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Get CT B-301 2001-2024

S NAME (Last, First, Middle Initial) MAKE MODEL SEX DATE OF BIRTH ADDRESS (Number and Street) VALIDATE ABOVE (City) (State) (Zip Code) TOWN WHERE VEHICLE WILL BE TAXED AS PERSONAL PROPERTY The undersigned certify, under penalty of false statement, that the insurance required by Connecticut Law is in effect and will be maintained during this registration period. APPLICANT'S SIGNATURE NAME OF AUTOMOBILE INSURANCE COMPANY (Not Agency) X CO-OWNER'S SIGNATURE X AUTOMOBILE INSURANCE POLI.

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