i oc — FICIAL a" NECTICUT Conmacricut STRA TION => mpicate) © IF CO-OWNERSHIP [Dy JOINTIOR - Requires ONLY ONE oO signature fo transfer owne COMMONIAND - Requires ALL signatures to transfer ownership 1 the owner of five (5) or more vehicles that are registered in my name, either individually or (Cl yes INITIALS 38; (2) | do not have a license to sell, repair, recycle, lease or rent motor vehicles. 4E NORMAL COURSE OF OPERATION MOST FREQUENTLY LEAVES FROM, RETURNS TO OR REMAINS (For property fax ) ) vehicle Is leased) LESSEE OPERATOR LICENSE NO. | CONNECTICUT LEASING LICENSE NO. umber and Street) (City ar Town) (State) (Zip Code) YEAR MAKE MODEL NAME OR NO. BODY STYLE (4-Dr. Sectan, etc.) . ses od — =2 . ss 394.50 aXe. Inet |MEege = 220 tDe opal EELS] COLOR (Maximum of Two) ODOMETER READING (Mileage)| NEW OR USED COMMERCIAL USE A 2 TE 1.9920 (Jew ["Juseo | [] ves [7JNo FOR = SEAT ey ITY) NO. STANDEES| CARRY SCHOOL CHILDREN? | COM. CARRIER-US DOT NO. (if assigned) BVEECLE (] ves] no WT. RATING HAZARDOUS MATERIAL) INTERSTATE COMMERCE | TRAILERS - Rear lights required. Brakes required it (J ves [([] no (Jves [7] no 3,000 tbe. or more GVWR. Length of vehicte & trailer OND LIEN-HC DATE OF SECOND LIEN INSURANCE COMPANY NAME (Not Agent) QEzEicaO 11O-52_ OM4-2}) DATE VEHICLE PURCHASED NAME OF SI ) (if 2 owners, inchade both names) cursor a C/o NES ¢ SELLER'S ADDRESS OerT DoOo-~ PURCHASE PRICE (Ai of Sale required) / P - } 18) ,, er ——— sr EXEMPTION INFORMATION "it leased vehicle leasor tax number i applicable) TT EETON EXEMPTION 1S | FORM, SPECIFY CODE AND ANY ear CLAIMED ADDITIONAL INFORMATION. IDENTIFICATION NUMBER OF TRADED-IN VEHICLE MAKE CT DEALER LIC. CT SALES TAX PERMIT NO. 6. DEALER ee ee sing x — The undersigned certifies that there are no hens on this vehicle except those specified above, the insurance required by Connecticut law is in effect and will be maintained during this registration 7 “ period, all property taxes due any CT Taxing Authority for any vehicle previousty registered in myfour name(s) have been paid, if other than Passenger registration this vehicle is registered in accordance with Manufacturer's Maximum Gross Vehicle Weight Rating. The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned, under Penalty of false statement, in accordance with the provisions of Section 14-110 and S3a-157b of the Connecticut General Statutes. | understand that if | make a statement which | do not believe to be true, wah iter to misiead the Commissioner, | will be subject to prosecution under the above-cted laws. EFTA00310683