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South Dakota Affidavit in Support of Interstate Title (Nonnegotiable) Form

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South Dakota Affidavit in Support of Interstate Title (Nonnegotiable) Form
South Dakota Affidavit in Support of Interstate Title (Nonnegotiable) Form
SOUTH DAKOTA DIVISION OF MOTOR VEHICLES AFFIDAVIT
IN
SUPPORT OF INTERSTATE TITLE (NONNEGOTIABLE) RECORD
AFFIANT NAME(S)________________________________ ADDRESS _______________________________________
________________________________ ADDRESS _______________________________________
VEHICLE/BOAT DATA YEAR______ MAKE______ SERIAL # ____________________________________________
LICENSE # ______________________ STATE______ TITLE #___________________ TITLED IN (STATE) _________
I hereby apply for regular South Dakota license plates for the above vehicle/boat as provided for under SDCL 32-5-4.1
and 32-3A-36, and affirm that the described vehicle/boat will be operated on this state's highways/waters. This
vehicle/boat is properly titled or registered under the laws of the state and license number listed above. I will retain the
Certificate of Title or registration form issued by the state of prior issuance, but have given a copy to the County Treasurer
for attachment to this affidavit. I request registration in the state of South Dakota for the reason indicated below: (Check
proper response)
Applicant is in state on a temporary basis.
Commercial vehicle titled out-of-state, but on lease to a South Dakota based motor carrier.
Military personnel temporarily stationed at a military base located within South Dakota.
South Dakota resident whose vehicle/boat is
mortgaged by an out-of-state based financial service (mortgagor),
I (We) hereby request that the Department of Revenue create
a nonnegotiable Interstate Title record covering this
vehicle/boat in my (our) name(s), and that I (we) agree to protect and indemnify the South Dakota Department of
Revenue, Division of Motor Vehicles, against any and all liabilities and claims which may arise as a result of this title
registration.
Signature of Affiant(s)_______________________________________________________________________________
STATE OF SOUTH DAKOTA
COUNTY OF
______________________________ SS.
Subscribed and Sworn to before me this ____________
day of _________________________________,20 ___
_____________________________________
Notary Public or County Treasurer
____________________________________________
Date Commission Expires
DOR-MV215(07-13)
SD EForm -
1333
V3
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South Dakota Affidavit in Support of Interstate Title (Nonnegotiable) Form