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Fill and Sign the Vtr 264 Repossessed Motor Vehicle Affidavit Txdmvgov Form

Fill and Sign the Vtr 264 Repossessed Motor Vehicle Affidavit Txdmvgov Form

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Affidavit Regarding Loss of Certificate of Title to Vehicle State of ________________________ County of ______________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, ________________________________ (Name of Affiant), who, having been being first duty sworn by the undersigned Notary Public, deposes and says:1. An ownership certificate (or certificate of title) was issued to Affiant on ______________ ______________ (date), for the following motor vehicle: A. Type of vehicle: (e.g., automobile, trailer, motorcycle) ____________________________ ; B. Make: (e.g., identification of make) _____________________________. C. Model and year: (e.g., identification of model and year) _____________________________________. D. Date first sold: (e.g., date of sale) ______________________________. E. Horsepower: (e.g., description of horsepower) ___________________________. F . Number of cylinders: (e.g., number of cylinders) ___________________. G. Unladened weight: (e.g., description of weight) ___________________________. H. Wheelbase: (e.g., description of wheelbase) ______________________________. I. Number of axles: (e.g., number of axles) _________________. J. Vehicle identification Number (e.g., VIN number) ___________________________________. 2. The ownership certificate (or certificate of title) referred to above was lost by Affiant on or about ___________________________ (date), and Affiant is now applying for issuance of a duplicate certificate. 3. Affiant resides at _________________________________________________________ ___________________________________ (street address, city, county, state, zip code, and is the owner of the above-described Vehicle. Witness my signature this __________________________ (date). __________________________________ __________________________________ Name & Signature of Affiant SWORN to and subscribed before me, this the ______ day of _____________________, 20_____. _____________________________ NOTARY PUBLIC My Commission Expires:_____________________

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