MSO / MCO Form • California (USA)
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Volts Minibike — Manufacturer Document

MANUFACTURER’S STATEMENT OF ORIGIN (MSO / MCO)

State of Origin: California (USA)
Company: Volts Minibike • LLC
Address: 1212 N Wilmington Ave, Compton, CA 90222, USA
Contact: (310) 496 6313
Document Number
CA-MSO-000001
Registration No. / Tax ID
CA5464336789 • 987-654-321

Manufacturer Information

Company Name
Business Type
Registration Number
Date of Registration
Tax ID
Address

Original Purchaser / First Owner

Owner Name
Owner Address

Vehicle Information

Make
Model
Year
Color
Displacement (CC)
Engine Number
VIN / Frame Number

Declaration

The undersigned manufacturer certifies that the vehicle described above was manufactured in the State of California, USA, and is transferred as a new vehicle to the Original Purchaser listed on this document. This vehicle is intended for off-highway use unless and until properly registered and made compliant with applicable California laws.

VIN Barcode / QR

Barcode (Code 128)
QR Code

Authorization

Authorized Representative Signature
 
Printed Name & Title
 
Place of Issue
Compton, CA
Date
__________________
Official Company Stamp / Seal
STAMP / SEAL AREA
Document Ref: CA-MSO-000001
VIN: —