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Vehicle Address Change Form


Owner Information
Last Name:
First Name:
Middle Initial:
Date moved:  ( MM/DD/YYYY )
Vehicle Information
Account Number:
Vehicle Year:  ( YYYY )
Vehicle Make:
Vehicle Tag:
Vehicle Title Number:
Vehicle Identification Number:
Previous Address
Address:   Apt.#
Zip Code:
New Address
Address (Number & Street):   Apt.#
City / Town:
Zip / Postal Code:
Country / Nation:
Contact Phone:
Email Address:
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2100 Clarendon Blvd. Arlington, VA 22201 Tel: 703-228-3000 TTY: 703-228-4611