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NAME DATE ADDRESS CITY, ST ZIP REQUEST FOR …

Vehicle Services Division 44 Vantage Way Suite 160, Nashville, TN 37243 Tel (615) 741-3101, option 2 w w w .D r i v e In s u r e dTN. c o m NAME ADDRESS CITY, ST ZIP Dear NAME, Tennessee's Financial Responsibility Law requires motor vehicle owners to maintain proof of liability coverage or a verifiable exemption. The Department of Revenue has developed an online verification system to verify financial responsibility for Tennessee Drivers. Your Insurance status: While our records indicate that the VIN listed above has an active Tennessee registration, we are unable to verify that insurance coverage is currently in place. What to do if you have insurance: Verify current auto liability insurance coverage.

1 Acceptable proof includes policy number, date policy began, insurers NAIC Code and/or a signed affidavit under penalties of perjury. DATE REQUEST FOR INFORMATION Vehicle ID # (VIN): VIN Plate: Plate PIN: PIN

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