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Mv 9d Form 2006
& zip
*County of Residence
Disabled Person’s Full Legal Name
*Relationship to Vehicle Owner – Check only one box
□ Child
□ Self □ Spouse □ Ward
Disabled Person’s Street Address including city, state & zip
Section Two
For Institutions Only: This vehicle is used primarily for the transportation of disabled persons.
Institution’s Full Legal Name (Institution as defined by Georgia Law §31-7-1) - Attach a copy of institutional license
Vehicle Year & Make
Vehicle Identification #
Vehicle...
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