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STATE OF CALIFORNIA DMV USE ONLY OccupatiONaL LicENsiNg NumbER DEPARTMENT OF MOTOR VEHICLES A Public service Agency NEW REPORT OF SALE REG 397 ORDER FORM Instructions print clearly in black ink or type. this order form will only be accepted for ordering New Report of sales. separate order forms are available for each type. any changes made to this order form for a different type will not be filled* mail completed order form to Department of motor Vehicles Occupational Licensing section p*O. box 932342 mail station L224 sacramento ca 94232-3420 Please send NumbER OR shEEts New Report of Sales to FiRm NamE FiRm NumbER FiRm aDDREss city statE Zip cODE maiL tO aDDREss If AuthorIzed by dMV please enter the first number the last number and dates of New Report of sales used for a 12-month period prior to the date of this request. the number of acquisitions requested may be reduced based on usage reported for the last 12-month period. FiRst NEW REpORt OF saLE NumbER DatE issuED Last NEW REpORt OF saLE NumbER I certify or declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. must be signed by a sole owner partner corporate officer or managing member of record. pRiNtED NamE titLE aREa cODE/tELEphONE NumbER sigNatuRE DatE X NOTE allow 4 6 weeks to process your order. courier service will deliver all orders. someone must be present to receive and sign for shipment. if the above address differs from our records this order will not be filled* contact your local inspector for assistance with your change of address FOR DEPARTMENTAL USE ONLY Complete this section when issuing New Report of Sales. bEgiNNiNg NumbER REissuED issuiNg EmpLOyEE s pRiNtED NamE iD NumbER OFFicE/REgiON authORiZED agENt s NamE only requIred for offIce PIck-uPs agENt s sigNatuRE Print OL 395N REV. this order form will only be accepted for ordering New Report of sales. separate order forms are available for each type. any changes made to this order form for a different type will not be filled* mail completed order form to Department of motor Vehicles Occupational Licensing section p*O. any changes made to this order form for a different type will not be filled* mail completed order form to Department of motor Vehicles Occupational Licensing section p*O. box 932342 mail station L224 sacramento ca 94232-3420 Please send NumbER OR shEEts New Report of Sales to FiRm NamE FiRm NumbER FiRm aDDREss city statE Zip cODE maiL tO aDDREss If AuthorIzed by dMV please enter the first number the last number and dates of New Report of sales used for a 12-month period prior to the date of this request. box 932342 mail station L224 sacramento ca 94232-3420 Please send NumbER OR shEEts New Report of Sales to FiRm NamE FiRm NumbER FiRm aDDREss city statE Zip cODE maiL tO aDDREss If AuthorIzed by dMV please enter the first number the last number and dates of New Report of sales used for a 12-month period prior to the date of this request. the number of acquisitions requested may be reduced based on usage reported for the last 12-month period.

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