Fillable Mv2489 Statement of Intent

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Mv2489 Statement of Intent

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Country of origin: US
File type: PDF

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STATEMENT OF INTENT
Wisconsin Department of Transportation
MV2489 8/2019 Ch. 342 Wis. Stats.
My name appears in error on the title of the vehicle described. I did not purchase
the vehicle and have no interest in it.
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.
As seller, I signed/printed my name in the lien area of the title by mistake.
I do not wish to be a lien holder of the vehicle.
As seller, I printed the wrong name in the purchaser area. The vehicle was
actually sold to ______________________________________________.
(Print first and last names clearly)
Any person who knowingly makes a false statement in an application for a certificate
of title may be fined not more than $5,000 or imprisoned not more than 7 years and
6 months or both s.342.06 (2) Wis. Stats.
_______________________________________________________________ _______________________
Signature of person certifying the statement above Date
The Wisconsin Department of Transportation complies with the Americans with Disabilities Act.
Person making statement (print first and last names)
Vehicle Year
Vehicle manufacturer
Address
Vehicle model
City
State
Zip code
Vehicle Identification Number
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Mv2489 Statement of Intent

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Completed 10 July 2020

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