郭文贵破产案 · EXHIBIT · ECF #2576-3

ARRTL351 REGISTRATION INFORMATION INQUIRY DATE: 10/11/2023 Case 22-50073 Doc 2576-3 Filed 02/06/24 Entered 02/06/24 17:59:02 Page 2 of 4

AUTOPIC: NAME:

STREET:

CITY:

COUNTY: ZIP: STATE: NJ LAST TRAN NO:

MAKE: MODEL: COLOR:

TYPE:

PAS/GVW/LEN: AXLES/PROP:

REG CODE: STATUS:

RENEWED: REF-IND: Y LEASED VEHICLE: N ISSUED: PL TYPE: MC PIN:

PF3-END PF4-ADDITIONAL OWNERS PF6-NAME SEARCH PF8-NEXT VEHICLE PF9-LEASE INFO PFll-CANCEL PF7-PREVIOUS VEHICLE PF12-MAIN MENU

Utlize this form for first-time auto registrations (plates will be provided), or for auto registration renewal

APPLICATION FOR VEHICLE REGISTRATION PREFIX VEHICLE IDENTIFICATION NOMBER (VIN)

(Please complete both sides - print clearly)

AB Nother LESSEE -- It the vehilder is barred for a paried of other of the owner from the supply the lexise's Information

ST.

CITY CITY STATE DATE LEASE SIGNED TERM (Months) Serser 0 1307 LEASE CANCELLATION DATE LEASE CANCELED NAME/CO-OWNER COMMERCIAL REGISTRATION ONLY REQUESTED REGISTRATION CODE: REQUESTED REGISTRATION WEIGHT OR NUMBER OF PASSENGERS:

IS CHANGED FROM PREVIOUS REPLACEMENT PLATES

TRANSFER CODE CHANGE Increase In REG. WEIGHT WILL THE VEHICLE BE USED AS A RENTAL?

GENDER Full, BARE BE SUPER 1468 I SECUDITY NEW NI IMAGE

GENDER FULL: DATE OF BIRTH "SOCIAL SECURITY NUMBER EYE COLOR. FESSEES IN DRIVER TIDENSE MUNBERCORE CORPOOD GENDER FULL DATE OF BIRTH SOCIAL SECURITY NUMBER

SIGN. SUBMISSION OF THE SOCIAL SECURITY NUMBER IS REQUIRED BY N.J.A.C. 13:21-13. THE NUMBER WILL BE USED To PREVENT ERRORS AND ENFORCE FEDERAL AND STATE LANS IN THE COLLECTION OF MOTOR VEHICLE FEES,

редале не седенские се ставенть он води (су представляется) компорта на невірской и осименски, чейског постродне компанского компанские компанского мог Covelines with the Federal Motor Cases of ETY required in L.A.C. (20), A APPLICALL.MISTATEMENTS MAY RESIRTON OF RESIRVITOR ORDING PROLECES

IS YOUR REGISTRATION PRIVILEGE NOW REVOKED OR SUSPENDED IN ANY STATE? YES _ _ _ NO DE

IF YES - STATE WILL THIS VEHICLE BE USED FOR COMMERCIAL ODOMETER READING PURPOSES, WHICH IS DEFINED AS A MOTOR

THIS VEHICLE MUST BE COVERED BY LABILITY INSURANCE IN THE MINIMUM AMOUNT REQUIRED BY LAW WITH A COMPANY AUTHORIZED TO WRITE LIABILITY INSURANCE IN NEW JERSEY. VEHICLES USED OR DESIGNED TO TRANSPORT

GIVE FULL NAME OF INSURANCE COMPANY AND POLICY NUMBER INSURANCE COMPANY: POLICY NUMBER:

IF VEHICLE IS REGISTERED UNDER TRADE OR AGRICULTURAL CERTIFICATE NUMBER: TRADE OR COMPANY NAME CHANGE CANNOT BE COMPANY NAME, FEDERAL TAX IDENTIFICATION MADE AT A MOTOR VEHICLE AGENCY. PLEASE ASK FOR INFORMATION OR CALL 1(609)292-6500. NUMBER:

ALL PASSENGER VEHICLES. ALL GASOLINE POWERED COMMERCIAL VEHICLES UP TO AND INCLOUNG BARFOUNDS ARE SUBLECT TO WEBECTION AT A STATE AUTHORIZED WEPECTION FACILITY OR LICENSED PRIVATE INSPECTION FACILITY A GROUPS WERE OF 18,000 OR MORE POUNDS ARE SUBLE OPACITY INSPECTION AT A LIGENSED DIESEL EMISSION PRIVATE INSPECTION FACILITY. DIESEL POWERED VEHOLES WITH A SYNK FROM EDIT UP TO AND WOLUDING IT, 1999 POUNDS, EXCLUDING DIESEL BUSES AS DEFINED IN MULS AN 30 POLAND PASSENGER VEHICLE TRANSPORTATION AS DEFINED N.N.L.A.C. 1220-7 , ARE SUBLECT TO SELF-INSPECTION THE SIGNER(S) CERTFESS THAT THIS VEHOLE HAS BEEN INSTANTED AS REQURED OF LAN. COMMERCIAL MOTOR VEHICLES, AS DEFINED IN NJAC. 13:00 AND 40 CFR PART 380,0 ARE SUBLECT TO AN ANNUAL NER 386:17, IF USED FOR SOLD SYASTE DISPOSAL OR SOLLOWASTE OOLLEGION, THE SIGNER(S) CERTIFIES THAT THE APPLICABLE APPROVALS FROM THE OEPARTMENT OF ENVIRONMENTAL PROTECTION.

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