STATE OF FLORIDA
DIVISION OF MOTORIST SERVICES
CERTIFIED OFFICIAL WEIGHT AFFIDAVIT
NOTE: List Engine number for all vehicles prior to 1955 – List Identification Number for
1955 models or later
DATE: ______
This is to certify that I have personally weighed or supervised the weighing of the
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(Year & Make of the Car, Truck, or Trailer)
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(Vehicle Identification/Motor Number)
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(Body Type)
and the said vehicle/trailer weighed _______________ pounds.
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(Name of Person Who Owns the Vehicle/Trailer)
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(Name of Business Where Scales are Located)
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(Signature of Person Verifying the Weight of the Vehicle/Trailer)
HSMV 82105 (Rev. 12/11) S
