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Get Wv Dmv Firefighter Plate Form

TED BY THE APPLICANT (Instructions on the back of form.) PLATE SAMPLE A) Applicant/Owner(s) Information Applicant s Name Name(s) on Registration Street Address STATE CITY ZIP B) Vehicle Information Year Make Title No. Current Plate No. VIN No. C) Insurance Information Effective Dates of Policy From: / / / To: / Policy No. Insurance Company NAIC Number Insurance Agent D) Applicant Certification I hereby state that there is a motor vehicle liability policy in effect on the descr.

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