TRUSTEE STATEMENT FOR CERTIFICATE OF TITLE
Wisconsin Department of Transportation
MV2790 12/2004
Vehicle Identification Number
Trust Federal Tax Identification Number
Name of Person Creating Trust
Principal Trustee Name (Person to whom all communications will be directed)
Include the names, addresses and signatures of additional trustees on a separate page if necessary.
The persons signing below as trustees of the above named trust affirm that:
This is a valid trust in existence at the time of this application.
They are duly appointed trustees of the above-named trust.
They have authority to buy, sell and register motor vehicles, which are the property of the trust.
Their actions with respect to the transaction for which this document is provided are for the benefit of the
beneficiaries of the trust.
They understand that the Wisconsin Department of Transportation requires this document be provided as part of
an application for Certificate of Title made by a trust and that the penalties for providing false information in this
document include fines and imprisonment, per s.342.06(2) and 341.60 Wis. Stats.
NOTE: If the beneficiary of the trust personally qualifies for specialized plates (i.e., disabled, military group, etc.) the plates
may be issued to the trust after payment of the necessary fees.
Check if applicable
Trustees have the authority to grant a lien on motor vehicles, which are the property of the trust.
Trustees have the authority to file and release liens against motor vehicles.
(Principal Trustee Signature)
Person(s) signing affirm(s) authority to sign and convey interests in this motor vehicle. In general, per s.701.19(9)(a) Wis.
Stats., the majority of the trustees must sign unless the Trust documents provide otherwise.
