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DMV REG. EXP. DATE BRANCH LOCATION PROCESSING

portal.ct.gov

TWO YEAR REFUND ON REGISTRATION F-82 REV. 2-2021 NAME (Last, First, Middle Initial) DMV OFFICE USE ONLY you must complete and include an official B-58 Change of Address/Voter Registration application form. 1. 2. By submitting this form, I certify that I have cancelled my registration or authorize DMV to cancel my registration. I request

  Date, Registration, Processing, Locations, Branch, Date branch location processing

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