Form HSMV81406 "Application/Affidavit for Duplicate Mobile Home Installer License" - Florida

What Is Form HSMV81406?

This is a legal form that was released by the Florida Department of Highway Safety and Motor Vehicles - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2017;
  • The latest edition provided by the Florida Department of Highway Safety and Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form HSMV81406 by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.

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Download Form HSMV81406 "Application/Affidavit for Duplicate Mobile Home Installer License" - Florida

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APPLICATION/AFFIDAVIT FOR DUPLICATE
MOBILE HOME INSTALLER LICENSE
Date:
License Number
Installer’s Name
Installer’s Address
I certify that the license described herein has been lost in transit and never received
by me, or that the original license issued in my name has been lost or destroyed.
I further certify that if the original license is found or received, I will immediately
return it to the Mobile Home Installer Licensing Section, Division of Motorist
Services at 2900 Apalachee Parkway, Neil Kirkman Building, MS 66, Tallahassee,
Florida 32399-0640.
Installer’s Signature
---------------------------------------------------------------------------------------------------------------------
(GHQ USE ONLY)
Receipt Date
License reflecting forms control number
printed and mailed to mobile
home installer at above address on
.
HSMV 81406 (09/17)
APPLICATION/AFFIDAVIT FOR DUPLICATE
MOBILE HOME INSTALLER LICENSE
Date:
License Number
Installer’s Name
Installer’s Address
I certify that the license described herein has been lost in transit and never received
by me, or that the original license issued in my name has been lost or destroyed.
I further certify that if the original license is found or received, I will immediately
return it to the Mobile Home Installer Licensing Section, Division of Motorist
Services at 2900 Apalachee Parkway, Neil Kirkman Building, MS 66, Tallahassee,
Florida 32399-0640.
Installer’s Signature
---------------------------------------------------------------------------------------------------------------------
(GHQ USE ONLY)
Receipt Date
License reflecting forms control number
printed and mailed to mobile
home installer at above address on
.
HSMV 81406 (09/17)