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TC 569A, Ownership Statement Forms & Publications 2020
Name if at different street address check here Email address and list on back Street address primary owner City State ZIP Code Mailing address if different from street address primary owner Section 3 - Facts and Indemnification Agreement Value of vehicle Purchase price Date of purchase If the fair market value of the vehicle exceeds 1 000 a surety bond may be required not to exceed twice the fair market value of the vehicle. This value may be reassessed by the Division during the application...
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