Fillable Form Fc25-10 - Affidavit Of Repossession - County Of Fremont printable pdf download

Form Fc25-10 - Affidavit Of Repossession - County Of Fremont

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AFFIDAVIT OF REPOSSESSION

State of Wyoming

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County of Fremont

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I, ______________________________, first having been sworn according to law, on oath, voluntarily

under the penalty of perjury, deposes and says that on _____ day of _________________, 20_____,

(debtor) ____________________________________________________ executed and delivered to

(creditor)__________________________________________ a lien statement covering the following

described titled property (vehicle, watercraft or mobile home):

Year__________ Make of Titled Property _____________________________________________

Vehicle (VIN) / Hull (HIN) Identification Number:__________________________________________

and said agreement was filed in the office of the County Clerk and ex-officio register of deeds of

Fremont County, Wyoming on __________ day of _________________, 20_____, as instrument

number ______________________ and Wyoming title number _____________________.

That because of default and pursuant to the terms of said lien statement,

(creditor)___________________________________did on _____ day of _____________, 20_____,

take actual possession of said titled property.

Affiant swears that he is making this statement for the purpose of having the County Clerk issue a title

in the following name(s) and address:___________________________________________________

________________________________________________________________________________

 the actual mileage of the vehicle;

and the current odometer reads _________________and is

(check one):

 the amount of mileage in excess of mechanical limits; or

 the odometer reading is NOT the actual mileage.

Affiant swears that he or she will warrant and defend the title and rights of this titled property and

protect the County Clerk of Fremont County, Wyoming from any damages that might arise from

irregularities of same.

_____________________________________

Signature of Creditor

Subscribed and sworn before me this ______ day of ____________, 20_____. Witness my hand and

official seal.

_____________________________________

County Clerk or Notary Public

S S

E E

A A

L L

My commission expires:__________________

FC25-10

Form Fc25-10 - Affidavit Of Repossession - County Of Fremont

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