Form T-207a - Foreign Document Affidavit Owner'S Declaration

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T-207A (Revised 11-18-04)
Foreign Document Affidavit
Owner’s Declaration
I, ____________________________________________________________________,
(Owner’s Name - Type or Print)
am applying for a Georgia certificate of title on the basis of foreign documents and
English translations of these documents from a qualified translator for the following
described vehicle:
______________________________________________________________________
(Vehicle Description – Year Model, Make & Vehicle Identification Number)
I solemnly swear under criminal penalty of a felony for fraudulent use of a false or
fictitious name or address or for making a material false statement on the documents
regarding my title application punishable by a fine up to $5,000 or by imprisonment of
up to five- (5) years, or both, that the statements contained on my application and
documents accompanying my application for Georgia certificate of title are true and
accurate:
Sworn to and subscribed before me
This ______day of_________, 2________
_______________________________
(Day)
(Month)
(Year)
(Applicant’s Typed/Printed Name)
__________________________________________________
_______________________________________________
(Notary Public’s Signature & Seal or Stamp)
(Applicant’s Telephone # Including Area Code)
___________________________________________________
_______________________________________________
(Date Notary Commission Expires)
(Applicant’s Signature)
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