Transcription of BDVR-153 Record Request for Account Holders
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BDVR-153 Record Request for Account Holders
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 FEE INFORMATION Record Lookup Fee: $11.00 per record search (fees are also charged if no record is found) Certified Record Lookup Fee: $12.00 per record search (fees are also charged if no record is found) Historyrequests are $11.00 per record search (all histories can be significantly more than $11.00) SECTION2.
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