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Tennessee affidavit of transfe... TENNESSEE DEPARTMENT OF REVENUE AUDIT DIVISION P. O. BOX 190644 NASHVILLE TN 37219 AFFIDAVIT OF TRANSFER OF AIRCRAFT/HELICOPTER Pursuant to TCA 42-1-113 any person or dealer who sells an aircraft in this state any purchaser who purchases an aircraft in this state and every resident of this state who purchases an aircraft shall report to the Department of Revenue the following information. MARK ALL THAT APPLY New Used Non-resident purchaser Comple...

Mn small estate affidavit form AFFIDAVIT FOR COLLECTION OF PERSONAL PROPERTY Minnesota Statutes 524.3-1201 Estate of: , Decedent. I, state that: 1. My name is: . 2. My address is: . 3. Decedent died on . A certified copy of Decedent's

Nv affidavit form 555 Wright Way Carson City NV 89711 Reno/Sparks/Carson City 775 684-4DMV 4368 Las Vegas area 702 486-4DMV 4368 Rural Nevada or Out of State 877 368-7828 www. dmvnv.com ERASURE AFFIDAVIT NRS 482. 245 An individual taking full responsibility for an error change or removal of information on ownership documents must complete and sign the Erasure Affidavit. 555 Wright Way Carson City NV 89711 Reno/Sparks/Carson City 775 684-4DMV 4368 Las Vegas area 702 486-4DMV 4368 Rural Nevada or Out of State 877 368-7828 www. dmvnv*com ERASURE AFFIDAVIT NRS 482. 245 An individual taking full responsibility for an error change or removal of information on ownership documents must complete and sign the Erasure Affidavit. If a person is being removed from the ownership documents that individual is required to sign the affidavit. When representing a business the business name and the name of the authorized business representative must appear on the affidavit. Please print or type Year Make Model Vehicle Identification Number The undersigned being duly sworn states that the error or change appearing on the attached Please describe what and where error is. I declare under penalty of perjury that the foregoing is true and correct. Affiant s Printed Full Legal Name Nevada Driver s License Identification Card Number Date of Birth or FEIN for Businesses Physical Address City State Zip Code Mailing Address State of Nevada County of Signed and sworn to before me on Date Signature of Affiant Notary Stamp Notary Public or Authorized Nevada DMV Representative VP-019 01/2014 Signatures must be originals. Photocopies are not acceptable. Changes may not be made to this form once it is signed and witnessed*. dmvnv*com ERASURE AFFIDAVIT NRS 482. 245 An individual taking full responsibility for an error change or removal of information on ownership documents must complete and sign the Erasure Affidavit. If a person is being removed from the ownership documents that individual is required to sign the affidavit. If a person is being removed from the ownership documents that individual is required to sign the affidavit. When representing a business the business name and the name of the authorized business representative must appear on the affidavit. When representing a business the business name and the name of the authorized business representative must appear on the affidavit. Please print or type Year Make Model Vehicle Identification Number The undersigned being duly sworn states that the error or change appearing on the attached Please describe what and where error is. Please print or type Year Make Model Vehicle Identification Number The undersigned being duly sworn states that the error or change appearing on the attached Please describe what and where error is. I declare under penalty of perjury that the foregoing is true and correct. Affiant s Printed Full Legal Name Nevada Driver s License Identification Card Number Date of Birth or FEIN for Businesses Physical Address City State Zip Code Mailing Address State of Nevada County of Signed and sworn to before me on Date Signature of Affiant Notary Stamp Notary Public or Authorized Nevada DMV Representative VP-019 01/2014 Signatures must be originals.

Affidavit of identity form 159... Date. Name of Person(s) . Signature of notarial officer. My commission expires: Month, Day, Year. Notary Stamp as. Type of Authority, e.g. Officer, Trustee, etc. of

Nv division of mineralsaffidav... The following Document contains no Personal Information as defined by NRS 603A.040 CERTIFICATE OF LOCATION LODE MINING CLAIM TO ALL WHOM IT MAY CONCERN: The locator hereby certifies that he has caused

Nv division of mineralsaffidav... The following Document contains no Personal Information as defined by NRS 603A.040 AFFIDAVIT OF ANNUAL ASSESSMENT WORK (Long Form) TO ALL WHOM IT MAY CONCERN: The undersigned, , certifies that at

