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Arrisburg, PA 17104 (PRINT OR TYPE ALL INFORMATION IN FULL) Check 4 Proper Block 1. q Original Certificate of Salvage 2. q Duplicate Certificate of Salvage 3. q Original Nonrepairable Certificate Check here q if vehicle is a total loss due to flood - (salvage certificate will be branded with a W .) A Check here q if vehicle is a total loss due to theft - (salvage certificate will be branded with a N .) NOTE: A copy of the police report, indicating that the vehicle was stolen, must.

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