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Get Authorization To Release Information - Arizona DOT

Rtify that the information contained on this application (including attachments) is true, correct and complete. I understand that I am subject to administrative, civil or criminal penalties if I give false or misleading answers. As an applicant for a license for a motor vehicle dealer, automotive recycler or wholesale motor vehicle dealer with the Arizona Department of Transportation, Motor Vehicle Division, I am required to furnish information for use in determining my eligibility. In this conn.

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