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Repossession Affidavit - Wa

XNotarization / Certification You don t need your signature notarized if you sign in front of a WA vehicle licensing agent, who can certify your signature. State of County of Signed or attested before me on by Name of person(s) signing this document Notary/Agent/Subagent signature Notary printed or stamped name Title and Dealer or county/office number or

Name of legal owner or financial institution representative. of the state . of Washington, that I am the . Title or position (if applicable) of . Name of company or corporation (if applicable) located at . Individual, company, or corporation address. We are the legal owners of this vehicle/vessel now in our possession due to a default on a ...

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Transcription of Repossession Affidavit - Wa

1 XNotarization / Certification You don t need your signature notarized if you sign in front of a WA vehicle licensing agent, who can certify your signature. State of County of Signed or attested before me on by Name of person(s) signing this document Notary/Agent/Subagent signature Notary printed or stamped name Title and Dealer or county/office number or

2 Notary expiration date(Seal or stamp) Repossession AffidavitLienholders use this form to report Repossession of a vehicle or vessel. Take this completed form and a Vehicle Title Application or Vessel Title Application to any vehicle licensing informationLicense plate/Registration number Vehicle identification number (VIN) or Hull identification number (HIN) Model year Make ModelLegal ownerI, certify under penalty of perjury under the laws Name of legal owner or financial institution representativeof the state of Washington, that I am the Title or position (if applicable)of Name of company or corporation (if applicable)

3 Located at Individual, company, or corporation addressWe are the legal owners of this vehicle/vessel now in our possession due to a default on a security legally repossessed this vehicle/vessel on , Date of repossessionfrom , Name of registered ownerat . Address of registered ownerAttached is a transfer of ownership (Vehicle Title Application or Vessel Title Application). We base this on the Repossession of the vehicle or vessel. Date and place (city or county) signed Signature of legal owner or financial institution representativeTD-420-042 (R/8/18)WA


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