MV2541 Good Faith Statement



|GOOD FAITH STATEMENT | |Wisconsin Department of Transportation |

|Under Section 341.64 Wis. Stats. | | |

|MV2541 6/2006 | | |

You have purchased a vehicle whose registration is currently suspended * as a result of an unpaid citation. The law states that no owner may sell a vehicle while registration is suspended * unless it is done in good faith and not to defeat the purpose of the suspension. A good faith transfer is one in which the seller would not have possession, use of, or receive any benefit from the operation of the vehicle after the transfer of ownership.

If this transfer is in good faith, you must complete the following before we can transfer ownership.

|Purchaser Name |I/We certify that I/we purchased the identified vehicle on the date specified. |

|      |It is further certified that the former owner will not have possession, use of,|

| |or receive any benefit from the operation of the vehicle after the transfer of |

| |ownership. |

|Address | |

|      | |

|Vehicle Make |Year | |

|      |      | |

|Identification Number |Purchase Date |I/we understand that any person who makes a false statement in an application |

|      |      |for a certificate of title may be fined up to $10,000 or imprisoned up to six |

| | |years or both. |

|Former Owner Name | |

|      | |

|Address | | |

|      | | |

| | |(Date) |

|* NOTE: The Good Faith Statement does NOT apply to a leased vehicle when the |X | |

|registration is suspended and | | |

|the lessee is purchasing the vehicle from the leasing company. | | |

| |(Signature of Purchaser(s)/New Owner(s)) |

| |X |

| | |

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