AFFIDAVIT OF ALTERATION
Assignment of Title
On this ___________ day of _________________________, 20______,
comes _________________________________who being duly sworn,
deposes and says that, on or about the ____________________day of
_________________________, 20______, he altered the assignment of
_____________________ Certificate of Title Number _____________
for the following reason(s):
Deponent further states that such alteration was not made with
intent to defraud, or with intent to evade the laws of the State of
Arkansas governing the registration of motor vehicles.
Further, the deponent sayeth not.
Signature of Affiant
Subscribed and Sworn to before me this ____________________ day
of ______________________, 20______.
My Commission expires: _____________________________________
This department reserves the right to consider each application
individually on its merits and hereby gives notice that your affidavit
does not necessarily mean that a certificate of title will be issued
ADC CDK 404 10-308