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| PINONMADRID MIGUEL ANGEL
1324 NORTH G ST APT C
« SN BERNRDNO CA 92405
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1 cert or declare) under penalty 6 erury under the laws ofthe State of California that the foregoing [true and correct,
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‘Any change of Lienholder (holier of secu interest)
IT READ CAREFULLY.
ist be reporied to tHe Department of Motor Veticles within
10 days,
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Pelease Date
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