Transcription of STATEMENT OF FACTS (General) - Harris County …
1 State of Texas County of Harris I, the undersigned, hereby certify that: Vehicle Information: Correct Date of Sale: Buyer's Name and Address: Reason for STATEMENT of fact : Other:Please Note: Transportation Code : FALSE NAME, FALSE INFORMATION, AND FORGERY. (a) A person commits an offense if the person knowingly provides false or incorrect information or without legal authority signs the name of another person (b) An offense under this section is a felony of the third of StatementPrinted Name (same as signature)Name of Company, if signing as agent thereofPhone NumberSTATEMENT OF FACTS (General) Vin # 12/14
