CREATE TITLE

Title No:

Vehicle Identification Number:

Trans Code:

Date Issued:

YR Model:

Make:

Model:

Body Type:

Previous Title Number:

CYL:

NEW:

Used:

Demo:

Purchase Date:

No. Lines:

Color:

Odometer:

Name(s) and Mailing Address of Owner(s):

Mail To:

Resident Address:

Legend(s):

1st Lienholder's name address and line Date:

2nd Lienholder's name address and line Date:

First Lineholder:

First Lineholder Signature:

First Lineholder Date:

Second Lineholder:

Second Lineholder Signature:

Second Lineholder Date:

Control Number:

ALABAMA STATE

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