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TION (ALL FIELDS ARE MANDATORY) NAME OF PERSON SUBMITTING DOCUMENTS TO DMV PRINTED NAME: YEAR: SIGNATURE: MAKE: LICENSE #: MODEL: BODY TYPE: TRANSFER REGISTRATION PLATE #: PLATE #: (complete sections A,B*,C,D,E,F,G) (complete sections A,B*,C,D,E,F,G) PLATE CHANGE GROSS VEHICLE WEIGHT: # OF CYLINDERS: NUMBER OF SEAT BELTS IN VEHICLE: TRANSACTION TYPE (PLEASE SELECT ONE) DUPLICATE REGISTRATION VIN (VEHICLE IDENTIFICATION #): COLOR: LIC.

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