794-R-95

FAMILY AFFIDAVIT

On the attached Oklahoma Title No. ______________________________________________ I wish to transfer

ownership, without consideration (TO/FROM)__________________________________________________

who is my _____________________________________________.

(Exempt Excise Tax ONLY on transfer between Husband and Wife, Parent/Step Parent and Child).

                                                                        Signed________________________________________________

State of Oklahoma, County of ___________________________________§:

Subscribed and sworn to before me this___________________day of _____________________________, 20_________

_________________________________________________________________________ , Notary Public.

My commission expires ____________________________________________ , 20 ________

State of Oklahoma, County of_______________________§:
Subscribed and sworn to before me this________________ day of __________________________________,_______
My Commission Expires: _____________________________________________________________ , Notary Public
Submitted by:_________________ , Motor License Agent Number_____________ at_____________________ ,Oklahoma
                                THIS FORM MUST BE ACCOMPANIED BY PROOF OF OWNERSHIP FOR EACH PARTY INVOLVED