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I understand that I may not redisclose this information except as provided by statute. Requester Must Initial Reason for Identification NOTE Improper release of this information and/or false representation to gain information are prohibited acts under both state and federal law. Class 2 misdemeanor G*S*20-43. 1. Requested by Signature First Middle Last Address Street City State Zip Code Telephone Driver License Number Date Vehicle Information - 1. 00 fee. Mail form fee to N*C. Division of Motor ...

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