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Click ‘Get Form’ to open the sc fr in the editor.
Begin by entering your Customer No and Driver License No in the designated fields. Ensure that all information matches your official documents for accuracy.
Fill in your Customer Name, Vehicle Information (YR/Make, VIN No., Tag No.), and contact numbers (Home Phone, Cell Phone, Work Phone) as required.
For the insurance section, provide details such as the Name of Company, NAIC Code, Policy Number, and Coverage Effective Dates. If applicable, have your insurance agent submit this electronically via SCALIR.
If you sold or traded the vehicle, complete that section with the Date Sold/Traded and Buyer’s information to ensure proper title cancellation.
If you moved out of state, fill in the Out of State Registration details and submit any necessary documentation as indicated.
Finally, review all entries for accuracy before signing at the bottom. Your signature certifies that all provided information is true.
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