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Get 19a Ncac 03k 0101 2018-2024

Y insurance hearing, which will be held by telephone, to contest the revocation of the registration for the vehicle(s) listed below. In submitting this request, I understand that the entire hearing fee of $60.00 must be submitted with this form for the hearing to be scheduled. Please see Admin Code 19A NCAC 03K .0101 for further information. This form must be signed by the registered owner of the vehicle(s). License Plate Number(s) A ten-digit daytime telephone number is required: Vin Number(s.

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