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NOTIFICATION OF ASSIGNMENT/CORRECTION

4. Ownership is being titled in the Ownership is being transferred to or by all heirs. List all heirs in Section Ownership is being transferred to or by Surviving Spouse or adultchild(ren) to whom vehicle is given by decedent s will which is not to be NumberLast Name (or Full Business Name)First NameMiddle NameMake of VehicleVehicle Identification NumberRegistration Plate NumberI/We state that I/we have read and signed this form after its completion, and I/we swear or affirm that the statements made herein are TRUEand CORRECT, and that anystatement made on or pursuant to this form is subject to the penalties of 18 Section 4903(a)(2)(relating to false swearing), which shall include punishment of a finenot exceeding $5,000 or to a term of imprisonment of not more than two yea

4. Ownership is being titled in the estate. 5. Ownership is being transferred to or by all heirs. List all heirs in Section D. 6. Ownership is being transferred to or by Surviving Spouse or adult

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