2
AFFIDAVIT OF NONLIABILITY FOR TOLL
REQUIRED DOCUMENTATION
Sold (provide one of the following)
• Plate Revocation or Cancellation Confirmation Form and Copy of Bill of Sale. Plate revocation or cancellation form must
include date of revocation
1
or cancellation
1
, and license plate number. Bill of Sale must include date of sale, names and
signatures of the seller and the buyer, vehicle identification number (VIN).
• Motor Vehicle Query Report from your Department of Motor Vehicles showing you were not the owner at the time of
the missed tolls. Must indicate license plate number.
• Certificate of Vehicle Title Transfer. Must indicate date of transfer
1
.
• Court Order transferring ownership of vehicle. Must indicate date of transfer
1
and license plate number or VIN.
• Sales Tax Transaction Return. Must be stamped “approved” or “paid.” Must include VIN, date of sale
1
, and the name and
address of the buyer.
• Auto Auction Documentation. Must be on auction letterhead. Must include VIN, date of sale
1
, and the name and address
of both the seller and the buyer.
Stolen (provide one of the following)
• Police Report. Must include license plate number and date of the incident
1
. The report must be signed and dated by a
Police Officer and must indicate the Police Officer’s badge number.
• Insurance (theft) Payoff Report. Must indicate the date of the incident
1
and vehicle information (license plate, make, and
model).
Divorced (provide one of the following)
• Divorce Decree transferring ownership of vehicle. Must indicate the date of transfer
1
.
• Court Order transferring ownership of vehicle. Must include the name of the ex-spouse who is responsible for the
unpaid toll(s).
• Certificate of Vehicle Title Transfer. Must indicate the date of transfer
1
.
Deceased
• Death Certificate.
- If there are two registered owners listed for the vehicle, the second owner is liable for the unpaid tolls.
- Any unpaid tolls incurred after the date of death will not be dismissed.
Defective Technology:
· I-PASS account number, Pay-by-Plate number, or copy of E-ZPASS customer account history showing that account
owner information matches the invoice recipient, and one or more of the following:
- Account history showing that the vehicle license plate was correctly registered to the I-PASS, Pay-by-Plate, or
E-ZPASS account at the time of disputed transaction(s)
- Number of the transponder that was in vehicle at time of disputed transaction(s). Disputed image(s) will be
reviewed to determine if transponder was properly mounted.
- Evidence that account was adequately funded
- Evidence that payment method was malfunctioning prior to disputed transaction(s)
- Evidence of other inaccurate account information that directly resulted in the disputed transaction(s)
Incorrect Registered Owner (provide one of the following)
• Registered Owner Documentation proving ownership of a vehicle bearing the same license plate number but a different
plate type or jurisdiction as the violating vehicle.
• Motor Vehicle Query Report from your Department of Motor Vehicles showing you were not the owner at the time of
the unpaid tolls. Must indicate license plate number.
Repossessed (provide both of the following)
• Notice of Repossession Document that states date vehicle was repossessed
1
. Must indicate license plate number.
• Notice of Surplus or Deficiency Documentation from the repossession company that confirms vehicle was not returned to
the owner at any time. Must indicate license plate number.
Leased (Provide one of the following):
• Lease Agreement
• Odometer Disclosure Statement
1
Date must be prior to the unpaid tolls in dispute.
• Lease Return Confirmation from Dealership
• Inspection Report
