Fillable Printable Form 838 Amateur Radio Statement

Form 838 Amateur Radio Statement

I, __________________________________,

hold an unrevoked and unexpired amateur

radio license with the official radio call letters

of ____________________________ issued

by the Federal Communications Commission.

Form 838 (Revised 02-2014)

Signature of Applicant

Form

838

Missouri Department of Revenue

Amateur Radio Statement

This form must be attached to your

motor vehicle registration application.

Motor Vehicle Bureau

301 West High Street – Room 370

Jefferson City, MO 65101 (573) 526-3669

Visit http://dor.mo.gov for additional information.

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