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Get H 100a 2016-2024

4. Print clearly or type. Complete the entire form. Date and sign the notification at the bottom of the form and submit to the address above. Enclose a fee of $5.00. Make check or money order payable to "DMV". The $5.00 fee is required to file an ARTIFICER'S LIEN. 5. Submit a copy of the repair invoice ("repair/work order") (no estimates). ARTIFICER'S LIEN - $5.00 Fee Required Complete this form if you claim a lien on a motor vehicle in your custody upon which you have completed authorized wor.

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