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Vehicle/Vessel Owner Name Update Affidavit for Individual

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)

(Last, First, Middle) Change your name. Change name to (Last, First, Middle) Reason for change. One and the same person The 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 ...

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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.

3 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 . Washington driver license/ ID card number Date and place (city or county) signed SignatureWAC 308-56A-315TD-420-047 (R/2/18)WA


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