Form HSMV82100 "Affidavit for Change/Alteration of Body" - Florida

This "Form Hsmv82100 "affidavit for Change/Alteration of Body" - Florida" is a document issued by the Florida Department of Highway Safety and Motor Vehicles specifically for Florida residents with its latest version released on September 1, 2011.

Download the up-to-date fillable PDF by clicking the link below or find it on the forms website of the Florida Department of Highway Safety and Motor Vehicles.

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Download Form HSMV82100 "Affidavit for Change/Alteration of Body" - Florida

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STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
AFFIDAVIT FOR CHANGE/ALTERATION OF BODY
Date_____________________________________, 20__________
This is to certify that __________________________________________________________ is the lawful
owner of a ________________________________________________.
(Year)
(Make)
(Body Type)
Florida Title Number (if applicable)
__________________________________
___________________________________________
Vehicle Identification Number
Affiant further states that the __________________________________________ body has been removed
(Body Type shown on MCO or Title)
from said vehicle and a ___________________________________ body installed; and the Florida Title
( Body Type Currently On Vehicle)
(as shown above) or the Manufacturer's Certificate of Origin is herewith surrendered for correction /
issuance, in order to properly identify the body type of the above described vehicle.
Current/Correct Weight of Vehicle _____________________________
(Weight as shown on Weight Slip)
Under penalties of Perjury, I Declare That I Have Read The Foregoing Document and That The Facts
Stated In It Are True.
________________________________________________________ ________________________________
(Signature of Owner)
(Date)
www.flhsmv.gov
HSMV 82100 (Rev. 09/11)
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
AFFIDAVIT FOR CHANGE/ALTERATION OF BODY
Date_____________________________________, 20__________
This is to certify that __________________________________________________________ is the lawful
owner of a ________________________________________________.
(Year)
(Make)
(Body Type)
Florida Title Number (if applicable)
__________________________________
___________________________________________
Vehicle Identification Number
Affiant further states that the __________________________________________ body has been removed
(Body Type shown on MCO or Title)
from said vehicle and a ___________________________________ body installed; and the Florida Title
( Body Type Currently On Vehicle)
(as shown above) or the Manufacturer's Certificate of Origin is herewith surrendered for correction /
issuance, in order to properly identify the body type of the above described vehicle.
Current/Correct Weight of Vehicle _____________________________
(Weight as shown on Weight Slip)
Under penalties of Perjury, I Declare That I Have Read The Foregoing Document and That The Facts
Stated In It Are True.
________________________________________________________ ________________________________
(Signature of Owner)
(Date)
www.flhsmv.gov
HSMV 82100 (Rev. 09/11)
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