Affidavit Of Non-Ownership Template

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AFFIDAVIT OF NON-OWNERSHIP
SAN ANTONIO MUNICIPAL COURT -- PARKING HEARINGS OFFICE
Ticket #: ______________________ License Plate #: _____________ State: __________
In the space above, please clearly and accurately write the Parking Ticket Number, License Plate Number
and License Plate State. If this information is provided incorrectly or unclear, the affidavit may not be
processed and the Notice of Violation would remain in your name.
At the time of the violation indicated in the Notice of Violation, the vehicle described in
the ticket was (check one):
□ Sold on ________________ (include bill of sale or other supporting documentation)
□ Stolen (include a copy of your police report)
□ Rented or Leased (include copy of the rental/lease agreement)
□ Owned by a governmental entity
Provide the name and address of the person responsible for the vehicle at the time of the violation:
______________________________________________________________________________________
Company or Individual’s Name
______________________________________________________________________________________
Street
City
State
ZIP
I declare under penalty of perjury under the laws of the State of Texas that the
information provided in this affidavit is true and correct to the best of my knowledge.
________________________________________________________ ____________________________
Registered Owner’s Signature
Date
________________________________________________________ ____________________________
Registered Owner’s Printed Name
Phone number
______________________________________________________________________________________
Registered Owner’s Street Address
City
State
ZIP
IMPORTANT NOTICE: Submitting a false report is a felony under Texas law.
Submit the completed, signed, and notarized affidavit, along with supporting documentation by mail or in
person to: San Antonio Municipal Court, Parking Hearings Office, 401 S. Frio, San Antonio, TX 78207. The
Parking Hearings Office is available Monday through Friday 8 - 11 a.m. and 1 – 4 p.m.
SUBSCRIBED AND SWORN to before me on this_______ day of______________________, 20______.
__________________________________________
Notary Public

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