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Get and Sign Form Tc 96 2015-2022
BODY TYPE MODEL SECTION 2 TRANSFEROR/SELLER INFORMATION STATEMENT NAME Please print* PHONE ADDRESS I state that the odometer now reads miles and to the Transferor/Seller s name no tenths best of my knowledge reflects the actual mileage of the vehicle described above unless one of the following statements is checked* I hereby certify that to the best of my knowledge the odometer reflects mileage in excess of its mechanical limits. SIGNATURE DATE SECTION 3 CERTIFICATION Subscribed and attested...
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