Address
City, State Zip	, LA
Recording a lien?	Yes No If yes, lien type UCC-1 Other
Donation	Yes No
Sale Date
Sale Price
Rebate
Trade In
Vehicle Type	Car Boat Trailer (up to 1500 lbs) Truck Other Trailer - 1 year plate Motorcycle Other Trailer - 4 year plate Trailer Other Trailer - permanent plate Motorhome No plate Commercial
Yes No Do you require notary services?
Yes No Are you a dealer that currently does business with Thib's Auto Titles & Tags?
Yes No Do you have a current specialized plate that you would like to transfer to this vehicle?

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