Form Itd 3366 - Affidavit Of Repossession

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Affidavit Of Repossession
ITD 3366 (Rev. 07-13)
Idaho Transportation Department - Vehicle Services
Supply # 01-957100-9
itd.idaho.gov
1st Vehicle/Hull Identification Number
Title Number
2nd Vehicle/Hull Identification Number
Issue Date
Year
Make
Model
Repossession Date
Owners of Record (Name)
Address
Lienholder of Record (Company Name)
Address
I, the undersigned, certify under penalty of law, that the lien holder of record is the lawful owner of the above-described vehicle /
vessel by reason of a conditional sale contract, chattel mortgage, or security agreement, and that the above-described vehicle /
vessel was lawfully repossessed from the owner of record on the date shown above.
Furthermore, the lien holder agrees to indemnify the Idaho Transportation Department and all persons acting under their direction
from any and all liability and shall defend all litigation which may arise as a result of the issuance of a new Certificate of Title on
the above-described vehicle / vessel.
If a purchaser is named below, the lien holder conveys all rights, title, and interest to said vehicle / vessel to this purchaser and
warrants the title thereto. The vehicle/vessel is free from all liens and encumbrances except as stated below.
Purchaser's Full Legal Name
Purchaser's Idaho Driver’s License No. or SSN/ Business EIN
Purchaser's Physical Address
City
State
Zip
Purchaser’s Mailing Address (If Different)
City
State
Zip
Date Sold
Amount of Sale
New Lienholder
There is no transfer. Please issue a Title in the name of the Lienholder of Record.
Odometer Reading
(No Tenths)
Actual Miles
Exceeds Mechanical Limits
Exempt
Not Actual Warning – Odometer Discrepancy
No Device
I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct, and that the
signature below is my true and legal signature.
Lien Holder's Printed Name
Representative's Printed Name
Representative’s Signature
Date

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