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TC96350
Rev.05/2020
Page1of1KENTUCKYTRANSPORTATIONCABINET
DepartmentofVehicleRegulation
DIVISIONOFMOTORVEHICLELICENSINGAFFIDAVITTOGRANTORREVOKEPERMISSION
TOPROCESSAREBUILTAPPLICATION
INSTRUCTIONS:Thisaffidavitisusedtograntorrevokepermissionforanindividualtoprocessarebuiltapplicationat
theKYTCOneStopShopwhentheapplicationisinthenameofabusiness.
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