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----------------------------------------------------------------------FORMULARIO V-01 SOLICITUD CERTIFICADO DE VALOR. VEHICULOS MOTORIZADOS. 1. NOMBRE O RAZON SOCIAL: 2. RUT: 3. DOMICILIO: 4. FONOS DE CONTACTO: CORREO ELECTRONICO: 5. MOTIVO DEL REQUERIMIENTO DE VALOR: (Breve descripci n) 5.1 ORIGEN: 5.2 PROCEDENCIA: 6. DESCRIPCION VEHICULO (AUTOMOVIL, CAMI N U OTRO RODADO): MARCA MODELO ORIGEN VIN N SERIE N CHASSIS CALIDAD A O DEL MODELO KILOMETRAJE OPCIONALES: OTROS DATOS: Origen P.

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