Transcription of Revised 2-2019 MVC Oklahoma Tax Commission - Motor …
1 Form 753. Revised 2-2019 . MVC Oklahoma Tax Commission - Motor vehicle division Affidavit of vehicle ownership I (printed name),_____ , of,_____ , Oklahoma , Daytime Phone Number: _____ , Email Address: _____ , hereby swear and act upon my oath that the vehicle described below was granted and conveyed unto me, per the attached documentation, on or about the_____ day of_____, 20_____ , by (name)_____ of (city/state)_____ , and I am unable to contact that individual to secure proper ownership documentation. _____ _____ _____ _____. Year Make Model vehicle Identification Number Odometer Disclosure Applicable to Motor Vehicles Nine (9) Model Years Old or Newer I certify the odometer reading reflects:_____ and is, to the best of my knowledge, (check one): _____ Actual mileage _____ Not Actual Mileage _____ Exceeds Mechanical Limits of Odometer I declare that the last state in which this vehicle was registered is:_____ and the last license plate issued to this vehicle is_____ , and the last registration decal number is_____ , dated (month/year),_____.
2 I further state that to the best of my knowledge there are no liens or claims on this vehicle from any other party. Affiant further agrees to indemnify and save harmless the State of Oklahoma , its agencies, and subsequent purchasers of said property, for any loss they may suffer resulting from titling and registration of the above vehicle , and do agree to war- rant and defend title to this vehicle against any and all claims. I understand that any false statement made by me shall be punishable by fine and imprisonment as provided in Title 47, Section 4-108 of the Oklahoma Statutes. _____ _____. Signature of Applicant Applicant's Driver License Number State of _____ , County of _____. Subscribed and sworn to before me this _____ day of _____ , _____. My Commission expires _____ ,_____ . Notary Seal _____ , Notary Public For Oklahoma Tax Commission Use Only MVIN_____ MVCT_____ MVTK _____ NCIC_____.
3 Approved by (OTC Personnel):_____ Date:_____. Rejected by (OTC Personnel):_____ Date:_____. Rejection Due To: _____.
