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MV-82T (3/73) ee Be FILL GUT ALL SECTIONS BELOW WHICH APPLY TO YOU Ne A. TO CERTIFY THAT YOUR VEHICLE WAS INSPECTED FOR A DUPLICATE OR ORIGINAL REGISTRATION 2.80 t certify that the vehicle was inspected on = -__. Station No, 2m r) {Month} Certificate No. {¥ear) B. FOR REPLACEMENT OF REGISTRATION ITEMS ‘ BTIATE GISTRATION or if thay heve been mutiia PEPEWASTRANEFER tf you hoy Jost any registration items C. TO AMEND YOUR REGISTRATION ‘ saps Rospnienehinntic Ome Excwes For a name chan: ¢ former name t PAS PISLTPCILAEIS /30/7S enact! ae it ie on oar ves a rag: tration: { 43ESLX ¥ your Drese' jgistra : int , . tivetthetofven tr the enarge } 2M? Pony OO or 13 ICHAEL ; X 333 ‘ D. FOR SPECIAL REGISTRATIONS ONLY 3183 GAS § FA ; ‘ wh a Heve you been conulteg tor sosednk Sr drvare ton W/teas LLSBURG MY = BETTS | pest 18 months? 1) Yes 0D Ne 66 OR BOAT OR UT! . 1 certify that this tralier a not used feo business or comme , 23930 JUL 2 74 private passenger vehicle registered in New York State in my S j h t tf! ‘ twat 1. { Yeer________ Make. —____-__-— Plate No, —____5 Artal Sry. On ae DSS ix eee Peak ; FGHECK ANY BOXES IN THIS SECTION WHICH APPLY; :“ez.00 6 dash 'dbad’ is: wn ee | CO aston on agricuttural truck. (Form Mv-260" |, CNT |. TOF AW Carmmmenmner of Sater SED , wameulp tt is under Dept. of Transportation dasthority. Check it: (L) Fee 8 charand ter corving mutt be atteched.} form t¥- 7 ss It is used onty in the transportation of household goods thy). ao under (.C.6., oF Dept. of Transportation Authority. - oO tt 3s used exciutivety 9 of amb fiance. mq Permit umber —————_——_-_— vl [[] # uncer intoretate Commerce Commission Authority. ; Used o5 on invelid cooch or hesree . 1.C.C. Permit Number a $f 12 under government ownership. ; @. OWNER OF VEHICLE 1F NOT REGISTRANT Last First MMiddie initial «| Date of Birth Sox Mame Oe OF City address Stet No. and Street Leen nl i. ADDITIONAL LIENHOLOERS List any lienhoiders other then those on the front of this torm. tien Cate 2nd Lienholder = Name ——ee Cy it BF Cote Mealling Address Aare anne ath Lenholder = Nemes Mailing Sins ~ ¥ib Geode Address T. CERTIFY THAT: ———___-- —_——__—— 6. H required, Financial Security is Currently + 0Mest The Information given on this application is true. 1. 2. There are no unsatisfied judgments agains! me 2% 7. Ht » tarm vehicle registration. the vehicle will ant be aerated result of a motor venicie Fe public highway excepl On the roviss wniceind On Form | 3. The registration fe not currentty under sunpention — | - or fevocation, git 2 passenger registration, pauvengers wit nut te carried ° 4. The vehicle 1 fully equipped in scenrsoriea with Whe ‘ * tor tre. | requirements of ¥ehicle end Tra fc Lew. ©. if plates in a series reserved for 2 spaniel GrUNR 8. There ore no outstanding orders agsinst me under the T have enily one wet of these pletes. Financial Security AcL . *. A) a _ SIGN rans he. pee | HERE # tut, non indiveduet camer, give tithe . DEALER CERTIFI ATION . | certify that the Henhoiders listed on this form ew ihe onty recorded lienhoiders for this vehicle i emammmes Srt Anewn to mre. _ Signature of Doster RuvS?4 4072200352 LL2s403