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Get FL HSMV 83330 2009-2022

R denies that this policy is in force. _______________________________________ Signature of Insured WARNING: GIVING FALSE INFORMATION IN ORDER TO OBTAIN A VEHICLE REGISTRATION CERTIFICATE IS A CRIMINAL OFFENSE UNDER FLORIDA LAW. ANYONE GIVING FALSE INFORMATION ON THIS AFFIDAVIT IS SUBJECT TO PROSECUTION. HSMV 83330 (Rev. 09/09) www.flhsmv.gov .

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