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Get R-1367 (7/18)

Ber (VIN) Make Year Model Seller Name U.S. Department of Transportation Permit Number (if truck or trailer)(if any) Address City State ZIP This certifies that the vehicle identified above is: (Mark one.) A truck that meets all of the following criteria: 1. Has a gross vehicle weight rating of 26,000 pounds or more; 2. Will be used at least 80 percent of the time based on actual mileage in interstate commerce; and 3. Is subject to the jurisdiction of the U.S. Depart.

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