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2. Please fill out and submit this form for each car that is no longer owned. If you are purchasing a vehicle sticker please do not enter/submit the new License Plate information.
4. License Plate Number (1)*
5. License Plate Number (2)
6. License Plate Number (3)
7. License Plate Number (4)
9. Please select the reason why you have not purchased a vehicle sticker.*

   1. No longer live in Palatine.
   2. No longer own the vehicle.
   3. Vehicle is a trailer.
   4. Vehicle is an antique vehicle.
10. Update Vehicle Registration

    If you do not live in Palatine anymore please update your vehicle registration address with the Secretary of State.  

12. First Name
13. Last Name
15. Address
17. City
18. State
19. Zip Code
21. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
23. Electronic Signature
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field