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Get FL HSMV 80122 2011

Llahassee, Florida 32399-0500 SUSPECTED or REPORTED TITLE and REGISTRATION FRAUD Pursuant to section 319.33(1)(e), Florida Statutes, it is unlawful to use a fictitious name, give a false or fictitious address, or make any false statement in any application or affidavit required under the provisions of this chapter or in a bill of sale or sworn statement of ownership or otherwise commit a fraud in any application. 1. Victim’s Information Name: Driver’s License Number and Issuing State: .

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