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I being first duly sworn, state as follows: I being the sole owner of the vehicle, watercraft or outboard motor described, Year Make VIN/MIN Title Number Do designate this vehicle, watercraft or outboard motor to: BENEFICIARY FULL LEGAL NAME STREET ADDRESS SSN CITY BENEFICIARY FULL LEGAL NAME STREET ADDRESS day of DATE OF BIRTH STATE ZIP CODE SSN CITY Sworn to before me in the State of ZIP CODE SSN BENEFICIARY FULL LEGAL NAME on this STATE CITY STREET ADDRESS DATE OF B.

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  • ORC
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