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Get Ky Tc 96-182 2012

______________ ________________________________________________________ Attesting Official Title Subscribed and attested before me this _______ day of _______________ 20 _____ Attesting Official Title Subscribed and attested before me this _______ day of _____________ 20 _____ My commission expires ___________________________________________ My commission expires __________________________________________ COUNTY CLERK USE ONLY TYPE APPLICATION DATE OF ISSUANCE TITLE NO. PLATE NO. I certify.

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