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Get CT M-65 MV 2004

SECTION III TRAILER/SEMI-TRAILER Date Acquired Purchase Price (excluding trade-in) $ Vehicle Identification Number (VIN) Date Registered Vehicle Registered (Plate) No. Body style Open Enclosed Year Refrigeration Yes Make No GVWR Model Length No. of axles Modified prior to 10/1? If yes, describe modifications(s) made and enter cost of modifications(s) excluding sales tax. Yes No I do hereby declare under penalty of false statement that the information contained herein is true.

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