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Click ‘Get Form’ to open the MC 716 M in the editor.
Begin by entering your Motor Carrier Legal Name in the designated field. This identifies your business officially.
Fill in your Business Address, including City, State, and ZIP Code. If you have a new address, provide that information as well.
If your mailing address differs from your business address, complete the Mailing Address section with the same details: City, State, and ZIP Code.
Enter your current Telephone Number and any New Telephone Number if applicable.
Specify the effective date of withdrawal by entering it in MM/DD/YYYY format.
Review the certification statement and ensure all information is accurate before signing and dating the form.
Once completed, save your document and follow instructions for mailing it to the appropriate DMV address provided at the bottom of the form.

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