SAC-TIRE-RIM-VSC 08-2020 Page 8 TO TRANSFER THIS AGREEMENT, COMPLETE THE FOLLOWING AND MAIL IT ALONG WITH A PHOTOCOPY OF THE FRONT OF THIS AGREEMENT TO: THE ADMINISTRATOR/OBLIGOR, PO Box 852770, Richardson, TX 75085. Please transfer the remainder of the Agreement. I am transferring this Agreement in accordance with the provisions stated in the Agreement. In order to transfer I am enclosing with this Application a $50.00 check or money-order payable to: Administrator (If applicable) Name of New Owner: Date of Transfer Address: City, ST, Zip Odometer Mileage on Date of Transfer: Signature of Vehicle Purchaser: Signature of Vehicle Seller: Verification that the vehicle has been maintained as required by this Agreement must be supplied by the vehicle seller to the vehicle purchaser. Transfer will be valid when vehicle purchaser receives a confirmation letter from Administrator. SAMPLE 20 40 60 80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460 480 500 520 540 560 580 20 40 60 80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460 480 500 520 540 560 580 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 240 250 260 270 280 290 300 310 320 330 340 350 360 370 380 390 400 410 420 430 440 450 460 470 480 490 500 510 520 530 540 550 560 570 580 590 600 610 620 630 640 650 660 670 680 690 700 710 720 730 740 750 760 770 780 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 240 250 260 270 280 290 300 310 320 330 340 350 360 370 380 390 400 410 420 430 440 450 460 470 480 490 500 510 520 530 540 550 560 570 580 590 600 610 620 630 640 650 660 670 680 690 700 710 720 730 740 750 760 770 780
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