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MISSOURI DEPARTMENT OF TRANSPORTATION MOTOR CARRIER SERVICES 1320 CREEK TRAIL DRIVE P. O. BOX 893 JEFFERSON CITY MO 65102-0893 PHONE 800 877-8499 www. Modot. org/mcs APPLICATION FOR HOUSE MOVE General Information USDOT Contact Person Customer Account Number Payment Type - Contact Phone Number Cash Check Escrow Account MasterCard Visa Discover American Express Legal Name of Applicant DBA Name Federal Identification Number Customer Type check one Social Security Number Date...

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