AFFIDAVIT OF FACT STATE OF TEXAS JEFFERSON COUNTY TO WHOM IT MAY CONCERN: This is to certify that an error was made on the following vehicle: Year_________________ Make_____________________________________ VIN Number:__________________________________________________________ Title Number:_______________________________________________________________ Typographical error in Assignment of Title ● Title Assigned in error to ________________________________________ ● The correct Purchaser is _________________________________________ Odometer reading was altered in error ● The correct reading is ___________________________________________ Date of Sale ● This is to certify that the vehicle was sold on _________________________. This is to certify that _________________________ and ________________________ are one and the same. Other _______________________________________________________________________ _______________________________________________________________________ NO FRAUD INTENDED _________________________________ DATE: _________________________________ WARNING: TEXAS TRANSPORTATION CODE '502.410 PROVIDES THAT FALSIFYING INFORMATION ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD-DEGREE FELONY.
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