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VIN Verfication Form2 - Connecticut

Manufacturer s or Importers Certificate of OriginDepartment of Motor VehiclesSTATE OF CONNECTICUTV ehicle ModelVehicle Manufacturer (signature)Vehicle Identification Number Verification FeeVehicle Model YearOdometer Plate NumberPlate State(Date)Date of Verification INSPECTOR SIGNATURED ealer/Repairer License Number Test Center AddressThe manufacturer s vehicle identification number, listed above, has not been modified, altered, or removed from the vehicle, and the complete vehicle identification number has been examined in the two locations listed below(1):Location 1:(2)Foreign Registration Documents ( grey market vehicles) must be referred to the Department of Motor Vehicles. Inspector Number Verifying Inspector Name Vehicle Identification Number (VIN)Verification Form Test Center Number Vehicle Body TypeTEST CENTER INFORMATIONK190 CTVIP42013 INSPECTOR INFORMATIONL ocation 2: The Vehicle Identification Number listed above MUST correspond to one of the following documents:(2) (1)Some vehicles may only have one verifiable VIN location, if so acknowledge 'Location 2' with "One Verifiable VIN Location".

Manufacturer’s or Importers Certificate of Origin. Department of Motor Vehicles. STATE OF CONNECTICUT. Vehicle Manufacturer . Vehicle Model (signature)

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