CREATE TITLE

Title Number:

Date Of Application:

Model Year:

Make:

Power/Use:

Series & Body Style:

Vehicle Identification Number (VIN):

Fleet/Equip.Number:

Scale Wt.:

Mileage:

Brand:

Name of Registered Owner(s):

Street Address of Registered Owner(s):

City/State/Zip of Registered Owner(s):

Name of Legal Owner(s):

Street Address of Legal Owner(s):

City/State/Zip of Legal Owner(s):

WASHINGTON STATE

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