State of
County of
I, , residing at , being of legal age, being duly sworn, do hereby declare and state as follows:
I am the rightful and legal owner of the , , year of manufacturing with the following title number: and the vehicle identification number (VIN): (the "Vehicle").
Acquisition of ownership. The ownership of the Vehicle was obtained through .
Encumbrances or liens. The Vehicle is free from any liens, encumbrances, or claims made by others.
Acknowledgment of truthfulness. I affirm that the information provided in this Affidavit is true and correct to the best of my knowledge and belief.
This Affidavit was made on .
______________________
(Place for signature)
State of
Acting in the county of
Sworn to and subscribed before me on ___________________________.
___________________________________
Place for signature
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Notary public's name and seal