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REPLACEMENT IDENTIFICATION NUMBER PLATE TRAILER …

MISSOURI DEPARTMENT OF REVENUEMOTOR VEHICLE BUREAUAPPLICATION FOR VEHICLE/ TRAILER IDENTIFICATION NUMBER PLATE OR VERIFICATIONForm5062(Revised 08-2019)CONTROL INSTRUCTIONS ON REVERSEMOTOR VEHICLE/ TRAILER /MANUFACTURED HOMESECTION B NOTARY PUBLICVALIDATION ONLYREGISTERED OWNER (LAST, FIRST, MIDDLE) DEALER NUMBER COUNTY DAYTIME TELEPHONE NUMBER STREET, RR, OR BOX NUMBER CITY STATE ZIP CODEYEAR MAKE VEHICLE IDENTIFICATION NUMBER MISSOURI TITLE NUMBER LICENSE NUMBERBODY STYLE MODEL COLOR CYLINDERS MILEAGECOMPLETE THE INFORMATION BELOW IF APPLYING FOR A REPLACEMENT VIN APPLICATION MUST ALSO BE NOTARIZEDLOSS OF VIN. PLATE REPORTED TO: DATE REASON REQUIRED LOST STOLEN MUTILATED DESTROYEDI certify that the statements above are true and that I am the registered owner of the above described unit(s).

purpose of inspection: (select one) : title correction or vehicle vin verification new identification number plate replacement identification number plate trailer with a salvage title unit: (select one): motor vehicle manufactured trailer homemade trailer manufactured home built prior to 1976 (requires inspection from public service commission) ...

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