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Vehicle Registration / Title Application for Dealer Sales

REGISTER A VEHICLECHANGE A REGISTRATIONRENEW A REGISTRATIONGET A Title ONLYP late NumberREPLACE LOST OR DAMAGED ITEMSTRANSFER PLATESoGasoDiesel oElectric oFlexoCNG oPropaneoNone Issuance StateTitleOFFICE USE ONLYYearMakeColor 1 Color 2 Unladen WeightCylindersDid you issue plates to this Vehicle ? oYesoNoPlate NumberReg. ClassMaximum Gross Weight NAME OF PRIMARY REGISTRANT (Last, First, Middle or Business Name)For trailers & commercial vehicles For commercial vehicles Office Use Only(Including driver) Vehicle DESCRIPTIONBody Type (mark one) Type of Power (Fuel) Vehicle IDENTIFICATION NUMBER Odometer Reading in MilesMileage BrandA E N Lien LienNumberLien Release AxlesDistancePriorOwnerSpecial ConditionsSales TaxProof SubmittedReg/ Title _____ State_____ATBVCFCOEOEXFLIONENFNRNUOPOVPA PIPKRCRESCSOSPSRSSSVTETLTOTPTRTXXRX6 WODate Temp IssuedFacility ID NumberVEHICLE Registration / Title Application FORDEALER SALESThis form is available at WANT TO.

rebuild or reconstruct the vehicle to the condition it was in before an accident, and to make the vehicle legal to operate on the road or highways, is more than 75% of the retail value of the vehicle at the time of loss? o. No . o. Yes - (If you marked . Yes. the vehicle must have an anti-theft examination before it is registered. The title ...

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