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REQUEST FOR VEHICLE/DRIVER INFORMATION

REQUEST FOR VEHICLE/DRIVER INFORMATION Record Lookup Fee is $ Certified Record Lookup is $ The lookup fee applies per record found. Fees are also charged for no record results. Account Name and Mailing Address Your Account # Today s Date Your Phone NumberClaim # Your Fax Number Attn: Check box if you want a certified copy ($ additional fee) vehicle Record INFORMATION *Only italicized record types can be holder Ownership CompleteTitleRegistration History Partial TitleRegistration History From / / To / / (History INFORMATION is $ per record found) Plate Number vehicle Year and Make Accident/Occurrence Date vehicle Identification Number Watercraft/Snowmobile # s You must give us both the name and the address the cost is $ per record of Person (First Name, Last Name, Jr.)

REQUEST FOR VEHICLE/DRIVER INFORMATION Record Lookup Fee is $11.00 – Certified Record Lookup is $12.00 The lookup fee applies per record found.

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