Affidavit of Ownership 12/2009

AFFIDAVIT OF OWNERSHIP

THIS IS TO CERTIFY THAT I, _________________________________________________________

am the owner of the following described motor vehicle, to wit:

Name of Owner ___________________________________________________________________________

Address _________________________________________________________________________________

I further certify that I am making this affidavit for the purpose of stating ownership of said vehicle and

obtaining a Certificate of Title in my name.

There is no title available to this vehicle because:

defend the title and rights of this vehicle and protect the County Clerk of Weston County, Wyoming, from any

damages that might arise from irregularities of the same.

________________________________________________

STATE OF WYOMING }

COUNTY OF WESTON }

My Commission Expires: County Clerk or Notary Officer