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Fillable Printable Statement For Weight Declaration

Fillable Printable Statement For Weight Declaration

Statement For Weight Declaration

Statement For Weight Declaration

North Carolina Division of Motor Vehicles
Statement for Weight Declaration
Owner 1 ID # _________________ _________________________________________________________________________________
Full Legal Name of Owner 1 (First, Middle, Last, Suffix) or Company Name
Owner 2 ID # _________________ _________________________________________________________________________________
Full Legal Name of Owner 2 (First, Middle, Last, Suffix) or Company Name
City State Zip Code Tax County
Mailing Address (if different from above)
Plate Number: _________
Plate Category: ____ Plate Use: _____
WEIGHT DECLARED: ________________
NOTE: THE WEIGHT DECLARED ON THIS REGISTRATION MUST BE SUFFICIENT TO
COVER THE WEIGHT OF THE VEHICLE PLUS ANY AMOUNT HAULED OR PULLED.
IF THE VEHICLE IS OVERWEIGHT, YOU ARE SUBJECT TO A CITATION. A VEHICLE
WITH A COMBINED WEIGHT EXCEEDING 26,000 LBS OR HAVING 3 AXLES
REGARDLESS OF WEIGHT MUST DISPLAY A FUEL DECAL GS. 105-449.7 (NOT
INCLUDING RECREATIONAL VEHICLES)
______________ ____________________________________ _____________________________________
Date of Certification Signature of owner or designee Printed name of owner or designee
______________ ____________________________________ _____________________________________
Date of Certification Signature of owner or designee Printed name of owner or designee
MVR-618
(
Rev. 02/12
)
WEIGHT
APPLICANT
YEAR MAKE BODY STYLE SERIES MODEL VEHICLE IDENTIFICATION NUMBER
Residence Address (Individual) Business Address (Firm)
V
EH ICLE
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