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Get IN State Form 48469 2013-2024

Orm 48469 (R8 / 6-13) Indiana Bureau of Motor Vehicles   INSTRUCTIONS:             1. The purpose of this form is to provide proof of insurance for a specific date in the past and for a specific vehicle or operator. By submitting this form, you are certifying that on the incident date listed below there was financial responsibility meeting the minimum requirements in effect covering the following vehicle or operator. 2. This form must only be completed by an insurance agent or represen.

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