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Get CT H-110 2016-2024

T clearly or type. 2. Attach H-110 to the Affidavit of Compliance (H-76) 3. Mail copy to former owner of record. INSTRUCTIONS: YEAR VEHICLE INFORMATION ODOMETER READING MAKE/MODEL VEHICLE IDENTIFICATION NUMBER COLOR APPROXIMATE VALUE OF VEHICLE $1500 OR LESS NAME OWNER OF RECORD OVER $1500 WAS NOTICE OF INTENT TO SELL SENT TO OWNER? NO YES ADDRESS NAME OF DEALER/REPAIRER SELLER INFORMATION ADDRESS OF DEALER/REPAIRER DEALER/REPAIRER LICENSE NUMBER DATE VEHICLE PLACED IN CUSTODY .

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