Get WI MV3623B 2015-2023
Middle Initial OR Business Name – Print Social Security Number Date FEIN Number (if applicable) Driver License Number OR 1 2 3 4 Vehicle Year 5 6 7 8 Vehicle Make Print OR 9 1 2 3 4 5 6 7 8 9 10 11 12 13 1 14 2 3 4 5 6 7 8 Vehicle Type (if other, please specify) AUTO TRUCK CYCLE TRAILER OTHER: If the LAW ENFORCEMENT VERIFICATION box is checked, an officer will need to complete this form. Vehicle Identification Number (AUTO/TRUCK/TRAILER) 1 2.
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