Form   DAMAGE DISCLOSURE STATEMENT Please read the information on the reverse side before completing this form
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Form DAMAGE DISCLOSURE STATEMENT Please read the information on the reverse side before completing this form

seller hereby certify that the following damage disclosure statement is true and correct for the following described motor vehicle year make VIN The buyer must complete this Section if The vehicle was purchased from a nonresident OR The vehicle was

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Form DAMAGE DISCLOSURE STATEMENT Please read the information on the reverse side before completing this form




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