This Affidavit of Vehicle Ownership (the “Affidavit”) is made on [Date] by:
Affiant/Owner: [Full Name], address: [Address], phone/email: [Contact].
Driver’s License/ID (Optional): [State + last 4 digits only]
1.1 Year: [Year]
1.2 Make: [Make]
1.3 Model: [Model]
1.4 VIN: [VIN]
1.5 License Plate (If Any): [Plate]
1.6 Odometer (Optional): [Mileage] as of [Date].
1.7 Vehicle Location (Optional): [Address/City].
2. Ownership Statement
2.1 I am the lawful owner of the vehicle described above.
2.2 I acquired the vehicle on or about [Date] by:
☐ Purchase from [Seller name] for $[Amount]
☐ Gift from [Name]
☐ Inheritance from [Decedent name]
☐ Transfer from business/entity: [Name]
☐ Other: [Explain]
3. Title Status
3.1 Title Status (Select One):
☐ Original title is lost
☐ Title was never received/issued to me
☐ Title is being corrected due to: [Explain]
☐ Other: [Explain]
3.2 Steps taken to locate/obtain the title (optional): [Describe briefly].
4. Liens and Claims
4.1 The vehicle is:
☐ owned free and clear (no liens)
☐ subject to lien (lender: [Name], balance: $[**])
☐ lien satisfied (proof attached)
☐ disputed/claimed by another (explain): [**]
5. Attachments (Optional)
5.1 ☐ Bill of sale/receipt
5.2 ☐ Prior registration
5.3 ☐ Insurance proof
5.4 ☐ Lien release (if applicable)
5.5 ☐ Photos of VIN/vehicle
5.6 ☐ Police report (if theft suspected)
5.7 ☐ Other: [List]
6. Statement Under Oath
6.1 I declare under penalty of perjury that the statements in this Affidavit are true and correct to the best of my knowledge.
Signatures
Affiant/Owner: [Full Name]
Date: [Date]
Signature: ___________________________
Witnesses (If Required)
Witness Name: [Name]
Date: [Date]
Signature: ___________________________
Notary / Notarization (If Required)
State of [State]
County of [County]
On [Date], before me, [Notary Name], personally appeared [Affiant Full Name], known to me (or satisfactorily proven) to be the person whose name is subscribed to this Affidavit, and acknowledged that they executed it for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________