Form ITD 3410 Indemnifying Affidavit - Idaho

Form ITD3410 is a Idaho Department of Transportation form also known as the "Indemnifying Affidavit". The latest edition of the form was released in August 1, 2017 and is available for digital filing.

Download an up-to-date Form ITD3410 in PDF-format down below or look it up on the Idaho Department of Transportation Forms website.

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ITD 3410 (Rev. 08-17)
Indemnifying Affidavit
Supply # 019580562
Idaho Transportation Department
Vehicle Services
Vehicle/Hull Identification Number
Year
Make
Model
Vehicle/Vessel Purchased From
Address
City
State
Zip
Date Purchased
I, the undersigned, acknowledge it is a felony to make a false statement in this affidavit (Section 49-518, Idaho Code). I certify that
the above-described vehicle/vessel is free from all liens and encumbrances, except as set forth in my application for Idaho Certificate
of Title. I am entitled to possession and ownership of the vehicle or vessel because:
If the vehicle described above was imported from another country, I certify that the vehicle is now in Idaho. If the vehicle was
commercially imported, I certify that to the best of my knowledge all U.S. DOT Federal Motor Vehicle Safety Standards, EPA, and US
Customs and Border Protection requirements have been or will have been satisfied within the required timeframe. If the vehicle was
imported for personal use from Canada, I certify that I am aware that I may be assessed a civil penalty up to $5,000 and/or the vehicle
may be seized by the US Customs and Border Protection if the vehicle has not met their entry requirements prior to the registration
and/or titling of this vehicle. I accept full responsibility for complying with all U.S. DOT Federal Motor Vehicle Safety Standards,
EPA, and US Customs and Border Protection requirements.
If the above described property is a vessel, ATV, off-road motorbike, snowmobile, utility type vehicle, slide-in truck camper, or
neighborhood electric vehicle (NEV), and no title or Manufacturer's Statement of Origin (MSO) or Manufacturer's Certificate of Origin
(MCO) is being submitted, I certify that no MSO or MCO exists and that the vessel or vehicle has never been titled unless otherwise
indicated below.
Other Pertinent Facts:
This affidavit is attached to and made a part of my application for Idaho Certificate of Title to the above-described vehicle/vessel.
I do hereby agree to warrant and defend said Title, and to not only save harmless and defend, regardless of outcome, the Idaho
Transportation Department (ITD) from the expenses of and against all suits, actions, claims, losses, or assertion of claims
including costs, expenses and attorney fees to which the department may be subjected on account of any defect in my Title to the
vehicle/vessel in question, but also to pay any and all damages suffered by any person or entity resulting from the issuance of this
title by the Idaho Department of Transportation.
I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct, and that the
signature below is my true and legal signature.
Printed Full Legal Name / Business Name
Owner’s Idaho Driver’s License Number or SSN / Business‘s EIN
Owner’s Physical Address / Business’s Physical Address
City
State
Zip
Owner / Business Representative’s Signature
Date
Daytime Phone Number
X
(
)
ITD 3410 (Rev. 08-17)
Indemnifying Affidavit
Supply # 019580562
Idaho Transportation Department
Vehicle Services
Vehicle/Hull Identification Number
Year
Make
Model
Vehicle/Vessel Purchased From
Address
City
State
Zip
Date Purchased
I, the undersigned, acknowledge it is a felony to make a false statement in this affidavit (Section 49-518, Idaho Code). I certify that
the above-described vehicle/vessel is free from all liens and encumbrances, except as set forth in my application for Idaho Certificate
of Title. I am entitled to possession and ownership of the vehicle or vessel because:
If the vehicle described above was imported from another country, I certify that the vehicle is now in Idaho. If the vehicle was
commercially imported, I certify that to the best of my knowledge all U.S. DOT Federal Motor Vehicle Safety Standards, EPA, and US
Customs and Border Protection requirements have been or will have been satisfied within the required timeframe. If the vehicle was
imported for personal use from Canada, I certify that I am aware that I may be assessed a civil penalty up to $5,000 and/or the vehicle
may be seized by the US Customs and Border Protection if the vehicle has not met their entry requirements prior to the registration
and/or titling of this vehicle. I accept full responsibility for complying with all U.S. DOT Federal Motor Vehicle Safety Standards,
EPA, and US Customs and Border Protection requirements.
If the above described property is a vessel, ATV, off-road motorbike, snowmobile, utility type vehicle, slide-in truck camper, or
neighborhood electric vehicle (NEV), and no title or Manufacturer's Statement of Origin (MSO) or Manufacturer's Certificate of Origin
(MCO) is being submitted, I certify that no MSO or MCO exists and that the vessel or vehicle has never been titled unless otherwise
indicated below.
Other Pertinent Facts:
This affidavit is attached to and made a part of my application for Idaho Certificate of Title to the above-described vehicle/vessel.
I do hereby agree to warrant and defend said Title, and to not only save harmless and defend, regardless of outcome, the Idaho
Transportation Department (ITD) from the expenses of and against all suits, actions, claims, losses, or assertion of claims
including costs, expenses and attorney fees to which the department may be subjected on account of any defect in my Title to the
vehicle/vessel in question, but also to pay any and all damages suffered by any person or entity resulting from the issuance of this
title by the Idaho Department of Transportation.
I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct, and that the
signature below is my true and legal signature.
Printed Full Legal Name / Business Name
Owner’s Idaho Driver’s License Number or SSN / Business‘s EIN
Owner’s Physical Address / Business’s Physical Address
City
State
Zip
Owner / Business Representative’s Signature
Date
Daytime Phone Number
X
(
)

Download Form ITD 3410 Indemnifying Affidavit - Idaho

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