Dl17 2025

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The document is a 'Statement of Non-Ownership of Vehicle(s)' form from the Pennsylvania Department of Transportation, which must be submitted 30 days prior to the eligibility date specified in a restoration requirement letter. It requires personal information such as driver's license number, name, date of birth, and contact details. The individual must declare that they do not own any motor vehicles registered in Pennsylvania and certify the truthfulness of the information provided. There are also provisions for address changes and a warning about penalties for false statements.

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