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Voluntary Assignment Of Title By Borrower To Lienholder Erasures And Alterations Void This Title Assignment P-076A - Ohio
| Voluntary Assignment Of Title By Borrower To Lienholder Erasures And Alterations Void This Title Assignment Form. This is a Ohio form and can be used in Miscellaneous Bureau Of Motor Vehicles Statewide . |
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VOLUNTARY ASSIGNMENT OF TITLE BY BORROWER TO LIENHOLDER ERASURES AND ALTERATIONS VOID THIS TITLE ASSIGNMENT. (Type or print in ink.) ASSIGNMENT OF OWNERSHIP I (we) certify this motor vehicle Year ________ Make __________________ VIN ______________________________________ was delivered on ___/___/____for the purpose of voluntary repossession to: Is Transferor a Minor? ÿ Yes ÿ No Transferee's printed name __________________________________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ODOMETER CERTIFICATION Federal and State laws require that you state the mileage in connection with transfer of ownership. Failure to complete or providing false information may result in fines and/or imprisonment. thousands I (we) certify to the best of my (our) knowledge that the odometer now reads and is the actual mileage of the vehicle unless one of the following statements is checked. ' ' ', ' ' ' no tenths miles The Odometer reading is not the actual mileage. the mechanical limits. WARNING ODOMETER DISCREPANCY -----------------------------------------------------------------------------------------------------------------------------------------------------------------This vehicle was a (if applicable): ÿ Former Law Enforcement Vehicle ÿ Former Taxi ÿ Flood Vehicle 'The mileage stated is in excess of ' _____________________________________________________ Transferor's printed name X______________________________________________ Transferor's signature __________________________________________________________________________________________________________ Transferor's printed address NOTE: All blank spaces above must be completed before acknowledgement. Sworn to and subscribed in my presence by __________________________________this_______ day of _______________ , 20 _____________. My commission expires______________ , 20 _____. (seal) Clerk, Deputy Clerk of Courts Notary ________________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------ TRANSFEREE'S ACKNOWLEDGEMENT OF ABOVE ODOMETER CERTIFICATION ______________________________________________________ Transferee's printed name X____________________________________ Transferee's signature American LegalNet, Inc. www.FormsWorkflow.com P-076a
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