Address
City, State Zip	, LA
Recording a lien?	YesNo If yes, lien type UCC-1 Other
Sale Date
Sale Price
Rebate
Trade In
Vehicle Type	CarCommercial TruckBoat Trailer (up to 1500 lbs) MotorcycleOther Trailer - 1 year plate TrailerOther Trailer - 4 year plate MotorhomeOther Trailer - permanent plate
Are you a dealer or lienholder? YesNo
Do you have a current specialized plate that you would like to transfer to this vehicle? YesNo

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