STATE
OF WYOMING
AFFIDAVIT OF VEHICLE EVALUATION
STATE OF WYOMING
)
SS
COUNTY OF WASHAKIE )
_____________________________
Signature
_______________________________________________________________________
AFFIDAVIT OF INSPECTION & CERTIFICATION OF CORRECT “VIN” NUMBERS
The undersigned being first fully sworn on solemn oath according to law, and
subject to penalties of perjury, deposes and says:
The inspection occurred in Wyoming and was made by:
MAKE _____________________ MODEL___________________________YEAR__________
COLOR ____________________ ODOMETER_______________________________________
VIN # ____________________________________________
At the request of applicant for a Wyoming Certificate of Title, I personally inspected the vehicle identification number on the described vehicle and the information entered by me is correct.
(address) ______________________________
(Officer’s Signature ) ______________________________
(date) ______________________________
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