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Ce Tax Act Insurance Corporation of British Columbia This form must be completed in full and taken to an Autoplan Broker with identi cation within ten days of the sale. Use blue or black ink only. VEHICLE DESCRIPTION REGISTRATION NO. COLOUR FUEL YEAR MAKE MODEL BODY STYLE SEE REVERSE VEHICLE IDENTIFICATION NO. (VIN) NET WEIGHT (kg) SEATING CAPACITY GROSS WEIGHT (kg) DISP (CC) VEHICLE STATUS FLOOD A - ALTERED D - NON-REPR R - REBUILT S - SALVAGE FRAME / BODY MAKE Complete thi.

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