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Get Dealer Reassignment Form Virginia

R of Safety Virginia C. Beecher Director of Motor Vehicles APPLICATION FOR DUPLICATE CERTIFICATE OF TITLE I hereby make application, in accordance with the New Hampshire laws for the issuance of a duplicate certificate of title to the below described vehicle. The original certificate has been (check one). STOLEN LOST DESTROYED MUTILATED BECOME ILLEGIBLE NEVER RECEIVED PLEASE GIVE CURRENT MAILING ADDRESS IN BLOCK 1. 1. OWNER'S NAME(S)(LAST,FIRST,MIDDLE) 2. DATE(S) OF BIRTH MO/DAY/YR MAK.

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