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Tion A) Dealer or License Service Information Name of Dealer / License Service Address CITY COUNTY STATE ZIP CODE B) Vehicle / Boat / Trailer Information MODEL YEAR MAKE VEHICLE IDENTIFICATION NUMBER / SERIAL NUMBER TITLE NUMBER C) Correction Needed Seller assigned title to self Buyer s name inserted in the wrong place Seller signed off on title in the wrong place Buyer s name inserted in the seller s place Seller assigned the title to the wrong buyer Buyers signature is on.

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