Form Itd 3125 - One And The Same Statement

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ITD 3125 (Rev. 08-17)
One And The Same Statement
Supply # 019530165
Idaho Transportation Department
The paperwork submitted for title application contains information that is inconsistent. The name printed on one or
more documents differs from the corresponding signature. If the person signing the documents is the same person
whose name is printed on the documents, certify below.
By signing below, I hereby certify under penalty of perjury pursuant to the law of the State of Idaho that
and
are one and the same person.
Certifier's Printed Name
Title
Agency/Business
Certifier's Signature
Date

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