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Get Indiana State Form 53789 2016-2024

Number and street, city, state and ZIP code) STEP 3: Check the type of record you are requesting. Certified Driver Record ($4.00 fee) Certified Driver History ($8.00 fee) (includes document copies of court order, conviction, citation, application, etc.) Documents requested: _________________________________________________________________________________ Proof of Insurance (Specify vehicle make and date of accident.) _____________________________________________ Certified Vehicle/Watercraft Titl.

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