Certificate of service re: Notice of Entry of Confirmation O 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the 'Vehicle Owner Information' section. Fill in your last name, first name, middle initial, address, daytime phone number, city, state, and ZIP code.
3. Next, provide the vehicle details including VIN (Vehicle Identification Number), license plate number, year, make, model, body type, and county paid to.
4. Indicate the date you paid the late fee and specify the total late fee amount in the designated fields.
5. Select one of the allowable reasons for requesting a late fee refund by checking the appropriate box. If necessary, provide additional information regarding your selected reason on the back of the form.
6. Finally, sign and date the form to certify that all statements are true and accurate. Ensure that you submit this form along with any supporting documents within 30 days from your payment date.

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