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Type in the requested details in the field I certify under penalty of perjury, Signature OwnerCoOwner, Date, Daytime Telephone Number, Section Witness Statement of Facts, Witness A or Repair Facility, Signature Witness, Drivers License Number, Date, Daytime Phone Number, Witness B I certify under penalty, Witness Signature, Drivers License Number, Date, and Daytime Phone Number.
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