Georgia domestic relations fin... IN THE SUPERIOR COURT OF STATE OF GEORGIA Plaintiff v. Defendant. Civil Action File Number DOMESTIC RELATIONS FINANCIAL AFFIDAVIT Affiant s Name Affiant s Age Spouse s Name Spouse s Age Names and birth dates of children for whom support is to be determined in this action NAME OF CHILD DATE OF BIRTH RESIDES WITH SUMMARY OF AFFIANT S INCOME AND NEEDS a Gross Monthly Income from item 3A b Net Monthly Income from item 3B c Average Monthly Expenses item 5A Monthly Payments to Creditors item 5B Total Monthly Expenses and Payments to creditors item 5C 3. A. AFFIANT S GROSS MONTHLY INCOME complete this section or attach Child Support Schedule A All income must be entered based on monthly average regardless of date of receipt. Salary or Wages ATTACH COPIES OF 2 MOST RECENT WAGE STATEMENTS Commissions Fees Tips Income from self-employment partnership close corporations and independent contracts gross receipts minus ordinary and necessary expenses required to produce income ATTACH SHEET ITEMIZING YOUR CALCULATIONS Rental Income gross receipts minus ordinary and necessary expenses required to produce income ATTACH SHEET ITEMIZING Bonuses Overtime Payments Severance Pay Recurring Income from Pensions or Retirement Plans Interest and Dividends Trust Income Income from Annuities Capital Gains Social Security Disability or Retirement Benefits Workers Compensation Benefits Unemployment Benefits Judgments from Personal Injury or Other Civil Cases Gifts cash or other gifts that can be converted to cash Prizes/Lottery Winnings Alimony and maintenance from persons not in this case Assets which are used for support of family Fringe Benefits if significantly reduce living expenses Any other income do NOT include meanstested Public assistance such as TANF or food stamps GROSS MONTHLY INCOME B. Affiant s Net Monthly Income from employment deducting only state and federal taxes and FICA Affiant s pay period i*e* weekly monthly etc* Number of exemptions claimed ASSETS If you claim or agree that all or part of an asset is non-marital indicate the non-marital portion under the appropriate spouse s column and state the amount and the basis premarital gift inheritance source of funds etc* DESCRIPTION VALUE Cash Stocks bonds CD s/Money Market Accounts Bank Accounts list each account Retirement Pensions 401K IRA or Profit Sharing Money owed you Tax Refund owed you Real Estate Home Debt Owed Other Automobiles/ Vehicles SEPARATE ASSET OF THE HUSBAND WIFE BASIS OF THE CLAIM Life Insurance net cash value Furniture/ Furnishings Jewelry Collectibles Other Assets TOTAL ASSETS 5. A. AVERAGE MONTHLY EXPENSES HOUSEHOLD Mortgage or rent payments Property taxes Homeowner/Renter Insurance Electricity Water Garbage and Sewer Telephone Residential line Cellular telephone Gas Repairs and maintenance Lawn Care Pest Control Cable TV Misc* household and grocery items Meals outside the home AUTOMOBILES Gasoline and oil Repairs Auto tags and license OTHER VEHICLES boats trailers RV s etc* Tags and license CHILDREN S EXPENSES Child care total monthly cost School tuition Tutoring Private lessons e*g* music dance School supplies/expenses Lunch Money Other Educational Expenses list Allowance Clothing Diapers Medical dental prescription out of pocket/uncovered expenses Grooming hygiene Gifts from children to others Entertainment Activities including extra-curricular school religious cultural etc* Summer Camps OTHER INSURANCE Health Child ren s portion Dental Vision Life Relationship of beneficiary Disability Other specify AFFIANT S OTHER EXPENSES Dry cleaning/laundry Affiant s gifts special holidays Recreational Expenses e*g* fitness Vacations Travel Expenses for Visitation Publications Dues clubs Religious and charities Alimony paid to former spouse Child support paid for other children Date of initial Order Other attach sheet TOTAL ABOVE EXPENSES PAYMENTS TO CREDITORS Please check one To Whom Balance Due Monthly Payment Joint TOTAL MONTHLY PAYMENTS TO CREDITORS C.

Affirmation of repossession 20... New York State Department of Motor Vehicles AFFIRMATION OF REPOSSESSION AND BILL OF SALE L E N D E R Business Name Number and Street Address City State ZIP Code B O R R O W E R Last Name, First, M.I.

