Transcription of VEHICLE TRANSACTION APPLICATION
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VEHICLE TRANSACTION APPLICATION
STATE OF ALASKA DIVISION OF MOTOR VEHICLES VEHICLE TRANSACTION APPLICATION Form 812 (Rev. 07/2017) 812 APPLICATION TYPE TITLE CHANGE OF OWNERSHIP REPLACEMENT TITLE CORRECTION / ADD OR REMOVE LIENHOLDER REGISTRATION REGISTRATION LOST TAB LOST PLATE OTHER _____ I AM ALSO APPLYING FOR AN EXEMPTION: SENIOR (65+) MILITARY GUARD DISABILITY CHARITABLE/GOVERNMENT PERMANENT REGISTRATION (I LIVE IN AN ELIGIBLE AREA) OTHER _____ VEHICLE INFORMATION SERIAL NUMBER (VIN) SECONDARY SERIAL NUMBER (VIN) YEAR MAKE MODEL BODY STYLE COLOR ODOMETER (MILES) WEIGHT ACTUAL ESTIMATED IS VEHICLE USED COMMERCIALLY YES NO AK LICENSE PLATE # NEW PLATES REQUESTED OWNER INFORMATION FULL FIRST NAME FULL MIDDLE NAME FULL LAST NAME SUFFIX DRIVER LICENSE # STATE DATE OF BIRTH ORGAN DONOR YES NO SOCIAL SECURITY NO.
senior (65+) military guard disability charitable/government permanent registration (i live in an eligble area) i other _____ vehicle information serial number (vin) secondary serial number (vin) year make model body style color odometer (miles) weight actual estimated is vehicle used
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