AFFIDAVIT OF OWNERSHIP State of _____________ } } SS County of ____________ } RE: Birth Certificate I, the undersigned, of lawful age and being first duly sworn on oath, depose and state that I am familiar with the facts recited, and the party named in said birth certificate is the same party as one of the owners named in said certificate of title. __________________________________ Signature Signed and sworn to before me this ________ day of _____________________, 20_____. ________________________________ ________________________________ Notary Public My Commission Expires
I, the undersigned, of lawful age and being first duly sworn on
oath,depose and state that I am familiar with the facts recited,
and theparty named in said birth certificate is the same party as
one of theowners named in said certificate of title.
__________________________________
Signature
Signed and sworn to before me this ________ day
of_____________________, 20_____.
