Fillable IOWA DEPARTMENT OF NATURAL RESOURCES Licensing Section 502 (Hardin County)

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IOWA DEPARTMENT OF NATURAL RESOURCES Licensing Section 502 (Hardin County)

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04/2014 cmc DNR Form 542-8074
IOWA DEPARTMENT OF NATURAL RESOURCES
Licensing Section
502 East 9
TH
Street, Des Moines, IA 50319-0034
(515) 281-5918 www.iowadnr.gov
AFFIDAVIT FOR UNREGISTERED OR UNTITLED ALL-TERRAIN VEHICLES, OFF ROAD MOTORCYCLES,
OFF ROAD UTILITY VEHICLES, SNOWMOBILES OR VESSELS
STATE OF IOWA
§
COUNTY OF
I,
(Print)
Address
City
State
Zip
Being first duly sworn, depose, and state that I am the lawful owner of the following item:
ALL-TERRAIN VEHICLE
OFF ROAD MOTORCYCLE
OFF ROAD UTILITY VEHICLE
SNOWMOBILE
VESSEL
Manufacturer
VIN#/HIN#
Model
Year
CC/HP
I further state that there is no lien on the above item, nor has it ever been registered or titled.
Signature
Subscribed and sworn to before me on this
day of
Notary Public
A Peace Officer must examine this vehicle/vessel and sign this form before it can be submitted to a county recorder.
Please check both boxes below or this form CANNOT be processed.
I have visually examined this vehicle/vessel and have checked for wants/stolen.
At this time I have determined this vehicle/vessel has not been previously registered, titled, or reported as stolen.
If you do not have access to the DNR vehicle registration system, please contact:
DNR Customer Service, Open 8-4:30 Mon-Fri 515-281-5918 or the
Active Outdoors Law Enforcement Line, Open 24hrs, 7 days a week 877-257-5529 (Please let the customer service
representative know you are an Iowa Peace Officer)
Conservation Officer
Police
Sheriff
Iowa State Patrol
Other
City
County
Officer’s Signature
Print Officer’s Name
Date:
Badge Number:
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IOWA DEPARTMENT OF NATURAL RESOURCES Licensing Section 502 (Hardin County)

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Completed 6 August 2020

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