Form Mv147 - Wyoming Affidavit Of Vehicle Ownership

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WYOMING AFFIDAVIT OF VEHICLE OWNERSHIP
STATE OF WYOMING}
COUNTY OF_________________________________}
THIS IS TO CERTIFY THAT I/WE,____________________________________________________________________
am/are the owner(s) of the following described vehicle/watercraft, to wit:
Vehicle/Hull Identification Number
Color
Odometer Reading /
Fuel Type /
Vessel Length
Vessel Type
Year
Make
Model
Trim Level /
Factory Cost
Hull Material
and my/our address is,________________________________________________________________________________
and that I/we acquired ownership and possession of the above vehicle/watercraft from:
Prior Owner’s Name
Address
Telephone Number
Prior Title Number
State
Name of Current Lien Holder/Lien Type/Amount
Current Value
on:________________________________________ located at:______________________________________________
Date
Address
Explain why you are/were unable to obtain any title or lien information on this vehicle/watercraft
(Attach additional pages if
needed): _______________________________________________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Is this vehicle being restored for personal use?
YES
NO
At the time of purchase, was the vehicle inoperable and needing substantial repairs to one or more of the mechanical systems?
YES
NO
I do hereby certify under penalty of perjury, that all information on this Affidavit of Vehicle Ownership is true and correct, I am
the true and lawful owner of the vehicle/watercraft described herein, and I further attest that the liens and encumbrances noted hereon are
the only liens and encumbrances against the vehicle described herein.
_________________________________________________ _________________________________________________ ___________________
Applicant’s Printed Name
Applicant’s Signature
Date
NOTARY PUBLIC
State of _____________________________)
County of ____________________________)
Witness my hand and official seal.
The foregoing instrument was acknowledged before me by
___________________________________________
Notary Public / County Clerk / Deputy
____________________________________________________ ,
My commission expires: ______________________
This _____ day of _________________________, 20______.
(NOTARY SEAL)
Please Turn Page Over For Instructions
MV147 (8/12)

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