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Get VA VSA 12M 2013

In vehicle due to loss, unlawful detainment or other legitimate circumstance. INSTRUCTIONS: Complete form and have it notarized. Submit this form with form VSA 17A -- Application for Certificate of Title and Registration and applicable fees to any DMV customer service center. OWNER FULL NAME (last, first, middile initial) (print) VEHICLE OWNER INFORMATION OWNER TELEPHONE NUMBER ( ) CO-OWNER TELEPHONE NUMBER CO-OWNER FULL NAME (last, first, middile initial) (print) ( ) VEHICLE INFORMATI.

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