Fraud Complaint - Kentucky Transportation Cabinet



INSTRUCTIONS: Return completed form and any additional documentation or other relevant evidence to one of the addresses below:Kentucky Division of Motor Vehicle Licensing200 Mero Street, 2nd Floor WestFrankfort, KY 40622(502) 564-1257Email: kytcmvlinvestigations@SECTION 1: COMPLAINANT INFORMATION (one who is making the complaint) Note: This section is optional.NAME FORMTEXT ?????EMAIL FORMTEXT ?????DAYTIME PHONE FORMTEXT ?????CELL PHONE FORMTEXT ?????ADDRESS FORMTEXT ?????CITY FORMTEXT ?????STATE FORMTEXT ?????ZIP FORMTEXT ?????SECTION 2: VEHICLE INFORMATIONVIN # (if applicable): FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????PLATE # FORMTEXT ?????YEAR FORMTEXT ?????MAKE FORMTEXT ?????MODEL FORMTEXT ?????SECTION 3: DEFENDANT INFORMATION (one whom complaint is against)NAME (person, dealership, etc.) FORMTEXT ?????EMAIL FORMTEXT ?????PHONE FORMTEXT ?????ADDRESS FORMTEXT ?????CITY FORMTEXT ?????STATE FORMTEXT ?????ZIP FORMTEXT ?????SECTION 4: COMPLAINT DETAILS FORMTEXT ????? ................
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