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Notarization / Certification – You don’t need your signature notarized if you sign in front of a WA vehicle licensing agent, who can certify your signature.
State of County of
Signed or attested before me on by Name of person(s) signing this document
Notary/Agent/Subagent signature
Notary printed or stamped name
Title and Dealer or county/office number or notary expiration date
(Seal or stamp)
Repossession Affidavit
Lienholders use this form to report repossession of a vehicle or vessel. Take this completed form and a Vehicle Title Application or Vessel Title Application to any vehicle licensing office.
Vehicle/Vessel informationLicense plate/Registration number Vehicle identification number (VIN) or Hull identification number (HIN)
Model year Make Model
Legal owner
I, certify under penalty of perjury under the laws Name of legal owner representative
of the state of Washington, that I am the Title or position
of Name of company or corporation
located at Company or corporate address
We are the legal owners of this vehicle/vessel now in our possession due to a default on a security agreement.
We legally repossessed this vehicle/vessel on , Date of repossession
from , Name of registered owner
at . Address of registered owner
Attached is a transfer of ownership (Vehicle Title Application or Vessel Title Application). We base this on the repossession of the vehicle or vessel.
Date and place (city or county) signed Signature of legal owner representative
TD-420-042 (R/2/18)WA