Mvd 10059 form State of New Mexico - Motor Vehicle Division MVD - 10059 REV. 12/00 AFFIDAVIT OF RESALE Pursuant to Mechanic s or Landowner s Lien Requirements Lien Claimant affirms that the registered owner of the vehicle described below was justly indebted for services rendered as detailed in the Notice of Lien Form 10058 and that all interested parties including Lienholder if applicable were notified by registered mail of the amount due. Copies of notices of lien and registered mail return receipts must be attached* REGISTERED OWNER NAME ADDRESS CITY STATE ZIP CODE VEHICLE INFORMATION YEAR MAKE ENGINE NO. IF APPLICABLE MODEL VEHICLE ID NUMBER TYPE STATE REGISTERED LICENSE PLATE NO. THE VEHICLE WAS ADVERTISED FOR SALE AT PUBLIC AUCTION BY q Advertising two 2 consecutive weeks in a newspaper of general circulation in the county where the auction was held. Affidavit of publication and copy of advertisement attached* Posting six 6 notices handbills in six 6 conspicuous public locations in the county where the auction was held. Copy of notice / handbill attached* Notice of 1 Address PUBLIC AUCTION INFORMATION q AM Public auction was held by Lien Claimant on 20 at q PM in the County of and specifically at CITY STATE ZIP CODE The highest or only acceptable bid received was for the exact sum of and the vehicle was sold to Purchaser s Name Address City State Zip Code CAUTION If the exact sum of the bid exceeded the total indebtedness the Lien Claimant must refund the excess amount to the Registered Owner against whom the lien was claimed* - continued on back - No person appeared to bid or submit any acceptable offer to purchase the vehicle and after waiting fifteen 15 minutes after the specified hour of the auction the Lien Claimant bid on the vehicle for the amount of the lien in the exact sum of. NOTE PURCHASER OR LIEN CLAIMANT WHEN APPLICABLE MUST APPLY FOR TITLE IN HIS / HER NAME AND PAY THE REGISTRATION AND TITLE FEES* PURCHASER MUST ALSO PAY EXCISE TAX. ODOMETER MILEAGE STATEMENT FEDERAL AND STATE LAW REQUIRES THE TRANSFEROR SELLER OF A VEHICLE TO STATE THE ODOMETER MILEAGE UPON TRANSFER OF OWNERSHIP. ANYONE CONVICTED OF A FRAUDULENT ODOMETER STATEMENT WILL BE SUBJECT TO FINES AND / OR IMPRISONMENT. NOTE THE DIVISION IS NOT RESPONSIBLE FOR FALSE OR FRAUDULENT ODOMETER STATEMENTS MADE IN CONNECTION WITH TRANSFER OF OWNERSHIP OR HELD LIABLE FOR RECORDING ERRORS* I Lien Claimant hereby certify that the ODOMETER READING of the vehicle described above is no tenths miles and that to the best of my knowledge stated mileage is check one of the following THE ACTUAL MILEAGE AM Mileage Codes MILEAGE IN EXCESS OF MECHANICAL LIMITS EL WARNING NOT THE ACTUAL MILEAGE ODOMETER DISCREPANCY NM CERTIFICATION I hereby certify that all information given in this affidavit is true and correct to the best of my knowledge. Signature of Lien Claimant or Authorized Agent Date Printed Name PURCHASER S ACKNOWLEDGEMENT Signature of Purchaser or Authorized Agent NOTE IF PROPERLY COMPLETED AND ACCOMPANYING DOCUMENTS ARE CORRECT AND IN ORDER THIS AFFIDAVIT OF RESALE WILL SERVE AS AN ASSIGNMENT DOCUMENT AND A SEPARATE BILL OF SALE WILL NOT BE REQUIRED.

