Wyoming Affidavit of Facts Form
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AFFIDAVIT OF FACTS

DATE:

NAME OF SELLER:
VEHICLE IDENTIFICATION NUMBER:

YEAR:

MAKE:

TITLE#:

AN ERROR WAS MADE ON THIS TITLE DUE TO THE FOLLOWING:
TYPOGRAPHICAL ERROR
NOTARY MADE ERROR (EXPLAINED BELOW)
SELLER SIGNED NAME INCORRECTLY
SELLER ASSIGNED TITLE TO SELF
SELLER ASSIGNED TITLE TO WRONG PARTY
BUYER'S NAME MISSPELLED
MILEAGE FIGURE WAS WRITTEN OVER
INCORRECT SALE DATE
OTHER - (EXPLAINED BELOW)

THE FOLLOWING IS A STATEMENT OF EXPLANATION:

WARNING: FRADULENT APPLICATION OR FALSIFICATION OF TITLING DOCUMENTS IS A FELONY UNDER WYOMING
STATUTE 31-1-102. ANY CONVICTED PERSON MAY BE PUNISHED BY A FINE OF NOT MORE THAN $5,000 AND/OR IMPRISONMENT
FOR NOT MORE THAN TWO YEARS.
I HEREBY SWEAR OR AFFIRM, UNDER PENALTY OF PERJURY, THAT ALL INFORMATION ON THIS AFFIDAVIT IS TRUE AND CORRECT.
SIGNATURE____________________________________________________________________________DATE___________________

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