Last updated: 5/9/2006
Affidavit Of Driver Non Owner Of Vehicle
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Description
AFFIDAVIT MUST BE COMPLETED IN FULL AND NOTARIZED STATE OF MINNESOTA DISTRICT COURTCOUNTY OF HENNEPIN FOURTH JUDICIAL DISTRICT AFFIDAVIT DRIVER - NON OWNER OF VEHICLE I, ____________________________ , received Citation No. ____________________On _____________________ (date) charging no proof of insurance under M.S.169.791. I further state that I am not the registered owner of said vehicle and that thetrue owner of the vehicle is: ________________________________ ____ (name) ________________________________ ____ (address) ________________________________ ____ (city/state/zip) This affidavit is made pursuant to MS 169.791. I understand that any false information given may result in my being charged with a misdemeanor. ________________________________ ____ (Signature) ________________________________ ____ (Telephone No.) Subscribed and sworn to before me On _________________, ________ (Month and day) (Year) ____________________________________________________________________________ Court Deputy or Notary Public AFFIDAVIT MUST BE FILLED OUT COMPLETELY AND NOTARIZED
