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Our Company s Twelve-Digit (12) MVD Issued Permanent ID # County Where Company Is Located In accordance with 40-2-38 OCGA, I am adding or deleting authorized agents for the license plate(s) issued for motor vehicles manufactured, distributed, sold, transported or leased. Legal Name of Company, Business or Firm Business Phone # Including Area Code Current Master Tag Number Year of Issue D/B/A (Name of Company, Business or Firm under which you do business) Street Address City Mailing.

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