DM V
NOTICE OF SALE
OR TRANSFER
OF A VEHICLE
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
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PLATE NUMBER YEAR MAKE
VEHICLE IDENTIFICATION NUMBER TITLE NUMBER
BUYER / TRANSFEREE
The vehicle was sold or ownership transferred to:
NAME OF BUYER OR TRANSFEREE (PLEASE PRINT)
3+21(180%(5
NAME OF BUYER OR TRANSFEREE (PLEASE PRINT)
3+21(180%(5
ODL/CUSTOMER NUMBER (IF AVAILABLE)
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ODL/CUSTOMER NUMBER (IF AVAILABLE)
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SIGNATURE OF BUYER OR TRANSFEREE (IF AVAILABLE) DATE OF PURCHASE
X
SIGNATURE OF BUYER OR TRANSFEREE (IF AVAILABLE) DATE OF PURCHASE
X
SELLER / TRANSFEROR
NAME OF SELLER OR TRANSFEROR (PLEASE PRINT) ODL/CUSTOMER NUMBER (IF AVAILABLE)
3+21(180%(5
'$7(2)%,57+00''<<<<
NAME OF SELLER OR TRANSFEROR (PLEASE PRINT) ODL/CUSTOMER NUMBER (IF AVAILABLE)
3+21(180%(5
'$7(2)%,57+00''<<<<
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SIGNATURE OF SELLER OR TRANSFEROR
X
DATE OF 6$/(
SIGNATURE OF SELLER OR TRANSFEROR
X
DATE OF 6$/(
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735-6890 (52)
STK # 300440
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