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Complete and return this information with your deposit and Record Request Form (BMV 1173)
Company Name:
Please indicate what type of Prepaid Account you are requesting:
Ohio Driver Abstract (505)
Vehicle Title Record Search (503)
Ohio Driver License Search (504)
Unclaimed Motor Vehicle Affidavits 3702 (510)
Vehicle Registration Record Search (501)
Make check payable to: Ohio Treasurer Josh Mandel
Remit to:
Ohio Department of Public Safety Revenue Management-Prepaid Accounts P.O. Box 16521 Columbus OH 43216-6521
Amount Enclosed: $
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