this form. With few exceptions, you are entitled upon request to be informed about the information that we collect about you. Under Sections 552.02, 552.023 and 559.004 of the Texas Government Code, you are entitled to receive and review the information, and to have us correct erroneous information.
Weight Tolerance Permit Sticker
Replacement/Resend Request
P. O. Box 13529 - Weight Tolerance Permits
Austin, Texas 78711-3529
Phone: 800/299-1700 Fax: 512/465-4257
Form 1751a (Rev. 01/21)
Page 1 of 1
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Section 1 - Customer Information
Section 2 - Permit Information
I attest that the original sticker for the above referenced permit number has been lost, stolen, or mutilated.
Section 3 - Payment Method
Mastercard, Visa, Discover, or American Express*
Credit Card Expiration Date
/
*A service charge of 25 cents per sticker plus 2.25 percent of the total fee amount will be added to all credit card transactions.
TOTAL CREDIT CARD CHARGE
Replacement sticker fee is $3.00
$3.32
Texas Department of Transportation
TxDOT
Normal.dot
TXDOT
2
Microsoft Office Word
TxDOT - MCD
TextField2: st: 0LS: 0CC: 0CCNo: CC1: CC2: CentTotal: