779-R12/93

U.S. ARMED FORCES AFFIDAVIT

For active duty military who are either Oklahoma

Residents or stationed in Oklahoma

This is to certify that the following described vehicle is owned by an active duty member of the United States Armed Forces or by the spouse of the active duty member:

_____________________________________
Title Number

_____________________________________
Serial Number of Vehicle

_____________________________________
Year and Make

_____________________________________
Tag and Decal Number

_____________________________________
Name and Rank of Service Member

_____________________________________
Social Security Number or Driver License Number

_____________________________________
Spouse's Name (if applicable)

_____________________________________
Address of Legal Residence

_____________________________________
Military Unit

_____________________________________
City State Zip

_____________________________________
Military Installation

_____________________________________
Current Mailing Address

 
 

_____________________________________
City State Zip

I certify that the above listed information is true and correct.

_______________________________________________________________________________________

Signature of Active Duty Service Member or Spouse Date

CERTIFICATION BY AN OFFICER OF U.S. ARMED FORCES ORGANIZATION
(This section is not required to be completed when service member is serving in a foreign country.)

Subscribed and sworn to before me this _______day of _____________,20_____.


 
 

______________________________________________
Signature of Officer

 
 

______________________________________________
(Printed) Name of Officer

 
 

______________________________________________
Rank, Branch

 
 

______________________________________________
Title