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机动车停驶_复驶_注销登记申请表下载 |
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机动车停驶、复驶/注销登记申请表 |
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填 表 说 明 |
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机动车登记证书编号 |
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号牌号码 |
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申请事项 |
□停驶 □复驶 □注销 |
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机动车所有人 |
姓名/名称 |
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1、填写时使用黑色、蓝色墨水笔,字体工整;
2、标注有“□”符号的为选择项目,选择后在“□”中划“√”;
3、申请明细栏停驶期限填写申请停驶的月数;
4、申请方式栏,属于由机动车所有人委托代理单位或者代理人代为申请的,除在“□”内划“√”外,还应当在下划线处填写代理单位或者代理人的全称;
5、机动车所有人的签字/盖章栏,属于个人的,由机动车所有人签字,属于单位的,加盖单位公章;
6、代理人栏,属于个人代理的,填写代理人的姓名、住所地址、身份证明名称、号码,在代理人栏内签名,不必填写经办人姓名等项目;属于单位代理的,应填写代理人栏的所有内容,代理单位应盖单位公章,经办人应签字。
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身份证明名称 |
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号码 |
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机动车所有人: |
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装 |
申请明细 |
相关资料 |
□机动车登记证书 □行驶证 □机动车号牌 □报废机动车回收证明副本 □机动车异地解体证明 |
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注销原因 |
□报废 □灭失 □其他 |
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停驶期限 |
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申请方式 |
□由机动车所有人申请
□机动车所有人委托 代理申请 |
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订 |
(个人签字/单位盖章) |
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年 月 日 |
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代理人 |
姓名/名称 |
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联系电话 |
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住所地址 |
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线 |
身份证明名称 |
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号码 |
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代理人: |
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经办人 |
姓名 |
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身 份 证 明 名称 |
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号码 |
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住所地址 |
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(个人签字/单位盖章) |
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签字 |
年 月 日 |
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年 月 日 |
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提示:填表说明在背面 |
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