Form VSD2 "Delayed Registration Affirmation" - Illinois

What Is Form VSD2?

This is a legal form that was released by the Illinois Secretary of State - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2011;
  • The latest edition provided by the Illinois Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form VSD2 by clicking the link below or browse more documents and templates provided by the Illinois Secretary of State.

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Download Form VSD2 "Delayed Registration Affirmation" - Illinois

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Secretary of State
This space for use by
Secretary of State
Delayed Registration ffirmation
Secretary of State
Vehicle Services Department
501 S. Second St.
Springfield, IL 62756
www.cyberdriveillinois.com
State of Illinois ____________________________________________________________________________________
County of ________________________________________________________________________________________
I, ___________________________________________________________________________________ , affirm that the
following described vehicle:
Vehicle Make _______________________________________________________________________________________
Body Style ________________________________________
Model Year _____________________________________
Vehicle Identification Number (Serial) ___________________________________________________________________
was purchased by me on _______________________________________________________________ , ____________ ,
Month/Day
Year
from ____________________________________________________________________________________________ ,
I further state that the above described vehicle has not been operated from
________________________ , ____________________ , until ________________________ , ____________________ ,
Month/Day
Year
Month/Day
Year
for the following reasons: ____________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
I affirm that the above information is true and correct.
_____________________________________________
Signature of Owner
Date ______________________________ , __________
Month/Day
Year
The above information is subject to audit at the discretion of the Secretary of State (625 ILCS 5/4-803).
Printed by authority of the State of Illinois. November 2011 — 3M — VSD 2.10
Print
Reset
Save
Secretary of State
This space for use by
Secretary of State
Delayed Registration ffirmation
Secretary of State
Vehicle Services Department
501 S. Second St.
Springfield, IL 62756
www.cyberdriveillinois.com
State of Illinois ____________________________________________________________________________________
County of ________________________________________________________________________________________
I, ___________________________________________________________________________________ , affirm that the
following described vehicle:
Vehicle Make _______________________________________________________________________________________
Body Style ________________________________________
Model Year _____________________________________
Vehicle Identification Number (Serial) ___________________________________________________________________
was purchased by me on _______________________________________________________________ , ____________ ,
Month/Day
Year
from ____________________________________________________________________________________________ ,
I further state that the above described vehicle has not been operated from
________________________ , ____________________ , until ________________________ , ____________________ ,
Month/Day
Year
Month/Day
Year
for the following reasons: ____________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
I affirm that the above information is true and correct.
_____________________________________________
Signature of Owner
Date ______________________________ , __________
Month/Day
Year
The above information is subject to audit at the discretion of the Secretary of State (625 ILCS 5/4-803).
Printed by authority of the State of Illinois. November 2011 — 3M — VSD 2.10