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STATE OF ALASKA DIVISION OF MOTOR VEHICLES AFFIDAVIT OF LOST DESTROYED OR STOLEN TITLE Alaska License Plate Number Serial Number VIN Year Model Make Body Style Color I hereby certify that I am the sole owner joint owner or authorized agent of the company in which name the title is issued for the vehicle described above and that the title has been Check One Lost Destroyed Stolen I have personally reviewed the information on this application and certify under penalty of perjury that to the best of my knowledge and belief the information on this application is true and correct. NOTE Making a false statement or omitting a material fact is subject to a maximum penalty of 10 000 or 1 year imprisonment or both per AS 11. 56. 210 and AS 28. 35. 135. / Printed Name / 20 Date ADL or Other ID Number Signature Subscribed And Sworn To Before Me This SEAL day of Month Notary or DMV Representative Form 809 Rev. 07/2014 My Commission Expires www. STATE OF ALASKA DIVISION OF MOTOR VEHICLES AFFIDAVIT OF LOST DESTROYED OR STOLEN TITLE Alaska License Plate Number Serial Number VIN Year Model Make Body Style Color I hereby certify that I am the sole owner joint owner or authorized agent of the company in which name the title is issued for the vehicle described above and that the title has been Check One Lost Destroyed Stolen I have personally reviewed the information on this application and certify under penalty of perjury that to the best of my knowledge and belief the information on this application is true and correct. NOTE Making a false statement or omitting a material fact is subject to a maximum penalty of 10 000 or 1 year imprisonment or both per AS 11. 56. 210 and AS 28. 35. 135. / Printed Name / 20 Date ADL or Other ID Number Signature Subscribed And Sworn To Before Me This SEAL day of Month Notary or DMV Representative Form 809 Rev* 07/2014 My Commission Expires www. STATE OF ALASKA DIVISION OF MOTOR VEHICLES AFFIDAVIT OF LOST DESTROYED OR STOLEN TITLE Alaska License Plate Number Serial Number VIN Year Model Make Body Style Color I hereby certify that I am the sole owner joint owner or authorized agent of the company in which name the title is issued for the vehicle described above and that the title has been Check One Lost Destroyed Stolen I have personally reviewed the information on this application and certify under penalty of perjury that to the best of my knowledge and belief the information on this application is true and correct. NOTE Making a false statement or omitting a material fact is subject to a maximum penalty of 10 000 or 1 year imprisonment or both per AS 11. NOTE Making a false statement or omitting a material fact is subject to a maximum penalty of 10 000 or 1 year imprisonment or both per AS 11. 56. 210 and AS 28. 35. 135. / Printed Name / 20 Date ADL or Other ID Number Signature Subscribed And Sworn To Before Me This SEAL day of Month Notary or DMV Representative Form 809 Rev* 07/2014 My Commission Expires www.

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Keywords relevant to Form 809

  • STE
  • lienholder
  • Attn
  • subscribed
  • AK
  • gov
  • certify
  • lien
  • notary
  • ANCHORAGE
  • expires
  • Mailing
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