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VEHICLE TRANSACTION APPLICATION

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STATE OF ALASKA DIVISION OF MOTOR VEHICLES VEHICLE TRANSACTION APPLICATION Form 812 (Rev. 07/2017) 812APPLICATION TYPE TITLE CHANGE OF OWNERSHIP REPLACEMENT TITLE CORRECTION / ADD OR REMOVE LIENHOLDER registration registration LOST TAB LOST PLATE OTHER _______________ I AM ALSO APPLYING FOR AN EXEMPTION: SENIOR (65+) MILITARY GUARD DISABILITY CHARITABLE/GOVERNMENT PERMANENT registration (I LIVE IN AN ELIGIBLE AREA) OTHER ________________ VEHICLE INFORMATION SERIAL NUMBER (VIN) SECONDARY SERIAL NUMBER (VIN) YEAR MAKE MODEL BODY STYLE COLOR ODOMETER (MILES) WEIGHT ACTUAL ESTIMATED IS VEHICLE USED COMMERCIALLY YES NO AK LICENSE PLATE # NEW PLATES REQUESTED OWNER INFORMATION FULL FIRST NAME FULL MIDDLE NAME FULL LAST NAME SUFFIX DRIVER LICENSE # STATE DATE OF BIRTH ORGAN DONOR YES NO SOCIAL SECURITY NO.

senior (65+) military guard disability charitable/government permanent registration (i live in an eligble area) i other _____ vehicle information. serial number (vin) secondary serial number (vin) year make model body style color

  Applications, Vehicle, Transactions, Registration, Vehicle transaction application

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