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Affidavit And Application For Obtaining Duplicate Certificate Of Title Form - County Clerk Of Teton County, Wyoming

OFFICE USE ONLY

Date Received:_________________________

Processing Date:____________________

Duplicate Title Number Issued:__________________________Receiving Number:___________________

AFFIDAVIT AND APPLICATION FOR OBTAINING DUPLICATE CERTIFICATE OF TITLE

To the County Clerk of Teton County, Wyoming

P.O. Box 1727, Jackson, WY 83001

DUPLICATE TITLE FEE: $15.00

I hereby certify that Certificate of Title No.________________________ of Teton County, Wyoming was issued to me for

the motor vehicle briefly described below and that to the best of my knowledge and belief the said Certificate of Title

has been mutilated, lost or destroyed, and that it is not assigned to or in the possession of any other person, and there

are no additional liens on said motor vehicle other than shown on the original Certificate of Title.

MAKE OF VEHICLE_____________________________BODY________________YEAR________________

VIN______________________________NAME OF OWNER_____________________________________

I hereby make application for a duplicate Certificate of Title covering the said motor vehicle, and authorize the same to

be delivered to:

NAME_________________________________________________PHONE________________________________

ADDRESS___________________________________________CITY & STATE_______________________________

ZIP________________

I ALSO UNDERSTAND THAT ONCE A DUPLICATE TITLE IS ISSUED ON THIS REQUEST THAT THE ORIGINAL, IF FOUND, IS

INVALID AND MUST BE DESTROYED.

SIGNATURE OF APPLICANT______________________________________________________________

______________________________APPEARED BEFORE ME IN THE STATE OF______________________, COUNTY

OF________________________, THIS ___________DAY OF____________________,________.

_______________________________________, Notary Public or County Clerk

My commission expires:_____________________

*INSTRUCTIONS*



Print and complete the application



You must sign the application in the presence of a Notary Public.



Mail completed application and $15.00 fee to the Teton County Clerk, PO Box 1727, Jackson, WY 83001



Duplicate titles will be issued eleven (11) days from receipt of application

Affidavit And Application For Obtaining Duplicate Certificate Of Title Form - County Clerk Of Teton County, Wyoming