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Get Mva Form Vr 096

Motor Vehicle Administration 6601 Ritchie Highway N.E. Glen Burnie Maryland 21062 VR-096 07-14 Application for Historic or Street Rod Registration Please print all information Owner s First Name Middle Last Owner s Resident Address Co-Owner s First Name Maryland Driver s License Number City or Town County State Date of Birth mm/dd/yyyy Zip Code Description of Vehicle Year Make Model Title Number Vehicle Identification Number VIN Body Style Insura.

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