46-0306 R02/15 azdot.gov
I certify that I did not purchase, nor did I take possession or ownership of, nor do I have any interest in the vehicle
described below.
Vehicle Identification Number Year Make
Name (first, middle, last, suffix)
Street Address City State Zip
Signature
Acknowledged before me this date.
Notary or MVD Agent Signature
Date County State Commission Expires
RELEASE OF INTEREST
Clear