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Get Vsa 12 2017-2024

Ship of the vehicle identified above. DMV LE AGENT NAME (print) DMV LE AGENT SIGNATURE CASE NUMBER DATE (mm/dd/yyyy) NOTARIZATION NOTARY SEAL/STAMP State/Commonwealth of ______________________, city or county of _____________________________ subscribed and sworn to before me on this ____________ day of ________________________________ (MONTH) (YEAR) by___________________________________________________ in the city or county and state aforesaid. REGISTRATION NUMBER MY COMMISSION EXPIRES (.

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