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New Jersey Motor Vehicle Commission P. O. Box 017 Trenton NJ 08666-0017 STATE OF NEW JERSEY 609-292-6500 ext. 39 10-15 as amended I hereby file notice with you that I -Levied upon or -Seized and took possession of motor vehicle herein described on by virtue of from the following Date Description of Owner/Lienholder Name of Titled Owner Driver License No./Corpcode Street Address City State Zip Name of Lienholder Complete Vehicle Identification No. Make Model Year License Plate No. Vehicle Type...
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