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Statement of Intent

  1. My name appears in error on the title of the vehicle described. I did not purchase the vehicle and have not interest in it.

  2. As seller, I signed / printed my name in the purchaser area of the title by mistake. I do not wish to be a co-owner of the vehicle.

  3. As seller, I signed / printed my name in the lien area of the title by mistake. I do not wish to be lienholder of the vehicle.

  4. As seller, I signed / printed the wrong name in the purchaser area.

  5. Leave This Blank:

  6. This field is not part of the form submission.