Transcription of (Instructions on back) - oregon.gov
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(Instructions on back) - oregon.gov
CERTIFICATION OFOREGON RESIDENCY OR DOMICILE735-7182 (9-18) SECTION 1 CUSTOMER INFORMATIONNAMERESIDENCE ADDRESSMAILING ADDRESS (IF DIFFERENT)CITYZIP CODE (Instructions on back )IF BUSINESS, REPRESENTATIVE S NAMEDRIVER LICENSE/PERMIT NUMBERSTATE OF ISSUANCECITYSTATE (OR COUNTRY)ZIP CODEI certify that I qualify for an oregon driver license, identification card, driver permit, or vehicleregistration because I am a resident of, or domiciled in, oregon or the vehicle is eligible or required tohave oregon further certify that the information provided on this form and the proof I have submitted is true andcorrect.
Use this form to support your claim to being domiciled in, or a resident of, Oregon, or your claim that the vehicle is eligible or required to have Oregon registration.
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