Form SFN61066 "Spousal Renunciation of Rights Affidavit - Dbe Program" - North Dakota

What Is Form SFN61066?

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

Form Details:

  • Released on May 1, 2016;
  • The latest edition provided by the North Dakota Department of Transportation;
  • 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 SFN61066 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Transportation.

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Download Form SFN61066 "Spousal Renunciation of Rights Affidavit - Dbe Program" - North Dakota

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SPOUSAL RENUNCIATION OF RIGHTS AFFIDAVIT
DBE PROGRAM
North Dakota Department of Transportation, Civil Rights
SFN 61066 (5-2016)
Name of DBE Owner Spouse
Name of DBE Owner
Name of DBE Firm
I hereby irrevocably deny and/or renounce any and all present managerial or financial involvement and/or
ownership interest in the DBE Firm.
Should I become in any way involved in the operation or ownership of the DBE Firm, I shall notify NDDOT
immediately.
I realize that this document may be used in any court proceeding.
I have not signed this Affidavit through any coercion, fraud or duress.
Acknowledgement
(Sign before a Notary Public)
Print or Type Name
Signature
Date
State
County
Signed and sworn to (or affirmed) before me on
Date
Affix Notary Stamp
Name of Notary Public (Type or Print)
Signature of Notary Public
Commission Expiration Date (if not listed on stamp)
SPOUSAL RENUNCIATION OF RIGHTS AFFIDAVIT
DBE PROGRAM
North Dakota Department of Transportation, Civil Rights
SFN 61066 (5-2016)
Name of DBE Owner Spouse
Name of DBE Owner
Name of DBE Firm
I hereby irrevocably deny and/or renounce any and all present managerial or financial involvement and/or
ownership interest in the DBE Firm.
Should I become in any way involved in the operation or ownership of the DBE Firm, I shall notify NDDOT
immediately.
I realize that this document may be used in any court proceeding.
I have not signed this Affidavit through any coercion, fraud or duress.
Acknowledgement
(Sign before a Notary Public)
Print or Type Name
Signature
Date
State
County
Signed and sworn to (or affirmed) before me on
Date
Affix Notary Stamp
Name of Notary Public (Type or Print)
Signature of Notary Public
Commission Expiration Date (if not listed on stamp)