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Did not provide title to the insurer, send this form with your title to the address below. Regular Service Mail to: Wisconsin Department of Transportation PO Box 7949 Madison WI 53707-7949 Priority Service: Include an additional $4.00 Mail to: Wisconsin Department of Transportation PO Box 7306 Madison WI 53707-7306 Make check payable to: Registration Fee Trust I certify the information on this application is true and correct. X X (Owner/Insurance Company Authorized Agent - Print Name) (.

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