Notarization Certication State of County of Signed or attested before me on by Seal or stamp Notar y signature Notar y printed or stamped name Title and Dealer or countyofce n umber or notary expirat - Description

LicenseRegistration number ear Mak Ser ies Body Vehicle Identi64257cation Number VIN or Vessel Hull Identi64257cation Number HIN What are you reporting Check all that apply Af64257davit of loss Yes No The following item is not in my possession beca ID: 6970 Download Pdf

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NotarizationCertication for registered owner signature State of County of Signed or attested before me on by Seal or stamp Signature Printed or stamped name Title and Dealer or countyofce number or no
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Notarization/Certication Washington Signed or attested County of before me on by Signature Seal or Stamp Name Printed or stamped name Title umber or notary expiration date Use this form to report r

AFFIDAVIT To be executed on appropriate non judicial stamp paper of minimum value and attested by Executive Magistrate or Notary Public One original and one self attested photocopy to be submitted QD
AFFIDAVIT To be executed on appropriate non judicial stamp paper of minimum value and attested by Executive Magistrate or Notary Public One original and one self attested photocopy to be submitted QD

That the names of my parents and spouse are as follow s i Father ii Mother iii WifeHusband 2 That I am a continuous resident at the above mentioned address IURP57515575155751557515575155751557515575155751557361 3 That I am a citizen of India by b

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Notarization Certication State of County of Signed or attested before me on by Seal or stamp Notar y signature Notar y printed or stamped name Title and Dealer or countyofce n umber or notary expirat

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LicenseRegistration number ear Mak Ser ies Body Vehicle Identi64257cation Number VIN or Vessel Hull Identi64257cation Number HIN What are you reporting Check all that apply Af64257davit of loss Yes No The following item is not in my possession beca

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Notarization Certication State of County of Signed or attested before me on by Seal or stamp Notar y signature Notar y printed or stamped name Title and Dealer or countyofce n umber or notary expirat






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