South carolina manufactured ho... STATE OF SOUTH CAROLINA MANUFACTURED HOME AFFIDAVIT FOR RETIREMENT COUNTY OF OF TITLE CERTIFICATE 1 Name of Owner 2 Description of Manufactured Home Date of Manufacture Manufacturer Model year Make Width Length Identification Number VIN 3 Check whichever is applicable The above described manufactured home is not subject to a security lien. by law will be filed naming the secured parties. 4 Full legal description of new property to which manufactured home is to be affixed using metes and bounds or reference to recorded plat by book and page. A separate sheet identified as Exhibit A may be attached* 5 Derivation This being the identical or a portion of property conveyed or leased to the owner by deed or lease from and recorded in Book at page. Tax map number Tax billing address 6 The above described manufactured home is permanently affixed or is to be permanently affixed to the above described real property and the title certificate is to be retired in accordance with applicable law. 7 Check if applicable The owner of the manufactured home owns or has a leasehold estate of thirty-five or more years in the real property to which the manufactured home is affixed* 8 WARNING the execution and filing of this affidavit transfers ownership of the manufactured home to the lawful owner of the real property to which it is affixed* The owner certifies that the above information provided by the owner is true and correct to the best information and belief of the owner. Date Signature of owner Type or print name of owner Witness Before me the undersigned Notary Public personally appeared who being duly sworn deposed and said that s he saw sign seal and deliver the foregoing Affidavit and that s he together with witnessed the execution thereof* SWORN to before me this day of Notary Public for L*S* My Commission Expires. 4 Full legal description of new property to which manufactured home is to be affixed using metes and bounds or reference to recorded plat by book and page. A separate sheet identified as Exhibit A may be attached* 5 Derivation This being the identical or a portion of property conveyed or leased to the owner by deed or lease from and recorded in Book at page. A separate sheet identified as Exhibit A may be attached* 5 Derivation This being the identical or a portion of property conveyed or leased to the owner by deed or lease from and recorded in Book at page. Tax map number Tax billing address 6 The above described manufactured home is permanently affixed or is to be permanently affixed to the above described real property and the title certificate is to be retired in accordance with applicable law. Tax map number Tax billing address 6 The above described manufactured home is permanently affixed or is to be permanently affixed to the above described real property and the title certificate is to be retired in accordance with applicable law. 7 Check if applicable The owner of the manufactured home owns or has a leasehold estate of thirty-five or more years in the real property to which the manufactured home is affixed* 8 WARNING the execution and filing of this affidavit transfers ownership of the manufactured home to the lawful owner of the real property to which it is affixed* The owner certifies that the above information provided by the owner is true and correct to the best information and belief of the owner.

L 8 2018 2019 form Form L8 Affidavit for NonReal Estate Investments: Resident Decedents Use this form for release of: New Jersey bank accounts;Stock in New Jersey corporations;Brokerage accounts; andNew Jersey investment

Louisiana small estate affidav... R-3405 4/02 Form IETT-103 State of Louisiana Department of Revenue P. O. Box 201 Baton Rouge LA 70821-0201 Affidavit of Small Succession This is to be used only for estates that meet all the requirements in the declaration below. Estate of Marital status of decedent Married Single Widowed Address of decedent at time of death number and street city state ZIP Date of death Decedent s Social Security Number Designated parish of decedent Declaration Upon my/our oath I/we solemnly swear that the information on this form and the following statements are true and correct 1. R-3405 4/02 Form IETT-103 State of Louisiana Department of Revenue P. O. Box 201 Baton Rouge LA 70821-0201 Affidavit of Small Succession This is to be used only for estates that meet all the requirements in the declaration below. Estate of Marital status of decedent Married Single Widowed Address of decedent at time of death number and street city state ZIP Date of death Decedent s Social Security Number Designated parish of decedent Declaration Upon my/our oath I/we solemnly swear that the information on this form and the following statements are true and correct 1. The decedent died intestate i*e* no will 2. The value of the decedent s succession does not exceed 50 000 based on gross assets 3. The decedent s estate contains no immovable property i*e* real estate and Under the penalties of perjury I/we declare that this affidavit including any accompanying schedules and statements is to the best of my/our knowledge and belief a true correct and complete identification of the death circumstances and legal heirship of the named decedent. Enter name and address of heir. Name Address City State ZIP SSN Relation Signature If more than four please attach supplementary list. Name Address Telephone Signature A descriptive list or inventory and values of property owned by the decedent at date of death must accompany affidavit. An inheritance tax return Form IETT-100 must accompany this affidavit if the gross estate is 15 000 or more or if any taxes are due. This affidavit must be notarized before it is submitted to the Secretary of Revenue. For office use only. Do not write in this block. Sworn to and subscribed before me this day of Based upon the foregoing facts inheritance tax in the amount of is due and has been paid to the State of Louisiana* By Louisiana Department of Revenue Telephone 225 219-0067 Date / year. Notary Public For assistance with inheritance tax questions call the Inheritance Gift and Estate Transfer Taxes Section at 225 219-0067 TDD 225 219-2114 or write to Inheritance Gift and Estate Transfer Taxes Section The Department of Revenue retains the right of review under Article 2954 of the Code of Civil Procedure. Estate of Marital status of decedent Married Single Widowed Address of decedent at time of death number and street city state ZIP Date of death Decedent s Social Security Number Designated parish of decedent Declaration Upon my/our oath I/we solemnly swear that the information on this form and the following statements are true and correct 1. The decedent died intestate i*e* no will 2. The value of the decedent s succession does not exceed 50 000 based on gross assets 3.

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