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REQUEST FOR VEHICLE TITLE,

REGISTRATION, AND PLATES


Embassy Of Heaven Church
EmbassyOfHeaven.Org
Please type or print clearly using black ink:
Name

Address

City, State, ZIP

Phone Number Email Address

Vehicle Information
Year Make Style Vehicle Identification Number

Enclosed is a signed Certificate of Title, or Bill of Sale, or Statement by owner, releasing all
interests to the Kingdom of Heaven.

I declare that I am baptized in the Name of the Father, and of the Son and of the Holy
Spirit. I am a citizen of the Kingdom of Heaven and I give my allegiance to Jesus Christ
(Yahshua), the Son of God (Yahweh). I will obey the Supreme Law of the Land as stated
at Matthew 22:37-40, "You shall love the LORD your God with all your heart, with all
your soul, and with all your mind. This is the first and great commandment. And the
second is like it: You shall love your neighbor as yourself. On these two commandments
hang all the Law and the Prophets." I renounce all allegiance and fidelity to every
foreign prince, potentate, state or sovereignty whatsoever and to the world itself.
I declare that the above-described vehicle is free from any loans or other third party
interests.

_______________________________________________ _____________________________________
Date
Enter your signature completely inside box. It will be electronically transmitted onto card.

Office use only

Plate Number: Registration Date:

Title Number: Process Date:

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