CONNECTICUT REGISTRATION AND TITLE APPLICATION …

If Commercial use,Combination use or Pick-UpTruck Complete Section 8 DEALERTRANSACTIONOTHER THAN PASSENGERSTYLE MOTOR VEHICLETAXEXEMPTIONLEASED VEHICLEINFORMATIONSECURITY INTEREST -Loan or Lien InformationUS DOT NO. (If assigned) CONNECTICUT REGISTRATION ANDTITLE APPLICATIONH-13B REV. 3-2021 STATE OF CONNECTICUTDEPARTMENT OF MOTOR VEHICLES60 STATE STREET, WETHERSFIELD, CT 06161 :Please print using a black or blue out the applicable sections of this the DMV website to check for all documents required to complete your transaction and for any outstanding compliance 'S (APPLICANT'S) NAME (Last, First, Middle Initial)IF CO-OWNERSHIP (Check one)COMMON/AND - Requires ALLsignatures to transfer ownership(1)(2)(3)CHECK BOX IF RESIDENT ADDRESS IS WHEREVEHICLE MOST FREQUENTLY LEAVES FROM,RETURNS TO, OR REMAINS (For Property Tax)OWNER'S MAILING ADDRESS ( number and Street, and Apartment No.)

ADDRESS OF LIEN-HOLDER (Number and Street) (City or Town) (State) (Zip Code) (City or Town) (State) (Zip Code) DATE OF SECOND LIEN 7 NAME OF CO-LESSEE (Person to whom or company to which vehicle is leased) OPERATOR LIC. NO. AND STATE OF CO-LESSEE 3 SELLER'S INFORMATION (City or Town) (State) (Zip Code) 5 DMV USE ONLY - …

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