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Affidavit of Motor Vehicle Disposition

  1. State of South Carolina

  2. Personally appeared before me, stating that the identified owner of the vehicle described above has relinquished ownership for one of the following reasons:*

  3. This form to be completed in it's entirity by the company verifying the loss of a vehicle.

  4. Leave This Blank:

  5. This field is not part of the form submission.