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Get NY VS-1074S 2015-2024

(Indicate if Broken, Missing or Trailer) Vehicle 4 Make of Vehicle County 5 New York State Plate Number * (See instructions on Page 2) ZIP Code 6 Specify What Wheel is Pulled 7 Repair Order No. 8 Enter: serial number of Inspection Certificate if vehicle passes; Enter: Rejected if vehicle fails 9 10 Safety Rejection Check System Rejected Inspector s Certification Number Brakes Lights Tires Susp. Steering Other 11 12 Air Bag Tire Pressure Not a Reject Not a Reject.

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