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Step 1: On this web page, hit the orange "Get form now" button.
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Create the following parts to create the template:
Fill in the described, Date, Dealers Signature, Dealership Name, Printed Dealers Name, Dealer License Number, Dealership Street Address, Contact Address for Dealer, Dealership City State and Zip Code, Contact Telephone Number for Dealer, Compliance Examiners Signature, Print Compliance Examiners Name, and HSMV Rev fields with any information that is required by the system.
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