VA Form 10-10EZR

TRADE-IN, LICENSE TRANSFER INFORMATION — YEAR, MAKE, VEHICLE IDENTIFICATION NUMBER, HORSEPOWER, AND TITLE NUMBER — Record the information from the previous vehicle in the designated areas. 21. SIGNATURE — ONE OWNER MUST SIGN THE APPLICATION FOR TITLE. 22. $1 BLIND FUND, $1 ORGAN FUND, AND $1, $10, OR OTHER ................
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