Transcription of Vehicle/Vessel Owner Name Update Affidavit for Individual - …
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 notary expiration date(Seal or stamp)
2 Vehicle/ Vessel OwnerName Update Affidavit for IndividualUse this form to change your name on your Vehicle/Vessel record or to state your name as one and the same as the Owner of a vehicle or vessel. When completed, take or mail this form to any vehicle licensing office to process . NOTE: You may need to complete additional Vessel informationPRINT or TYPE Vehicle plate/tab/decal or vessel registration number Vehicle Identification Number (VIN) or Hull Identification Number (HIN) Model year Make ModelCurrent name on recordCurrent name on record (Last, First, Middle)Correct a misspelled nameCorrect name (Last, First, Middle)Change your nameChange name to (Last, First, Middle)Reason for changeOne and the same personThe following names are one and the same person:Name (Last, First, Middle)Name (Last, First, Middle)I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct and I am not defrauding creditors by changing my name.
3 Washington driver license/ ID card number Date and place (city or county) signed SignatureWAC 308-56A-315TD-420-047 (R/2/18)WA