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Get MO DoR 768 2010

R Other Any false statement in this affidavit is a violation of law and may be punished by fine imprisonment or both. Owner Year Vehicle Identification Number Make Model Original Title Number Signature of Owner Current License Number Date MM/DD/YYYY / / Notary Information Embosser or black ink rubber stamp seal Subscribed and sworn before me this day of year State County or City of St. Louis My Commission Expires MM/DD/YYYY Notary Public Signature Notary Public Name Typed or Printed Form 768 Rev.

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