Fillable Printable Affidavit of Alteration

Affidavit of Alteration

AFFIDAVIT OF ALTERATION

Assignment of Title

On this ___________ day of _________________________, 20______,

comes _________________________________who being duly sworn,

deposes and says that, on or about the ____________________day of

_________________________, 20______, he altered the assignment of

_____________________ Certificate of Title Number _____________

State

for the following reason(s):

__________________________________________________________

Deponent further states that such alteration was not made with

intent to defraud, or with intent to evade the laws of the State of

Arkansas governing the registration of motor vehicles.

Further, the deponent sayeth not.

________________________________

Signature of Affiant

Subscribed and Sworn to before me this ____________________ day

of ______________________, 20______.

________________________________

Notary Public

My Commission expires: _____________________________________

This department reserves the right to consider each application

individually on its merits and hereby gives notice that your affidavit

does not necessarily mean that a certificate of title will be issued

thereon.

ADC CDK 404 10-308