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STATE OF LOUISIANA PARISH OF BEFORE ME,

LOUISIANA Department of Public Safety and Corrections OFFICE OF MOTOR VEHICLES ACT OF DONATION OF A MOVABLE STATE OF LOUISIANA PARISH OF _____ BEFORE ME, the undersigned notary public, duly commissioned and qualified in and for the PARISH and STATE aforesaid, and BEFORE the undersigned competent witnesses personally came and appeared: _____ DONOR Donor, of legal age, who hereby donates and delivers with full and general warranty of title unto: _____ DONEE Donee, of legal age, who hereby accepts the within donation of the following described movable property: _____ MAKE MODEL YEAR VIN The relationship between Donor and Donee is as follows: _____ The value of the movable property donated herein is $_____.

Louisiana Department of Public Safety and Corrections OFFICE OF MOTOR VEHICLES ACT OF DONATION OF A MOVABLE STATE OF LOUISIANA PARISH OF _____ BEFORE ME, the undersigned notary public, duly commissioned and qualified in and for the parish and state aforesaid, and before the undersigned competent witnesses personally came and appeared: ...

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Transcription of STATE OF LOUISIANA PARISH OF BEFORE ME,

1 LOUISIANA Department of Public Safety and Corrections OFFICE OF MOTOR VEHICLES ACT OF DONATION OF A MOVABLE STATE OF LOUISIANA PARISH OF _____ BEFORE ME, the undersigned notary public, duly commissioned and qualified in and for the PARISH and STATE aforesaid, and BEFORE the undersigned competent witnesses personally came and appeared: _____ DONOR Donor, of legal age, who hereby donates and delivers with full and general warranty of title unto: _____ DONEE Donee, of legal age, who hereby accepts the within donation of the following described movable property: _____ MAKE MODEL YEAR VIN The relationship between Donor and Donee is as follows: _____ The value of the movable property donated herein is $_____.

2 Donor warrants that there are no mortgages, liens, or encumbrances of any kind against the movable property donated or any accessories attached thereon. SIGNED on this _____day of _____, 20____. _____ _____ Witness Signature/Printed Name Donor Signature/ Printed Name _____ _____ Witness Signature/Printed Name Donee Signature/ Printed Name _____ Notary Signature Notary Printed Name Notary ID DPSMV1699 R0518


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