
Last updated: 3/23/2025
Affidavit In Lieu Of Title Certificate {VSA 12}
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Description
VSA 12 - AFFIDAVIT IN LIEU OF TITLE CERTIFICATE. Use this form to certify unavailability of a current certificate of title for a motor vehicle or manufactured home due to loss, unlawful detainment or other legitimate circumstance. Complete both sides of this form and either the VSA 17A or VSA 17B (see reverse for instructions). Submit all forms and applicable fees to DMV at the address above, attention Titling Work Center or present to any DMV Customer Service Center. CERTIFICATION AND INDEMNIFICATION SECTION and AFFIDAVIT VERIFICATION SECTION MUST BE COMPLETED ON PAGE 2 OR FORM WILL NOT BE PROCESSED. INSURANCE COMPANIES ONLY: Submit all forms and applicable fees to DMV at the address above, attention Vehicle Branding Work Center. www.FormsWorkflow.com