Form T-23 - Homemade Trailer Affidavit - Georgia

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T-23 (Revised 1-2017)

CLEAR

Web and MV Manual

Georgia Department of Revenue - Motor Vehicle Division

Homemade Trailer Affidavit

ANY CORRECTION OR ALTERATION WILL VOID THIS AFFIDAVIT

Purpose of this Affidavit: This affidavit is to be used to obtain a serial plate for a homemade trailer. This affidavit shall not be used to obtain a plate for

a manufactured trailer.

How to submit this Affidavit: This affidavit must be completed in its entirety, legibly printed in blue or black ink or typed, and submitted along with all

required document(s) to the county tag office in your county of residence. Please refer to

to locate the county tag office in your

county of residence.

Required Document(s): Parts receipts or bill of sale.

OWNER INFORMATION

First Name

Middle Initial

Last Name

Suffix

Primary Owner’s

Full Legal Name:

Street No.

Street Name

Apt/Suite No.

Mailing Address:

City:

State:

ZIP Code:

Telephone No.:

Secondary Owner’s

First Name

Middle Initial

Last Name

Suffix

Full Legal Name:

Street No.

Street Name

Apt/Suite No.

Mailing Address:

City:

State:

ZIP Code:

Telephone No.:

TRAILER INFORMATION

Trailer Type:

Year Model/Built:

Weight:

Builder’s Full

Completion Date:

Legal Name:

CERTIFICATION

I/We do solemnly swear or affirm under penalty of false statement, in accordance with the provisions of Georgia law, that the information contained in

this affidavit is true and accurate to the best of my knowledge.

Primary Owner

Signature:

Date:

Driver’s License No.:

Secondary Owner

Signature:

Date:

Driver’s License No.:

NOTARY PUBLIC ACKNOWLEDGMENT

Personally appeared before me, the undersigned officer, duly authorized by law to administer oaths, comes the owner(s) named in section A, who

being duly sworn, states that he and/or she is the legal and rightful owner(s) of the trailer described in section B; and further states that this trailer is

free and clear of all liens, security interests and encumbrances and the materials used in its construction have been paid to this date.

Month

Year

Sworn to and subscribed before me this

day of

Notary Seal or Stamp

Notary Public’s

Full Legal Name:

Physical Address:

Email Address:

Telephone No.:

Signature of