Affidavit for Verification of Ownership of an ATV ...

Affidavit for Verification of Ownership of an

ATV, Minibike, UTV or Minitruck

Application for title for the following described ATV, Minibike, UTV or Minitruck is being made:

(Make)

(Model/Series)

(Body Style/Type)

(VIN)

(Year)

(GVWR)

(HP)

(# of Cylinders)

The undersigned, being duly sworn, depose or affirm that the following is true about the abovedescribed ATV, minibike, UTV or minitruck:

I/We purchased such on or around

Date of Purchase

, from

Name of Previous Owner

Address of Previous Owner

To my knowledge no previous Certificate of Title has been issued.

DATED this

day of

,

.

(Applicant)

Subscribed and sworn to before me this

day of

,

(Notary Public or designated County Official)

Note: This Affidavit is required to be submitted, along with the Application for Certificate of Title and Vehicle Inspection Certificate, for an ATV, Minibike, or UTV that has not previously been titled. If purchased within past 30 days, a Bill of Sale or cancelled check must accompany this Affidavit.

Printed on recycled paper

Revised 7/2017

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