Fillable A Verificacion de Permiso Temporal NN HARRIS BENNETT (Harris County Tax Office)

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A Verificacion de Permiso Temporal NN HARRIS BENNETT (Harris County Tax Office)

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Verificacion de Permiso Temporal
Yo, _______________________ , estoy comprando un permiso temporal para el siguiente vehiculo:
Numero de Serie:
Año/Marca
Color de vehiculo: Numero de telefono:
Fecha de Inicio:
Hora de Inicio:
Seleccione el Tipo
de Permiso
3
0
Dias
72 Hora
s
1
44
Horas
Recibió alguna multa como resultado de manejar el vehiculo con registracion
vencida?
Si
No
Yo, entiendo que al firmar en la linea de abajo el permiso temporal no puede ser anulado o hacerse ningun
cambio por ningun motivo.
Numero de teléfono:
Firma de el dueño o agente Fecha de hoy:
www.hctax.net 07/20 v.1MV-502-SP
Verificacion de Permiso Temporal
Yo, _______________________, estoy comprando un permiso temporal para el siguiente vehiculo:
Numero de Serie:
Año/Marca
Color de vehiculo: Numero de telefono:
Fecha de Inicio:
Hora de Inicio:
Seleccione el Tipo
de Permiso
30 Dias 72 Horas
1
44
Hor
as
Recibió alguna multa como resultado de manejar el vehiculo con registracion
vencida?
Si
No
Yo, entiendo que al firmar en la linea de abajo el permiso temporal no puede ser anulado o hacerse ningun
cambio por ningun motivo.
Numero de teléfono:
Firma de el dueño o agente
Fecha de hoy
MV-502-SP www.hctax.net 07/20 v.1
A
NN HARRIS BENNETT
Tax Assessor-Collector
ANN HARRIS BENNETT
Tax Assessor-Collector
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A Verificacion de Permiso Temporal NN HARRIS BENNETT (Harris County Tax Office)

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Completed 7 February 2021

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