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Click ‘Get Form’ to open the hsmv 84491 in the editor.
In Section I, provide the vehicle's identification number, color, body type, length, year, and make. Ensure all details are accurate for proper documentation.
Move to Section II and list the major component parts used in the building or repair process. For each part, indicate whether it is new, used, repaired, aftermarket, or homemade. Include the source or VIN where applicable.
In Section III, fill in the date and ensure that both applicants sign and print their names clearly. This section confirms that all information provided is true and complete.
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Printed Name of Applicant/Business. Signature Of Applicant/Business. Signature Of Applicant/Business. STATEMENT OF BUILDER FORM HSMV 84491 Revised 07/24.Read more
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