Uinta County Treasurer
Uinta County Treasurer
225 9th Street - PO Box 1530
Evanston, WY 82930
Vehicle Registration
License Plate Number
Additional Plate Numbers
Name of Insurance Company
Policy Number
Expiration Date

Total Amount Including Postage:   $   Item Subtotal:  
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Personal Information:
First Name: Last Name:
City: State/Province: ZIP/Postal Code:
Please Verify That Your Information Is Correct.
Address for Mailing
Same As Above
If Different, Specify Below
Please Mail To
Your registration will be mailed the following business day.

I acknowledge:
Please be aware that this charge may show on your statement as Uinta Co Wy 800-764-0844, Evanston Wy
Payment Information
Method of Payment:
Processing Fee Rates:
Cards: 2.5% ($2.50 min)
(4% for foreign cards)
eCheck (ACH): $0.75
Update name from Personal Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Confirm Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
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Cardholder's Name:
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