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Idaho Affidavit of Repossession Form

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Idaho Affidavit of Repossession Form
Idaho Affidavit of Repossession Form
Affidavit Of Repossession ITD 3366 (Rev. 07-13)
Idaho Transportation Department - Vehicle Services
Supply # 01-957100-9
1st Vehicle/Hull Identification Number Title Number
2nd Vehicle/Hull Identification Number Issue Date
Year Make Model Repossession Date
Owners of Record (Name) Address
Lienholder of Record (Company Name) Address
I, the undersigned, certify under penalty of law, that the lien holder of record is the lawful owner of the above-described vehicle /
vessel by reason of a conditional sale contract, chattel mortgage, or security agreement, and that the above-described vehicle /
vessel was lawfully repossessed from the owner of record on the date shown above.
Furthermore, the lien holder agrees to indemnify the Idaho Transportation Department and all persons acting under their direction
from any and all liability and shall defend all litigation which may arise as a result of the issuance of a new Certificate of Title on
the above-described vehicle / vessel.
If a purchaser is named below, the lien holder conveys all rights, title, and interest to said vehicle / vessel to this purchaser and
warrants the title thereto. The vehicle/vessel is free from all liens and encumbrances except as stated below.
Purchaser's Full Legal Name Purchaser's Idaho Driver’s License No. or SSN/ Business EIN
Purchaser's Physical Address City State Zip
Purchaser’s Mailing Address (If Different) City State Zip
Date Sold Amount of Sale New Lienholder
There is no transfer. Please issue a Title in the name of the Lienholder of Record.
Odometer Reading (No Tenths)
Actual Miles
Not Actual Warning – Odometer Discrepancy
Exceeds Mechanical Limits Exempt
No Device
I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct, and that the
signature below is my true and legal signature.
Lien Holder's Printed Name Representative's Printed Name
Representative’s Signature Date
itd.idaho.gov
Idaho Affidavit of Repossession Form