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Georgia Affidavit


Georgia Affidavit document sample

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  • pg 1
									                        AFFIDAVIT OF BOAT OWNERSHIP

I, _____________________________________________hereby attest that I am the owner of a

______ft.___inch _______________________________boat, bearing Hull Identification Number
                           (Make of Boat)

___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ and built in _________; currently
 (Must be minimum of 12 characters)                                     (Year)

bearing Georgia Registration Number GA___ ___ ___ ___ ___ ___. I purchased this boat from

(Name of Previous owner)_______________________________________ in

__________________________county, Georgia on/about ______/_____/______.

I further attest that I am not in possession of a valid Bill of Sale for this boat, and do not possess
the previous owner’s Georgia Registration card. I am therefore completing this Affidavit of
Ownership in order to transfer the current Georgia registration numbers to my name.



City/State/ZIP _______________________________________________

Social Security Number:________________________________________

Georgia Driver’s License Number:_________________________________

(Ga Code 16-10-20) A person who knowingly and willfully falsifies, conceals, or covers up by any trick, scheme, or
device a material fact; makes a false, fictitious, or fraudulent statement or representation; or makes or uses any false
writing or document, knowing the same to contain any false, fictitious, or fraudulent statement or entry, in any matter
within the jurisdiction of any department or agency of state government or of the government of any county, city, or other
political subdivision of this state shall, upon conviction thereof, be punished by a fine of not more than $1,000.00 or by
imprisonment for not less than one nor more than five years, or both.

Signature of Affiant


                                          Sworn to and subscribed before me this ________day of _____________, 20__.


                                                               Notary Public

Form BRAO 5/04                            My Commission expires:________________________________________

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