do solemnly declare that I am the lawful owner of the following vehicle:

Vehicle Make and Model: Year: Vehicle Identification Number (VIN): License Plate Number:
I further declare that I am transferring ownership of the above vehicle to:

Full Name of New Owner: Address of New Owner:
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same legal force and effect as if made under oath.