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Get STATE OF NEW HAMPSHIRE APPLICATION FOR COPY OF ... - Camptonnh

NAME / DOB Mo / Day Yr ADDRESS CITY Original Item: STATE Lost Plate Number OR NH Bow Number Stolen ZIP Illegible (Check One) Type of Plate Decal Number Expiration Date DESCRIPTION OF VEHICLE/BOAT Year Make Color Cyl Body Style Model Fuel Gross Weight Vehicle ID# or Hull ID# OWNER S SIGNATURE DATE Signed under penalty of unsworn falsification pursuant to RSA 641:3 DO NOT MAIL CASH - Fee: $15.00 RDMV110(Rev. 08/09).

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