Form MVU-26 Rev. 6/04 Affidavit in Support of a Claim for ...
Customer Service Bureau, PO Box 7010, Boston, MA 02204, (617) 887-MDOR. This form is approved by the Commissioner of Revenue and may be reproduced. Prior owner(s) City/Town State Zip Address New owner(s) Address City/Town State Zip Date ................
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