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Vehicle/Vessel Declaration of Value for Excise Tax

Notary printed or stamped name Title and Dealer or county/office number or notary expiration date ... This declaration is for a new, used, foreign, domestic, homemade, assembled, or other vehicle not listed in excise tax . schedules or other available sources. I estimate, to the best of my knowledge, the original value of this vehicle was ...

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  Schedule, Printed

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