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Get Hsmv 74038 2013-2021

NT: Last Name First Name Middle Initial Suffix Date of Birth Driver s License Number Social Security Number Date of Crash County Date of Judgment Amount FR Case Number Court Case # COMPLETE FOR SATISFACTION: Law Office Name Law Office Address Telephone Number Email Address BY SIGNING THIS FORM BELOW, I ACKNOWLEDGE FULL PAYMENT AND SATISFACTION OF THE ABOVE JUDGMENT RENDERED BY THE ABOVE LISTED COURT. NOTE: ONE FORM PER DEFENDANT Attorney s Signature Date Attorney s Name.

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