Transcription of DMV-44-TR REV 06/17 REGISTRATION RENEWAL …
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DMV-44-TR REV 06/17 REGISTRATION RENEWAL …
OWNER S STATEMENT OF INSURANCECLASS A REGISTRATION FEES AND INSTRUCTIONS (X)(X)MAKECURRENT LICENSE PLATE NUMBERNAME OF insurance COMPANYNAME OF insurance AGENTYEARCLASS:EXPIRATION DATE:WEIGHTBODY STYLETITLE NUMBERVIN NUMBERNAME(S) EXACTLY AS SHOWN ON TITLECURRENT STREET ADDRESS / MAILING ADDRESS CITYCOUNTYSTATEZIPCHECK THIS BOX IF YOURADDRESS HAS CHANGEDI hereby state, under penalty of false swearing and penalties provided for in Chapters 17A and D of the West Virginia Code, that there is in e ect a MOTOR VEHICLE LIABILIT Y POLICY upon the vehicle described herein, in accordance with provisions of the West Virginia vehicle insurance information must be completed. Your personal property tax receipt or exemption from your county courthouse must be your selection below:MAIL TO:WV DMVPO Box 17110 Charleston, WV 25317 DMV-44-TRREV 06/17 REGISTRATION RENEWAL NOTICEPOLICY NUMBERDO NOT WRITE IN THIS BOX FOR DMV USE ONLYOWNER SIGNATUREDAT EFROM: TO:VALIDNAIC NUMBER//////OWNER SIGNATUREDAT E//$ for ONE Y
owner’s statement of insurance class a registration fees and instructions (x) (x) make current license plate number name of insurance company name of insurance agent
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