Affidavit of Fact (PWD 314) - Texas

Affidavit of Fact (PWD 314)

Check whether this applies to a boat, outboard motor or both, and fill in all the blocks for each one checked.

HIN or Serial #: ___________________________________

BOAT INFORMATION

TX #: TX _____________ - _______

Year Built _____________

Make ______________________________

MIN or Serial #: ___________________________________ Horsepower: __________

MOTOR INFORMATION

TX/M # (if known): TX/M _____________ - _______

Year Built _____________

Make ______________________________

Select Applicable Reason(s) for Affidavit

Correction to Title Information

Item Never Titled, Registered or USCG Documented

Payment of Insurance Claim

Correction to MSO Information

Destroyed ¨C Delete Item from TPWD Records

Other ¨C Describe Situation

No Title Available

Homemade Vessel ¨C No Receipts Available

Explain your situation here.

I hereby attest:

More space needed?

See Back of Sheet

See Attached Sheet

WARNING: Falsifying information on documents is a punishable offense. Texas Penal code, Chapter 37, Section 37.10. Any person

who knowingly makes a false entry in, or false alteration of a governmental record is guilty of a felony of the third degree punishable

by confinement in jail for any term of not more than 10 years or less than 2 years and punished by a fine not to exceed $10,000.

I hereby certify that all statements in this document are true and correct to the best of my knowledge and belief.

Signature: __________________________________________

Date: _____/_____/______

Printed name: __________________________________________

Address: ______________________________________________________________________________

City: ___________________________________

Phone Number: (_______) __________________________

State: ________

Home

Zip: _____________________

Work

Cell

Texas Parks and Wildlife Department maintains the information collected through this form. With few exceptions, you are entitled to be informed about the information we

collect. Under Sections 552.021 and 552.023 of the Texas Government Code, you are also entitled to receive and review the information. Under Section 559.004, you are

also entitled to have this information corrected.

PWD 314¨CA0900 (2/21)

Texas Parks and Wildlife Department ? 4200 Smith School Road, Austin, TX 78744 ? tpwd.

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