Form Mv-46 - Motor Vehicle Certificate Of Title Bond - Georgia Page 2

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MV-46A (8/2002)
Certificate of Title Bond Affidavit*
(Submit with Form MV-46 – Certificate of Title Bond)
The undersigned does hereby swear and affirm under oath that of his or her own personal knowledge, the following information is true
and correct:
On or about the ________________day of _______________________,__________,
(Month)
(Year)
(Name of Applicant for Georgia Title)
(Address)
acquired a ___________________________________________________________________________________________________
(Year Model)
(Make of Vehicle)
(Vehicle Identification Number)
(Length and Width, if Mobile Home)
From _______________________________________________________________________________________________________
(Seller’s Name)
(Seller’s Address)
Moreover, satisfactory and required title documents cannot be produced because of the following reason(s):
Was this vehicle acquired through the abandoned vehicle process?
(
) Yes
(
) No
Has an insurance company ever made a “Total Loss” settlement or has this vehicle ever been wrecked to such an extent that its restoration
required the replacement of two or more major component parts?
(
) Yes
(
) No
Sworn to and subscribed before me
This ______________day of ___________________,__________,
(Month)
(Year)
(Printed Name of Applicant for Georgia Title)
(Printed/Typed Name of Notary Public)
(Signature of Applicant for Georgia Title)
(Signature and Seal or Stamp of Notary Public)
(Applicant's Drivers License Number and State/Country of Issue)
(Date My Commission Expires)
(Date)
*Bond affidavit form available on DMVS website, Except for signatures, form must be legibly
hand-printed, typed or electronically completed and printed.
Any alteration or correction voids this form.

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