Transcription of BDVR-153 Record Request for Account Holders
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Request FOR VEHICLE/DRIVER INFORMATION Record Lookup Fee is $ Certified Record Lookup is $ The lookup fee applies per Record found. Fees are also charged for no Record results. Account Name and Mailing Address Your Account # Today s Date Your Phone NumberClaim # Your Fax Number Attn: Check box if you want a certified copy ($ additional fee) Vehicle Record Information *Only italicized Record types can be holder Ownership CompleteTitleRegistration History Partial TitleRegistration History From / / To / / (History information is $ per Record found) Plate Number Vehicle Year and Make Accident/Occurrence Date Vehicle Identification Number Watercraft/Snowmobile # s You must give us both the name and the address the cost is $ per Record of Person (First Name, Last Name, Jr.)
record request for account holders michigandepartment of state please print or type informationrequested. section1. account information (c. omplete all fields
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