Fillable CERTIFICATION Michigan Department of State (print name) (Michigan)

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CERTIFICATION Michigan Department of State (print name) (Michigan)

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Michigan Department of State
CERTIFICATION
I, ____________________________________, whose signature appears
(print name)
below, certify the following information is true to the best of my knowledge:
Year
VIN
Make
Title number:
Please make statement or explain error:
Signature:
X
Date:
If applicable, company, dealership or organization name and your position
with the company, dealership or organization:
TR-34 (03/20) Authority granted by P. A. 300 of 1949, as amended.
Michigan Department of State
CERTIFICATION
I, ____________________________________, whose signature appears
(print name)
below, certify the following information is true to the best of my knowledge:
Year
VIN
Make
Title number:
Please make statement or explain error:
Signature:
X
Date:
If applicable, company, dealership or organization name and your position
with the company, dealership or organization:
TR-34 (03/20) Authority granted by P. A. 300 of 1949, as amended.
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CERTIFICATION Michigan Department of State (print name) (Michigan)

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Completed 10 January 2022

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