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Send dexis transfer via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out TRANSFER OF OWNERSHIP FORM for Your DEXIS Digital X-ray System with DocHub
- Click ‘Get Form’ to open the TRANSFER OF OWNERSHIP FORM in our platform's editor.
- Begin by filling out the NEW OWNER (BUYER) section. Enter the name, website, office address, city, state, zip code, phone number, and email address.
- Next, complete the FORMER OWNER (SELLER) section with similar details: name, office address, city, phone number, and email.
- In the SERIAL NUMBERS section, list all applicable DEXIS equipment serial numbers including sensors and controllers.
- If a DEXIS Service Level Agreement is valid for this system, provide coverage dates. Include credit card information if you wish to continue support.
- Indicate any software modules associated with this transaction by marking an 'X' next to each relevant module.
- Complete the TRANSFER FEE section by providing credit card details for the $275.00 fee required for processing.
- Finally, both new and former owners must sign and date the form to authorize the transfer of ownership.
Start using our platform today to easily complete your TRANSFER OF OWNERSHIP FORM for free!
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