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Get AK AP-102 2012-2024

) ) ) ) ) ) ) ) ) ) APPEAL CASE NO. CI NOTICE OF APPEAL (from DMV to Superior Court) AS 28.15.166(m) Notice is hereby given that appeals to the Superior Court from the decision of the Division of Motor Vehicles Hearing Officer dated , 20 . A copy of the decision is attached. STATEMENT OF POINTS The reasons for this appeal are Date Appellant s Signature D.O.B. / A.D.L. No. Print Name Mailing Address City Home Phone I certify that on a copy of this notice.

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